Labor and Industries is the workers' compensation payer. There is no private carrier to bill. The Health Care Authority runs Apple Health. Most members are in a managed-care organization, and that organization is the payer. Fee-for-service Apple Health is a separate submission. Oregon's coordinated care organizations do not pay Apple Health members.
Labor and Industries is the workers' compensation payer. There is no private carrier to bill.
The Health Care Authority runs Apple Health. Most members are in a managed-care organization, and that organization is the payer. Fee-for-service Apple Health is a separate submission. Oregon's coordinated care organizations do not pay Apple Health members.
Washington is a monopolistic fund state. A work injury is billed to the Department of Labor and Industries. A commercial health claim, or an Oregon workers' compensation carrier, is the wrong payer for a Washington injury.
Medicare Part A and Part B for a Washington practice go to Noridian Healthcare Solutions, Jurisdiction F, with Oregon and Idaho. A Labor and Industries bill does not go to Noridian.
Washington has two state payers that look nothing like a commercial claim. Apple Health follows the managed-care organization. A work injury follows Labor and Industries. Medicare follows Noridian. Mixing any two of those is a denial.
Coordinated care organizations. Same Medicare contractor. Private workers' compensation carriers.
Oregon medical billing IDIdaho Medicaid. Same Medicare contractor.
Idaho medical billing USThe directory of state Medicaid programs and Medicare contractors.
Back to the state listThe Department of Labor and Industries. Washington does not use private workers' compensation carriers.
Washington Medicaid. Most members are billed to their managed-care organization.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
