§ 127.202. Medical bills—use of alternative forms.
(a) Until a provider submits bills on one of the forms specified in § 127.201 (relating to medical bills—standard forms) insurers are not required to pay for the treatment billed.
(b) Insurers may not require providers to use any form of medical bill other than the forms required by § 127.201.
Notes of Decisions Forms
The Commonwealth Court remanded to the Workers’ Compensation Appeal Board with instructions that the Board remand to the Workers’ Compensation Judge to give the health care provider an opportunity to submit his medical bills on the forms mandated by Act 44, where the regulations reinforce the obligation of the health care provider to submit his bill on the proper form before payment will be made and, moreover, the regulations also require that medical reports be submitted before payment is due. AT&T v. Workers’ Compensation Appeal Board (Dinapoli), 728 A.2d 381 (Pa. Cmwlth. 1999); appeal denied 829 A.2d 311 (Pa. 2003).
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