Workers’ comp payers can deny payment if a bill fails to include the mandated injury information. When adding a new Injury, daisyBill requires injury information that reflects the applicable state or federal billing requirements.

How to Add a New Injury

Step 1. From the Patient Page, click ‘Add Injury’

Note: When adding a new Patient, daisyBill navigates you directly to the Add Injury page when you complete adding the new Patient.

Step 2. Enter ‘Injury Description’

Since a patient may have multiple work injuries, daisyBill requires an Injury Description so your team can distinguish them. The Injury Description is for internal use only; it does not populate on the bill.

Step 3. Enter ‘Injury State’

Choose the jurisdictional state of the Injury.

Step 4. Enter the Patient’s ‘Employer Name’

Step 5. Enter ‘Injury Start Date’

If the Injury Start Date is unknown, contact the claims administrator to confirm the date they have on file.

For cumulative trauma injuries, enter the Injury Start Date, select Yes under Cumulative Trauma, then enter the Injury End Date.

Step 6. Enter ‘Claim Number’

Enter only 1 Claim Number per Injury. If no claim number has been assigned, enter “UNKNOWN”.

For an Injury with multiple claim numbers, contact the adjuster to determine the correct claim number for billing purposes.

For a patient treated under multiple Claim Numbers, add a new Injury (Step 1) for each Claim Number.

For many Claims Administrators, daisyBill provides information on Claim Number Patterns. Claim Number Patterns are informational only – a Claim Number that does not match a known Pattern will not prevent bill submission. For more information, see the Help Article: Claim Number Patterns.

Step 7.  Select ‘Claims Administrator’

Begin entering the Claims Administrator name and select the applicable name from the dropdown menu.

Some Claims Administrators require additional Payer routing information. For most Claims Administrators, daisyBill’s smart technology identifies the correct Payer. For more information, see the Help Article: Payer.

If the correct Claims Administrator is not listed, select Add Claims Administrator or contact the Help Center for assistance.

Step 8. (Situational) If you are missing any required Injury Information, leave the field blank

daisyBill scrubs the Injury for missing required information. If daisyBill detects any missing Injury information, daisyBill generates an Injury Error Task. This Bill Task prompts you to return to the Injury page and enter this information before you can send a bill.

For instructions on completing a Patient Error Task, see the Help Article: Task: Injury Error.

Step 9. (Optional) Select ‘Claim Status’ and ‘Claim Status Date’

Designating a Claim Status and a Claim Status Date enables reporting on these two fields. daisyBill alerts you to Denied Injuries in the Injury Breadcrumb.

Step 10. (Optional – Recommended): Enter ‘Diagnosis Codes’

The Diagnosis Codes you enter on the Injury page automatically populate on all future Bills and RFAs.  Begin entering a Diagnosis Code with or without the decimal, then select the applicable code from the dropdown menu.

Step 11. (Optional) Enter Injury Contacts

Injury Contacts include attorneys, adjusters, or nurse case managers. Select the Contact Role, then enter the Contact information. For more information, see the Help Article: Add / Edit / Delete Injury Contacts.

Step 12.  Click ‘Save’

Nice work – now let’s get to billing!