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Advisory 2002-09

Revised TWCC-67 and TWCC-68 Medical Bill Instruction Forms

Previous advisories referenced the Commission's requirement that the insurance carrier stamp medical bills with the carrier's Master Business Identification (MBI) Number. With the complete implementation of electronic submission of medical bill data, this requirement no longer exists. The Instructions for completing the HCFA-1500 (DWC-67) and the Instructions for Completing the UB-92 (DWC-68) both contained verbiage that indicated the MBI number needed to continue to be submitted and this Advisory serves as notice that we have updated these forms to remove this requirement. Insurance carriers must continue to process and annotate bills in accordance with Commission rules.

Signed this 17th day of June, 2002

Richard F. Reynolds, Executive Director

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