• About
• Quality Indicators
• Billing
• Resources
• Self Insured

Billing

Ortho-Neuro Surgeons participating in this pilot bill using the following codes and limits for services provided:

1071M - Quality indicator incentive payment

Fee: Effective July 1, 2009

• Tier 3 - $103.37
• Tier 2 - $77.53
• Tier 1 - $51.69

Limits:

• Billed and payable to Ortho-Neuro Pilot Surgeon when the activity prescription form is also paid to the same provider for the same date of service.
• Payable during global surgery period.

1069M - Completion of the Activity Prescription Form (APF)

Fee: Effective July 1, 2009

• $49.18

Billed and payable to Ortho-Neuro Pilot Surgeon when the activity prescription form is completed during an office visit and signed by the surgeon.

Bill promptly for pilot services

Billing promptly will ensure that we have received all the information we need to assign you to the appropriate payment tier.

Know the bill payment cutoff dates

Bills are processed every other Friday. See cutoff and payment dates.

Payments are mailed during the week of the payment date (beginning on Tuesday).

Resources

• 1-800-848-0811 - Provider Hotline, for all billing questions and to request L&I published forms and manuals.
• 1-800-831-5227 - To get claim or bill status information through an automated phone line.
• 360-902-6511 - Electronic Billing Unit, to get billing information on State Fund claims