Medical billing resources
Appropriate billing forms:
UB 04 - hospital
NCPDP - pharmacy
ADA - dental
Chart notes or documentation to support services
provided must accompany the bill.
Workers' Compensation Insurer
If you do not have the insurer's address, or know who the insurer is for an employer, you can submit a request online or call WCD Employer Index at 503-947-7814.
Medical Fee Dispute Request
A provider, insurer, or injured worker may request review by the director when there is a dispute about fees between the provider and insurer. A request for review must be submitted to the director within 90 days of the date the aggrieved party knew or should have known that the dispute existed.
Questions? Contact us at 503-947-7606 or e-mail email@example.com.