Billing Information for Healthcare Providers

For complete, current billing instructions for health care providers and hospitals, visit the Texas Department of Insurance general billing guide.

Medical billing

As of 1/19/2021 the Fund has contracted with Mitchell to process medical bills.

The preferred method for bill submission is electronically via WorkComp EDI. The Payer ID is WR902.

Medical bills may also be faxed directly to Mitchell at 732.212.7009 or mailed to the following address:

TASB
P.O. Box 2983
Clinton, IA 52733-2983

Please send billing documents directly to Mitchell. Any documents faxed or mailed to the Fund will be forwarded to Mitchell for processing.

Please note the Fund no longer contracts with Jopari for electronic filing. Bills may not be submitted through their service for processing. If a bill is submitted to Jopari, it will be returned.

Checking medical bill status

Mitchell has access to historical bill information going back to 11/1/2018 for the purpose of answering all billing inquiries.

To obtain bill status, contact Mitchell directly by calling 800.732.0153. You can also contact Mitchell by calling the main Fund line at 800.482.7276 and choosing Option 1, then Option 2. Their office is open from 7:30 a.m.–5:30 p.m. central time.

Pharmacy billing

The Fund contracts with Optum to process pharmacy bills.

The preferred method for bill submission is electronically via VitalPoint.

Pharmacy bills may also be faxed to the TASB office at 800.580.6720 or mailed to the following address:

TASB
P.O. Box 2010
Austin, TX 78768

Any documents faxed or mailed to the Fund will be forwarded to Optum for processing.

Please note the Fund no longer contracts with Jopari for electronic filing. Bills may not be submitted through their service for processing. If a bill is submitted to Jopari, it will be returned.

Checking pharmacy bill status

Contact Optum by calling 855.241.0680 or emailing TPA-BillReview@optum.com.

Billing tips

Use the proper Division of Workers’ Compensation (DWC) billing forms and complete all required fields accurately:

  • CMS-1500 for physician services and ambulatory surgical services.
  • UB-04 for facility charges, including hospital, inpatient and outpatient services, and home health services
  • DWC-66 for pharmacy services.
  • Make sure the bill is complete per DWC Rule 133.1.
    • Check DWC Rule 133.210 for documentation requirements.
    • Submit bills within 95 days of the date of service.
    • Provide a valid state medical license number and NPI number.
    • Provide valid diagnosis codes (ICD-9 codes).
    • Provide valid procedure codes (CPT codes).
    • Provide valid NABP and FID numbers.
    • Include modifiers for procedure codes when required.
    • Include a physical address in Box 32 for ambulance bills.