Electronic Medical Bill Data Exchange (eBilling) Implementation

The Texas Department of Insurance, Division of Workers' Compensation is implementing electronic medical bill data exchange (eBilling) procedures for health care providers and insurance carriers involved in the Texas workers' compensation system.

Health care providers and insurance carriers providing services for network and non-network Texas workers' compensation claims are required to be able to exchange medical bill data electronically (eBilling) on and after Jan. 1, 2008.

The primary benefit of eBilling is that the insurance carriers will provide an electronic acknowledgement to health care providers that the bill was received.  Other benefits include streamlined bill processing costs and reduced billing and coding errors.

Health care providers and insurance carriers are responsible for establishing their own business relationships for eBilling.  With the effective date quickly approaching, health care providers and insurance carriers should contract with eBilling clearinghouses and trading partners as soon as possible. 

Waivers from the eBilling requirements are available to qualifying entities.  The deadline for submitting a waiver request to the Texas Department of Insurance, Division of Workers' Compensation (TDI) is October 31, 2007. 

Information relating to eBilling is available on the TDI Web site at http://www.tdi.state.tx.us/wc/ebill/index.html .  Health care providers are encouraged to check this Web site frequently for updates.

Direct waiver questions to Bill Wells at (512) 804-5002 or bill.wells@tdi.state.tx.us .

Direct eBilling questions to txcomp.help@tdi.state.tx.us .


Comment on this (Must be logged in to comment)

Add Comment

Text Only 2000 character limit

Looking for more?