California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1 - Administrative Director-Administrative Rules
Article 5.5.0 - Rules for Medical Treatment Billing and Payment on or After October 15, 2011
Section 9792.5.3 - Medical Treatment Bill Payment Rules
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) On and after October 15, 2011, claims administrators shall conform to the payment, communication, penalty, and other provisions contained in the California Division of Workers' Compensation Medical Billing and Payment Guide, except that the provisions relating to the payment of electronic medical bills shall become effective on October 18, 2012. This subdivision does not apply to processing or payment of bills submitted before October 15, 2011.
(b) On and after October 18, 2012, claims administrators shall conform to the payment, communication, penalty, and other provisions contained in the California Division of Workers' Compensation Electronic Medical Billing and Payment Companion Guide.
1. New
section filed 4-18-2011; operative 4-18-2011 pursuant to Government Code
section 11343.4 (Register 2011, No. 16).
2. Amendment of NOTE filed
12-31-2012 as an emergency; operative 1-1-2013 pursuant to Government Code
section 11346.1(d) (Register 2013, No. 1). A Certificate of Compliance must be
transmitted to OAL by 7-1-2013 or emergency language will be repealed by
operation of law on the following day.
3. Amendment of NOTE refiled
7-1-2013 as an emergency; operative 7-1-2013 (Register 2013, No. 27). A
Certificate of Compliance must be transmitted to OAL by 9-30-2013 or emergency
language will be repealed by operation of law on the following
day.
4. Amendment of NOTE refiled 9-30-2013 as an emergency;
operative 10-1-2013 (Register 2013, No. 40). A Certificate of Compliance must
be transmitted to OAL by 12-30-2013 or emergency language will be repealed by
operation of law on the following day.
5. Certificate of Compliance
as to 9-30-2013 order transmitted to OAL 12-30-2013 and filed 2-12-2014
(Register 2014, No. 7).
Note: Authority cited: Sections 133, 4603.3, 4603.4, 4603.5 and 5307.3, Labor Code. Reference: Sections 4600, 4603.2, 4603.3 and 4603.4, Labor Code.
