GUIDE · GEORGIA SBWC · CHECKED JULY 2026

How to bill as a Georgia
registered rehabilitation supplier.

An itemised time bill in six-minute units, direct to the carrier, TPA or self-insured employer — $106 an hour registered, $124 catastrophic — under Board Rules 200.1 and 200.2, with a registration you renew every year. Here is the whole chain.

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Registration first, and again every year.

Georgia runs a registered-supplier model. You register with the State Board of Workers’ Compensation as a rehabilitation supplier under Board Rules 200.1 and 200.2, and the registration renews annually. Catastrophic work is a separate, board-certified designation with its own rate.

The Board’s own hub for all of this is managed care and rehabilitation at the SBWC. Georgia also publishes a supplier roster, which is worth knowing for two reasons: adjusters use it to find you, and lapsed registration is publicly visible.

Who pays: private carriers, TPAs and self-insured employers. There is no state fund and no MCO layer — your bill goes straight to whoever is administering the claim.

The money

Two rates, and the line between them is the case.

Georgia publishes a rehabilitation fee schedule, and the rate depends on whether the case is catastrophic — not on what the activity was.

DesignationHourlyPer 6-minute unit
Registered rehabilitation supplier$106.00$10.60
Catastrophic supplier (board-certified)$124.00$12.40

2025 SBWC rehabilitation fee schedule; the per-unit column is the hourly rate divided into tenths. Current as of July 2026 — verify with the Georgia SBWC.

Billing is in six-minute increments, the same tenth-of-an-hour rhythm as Ohio and Washington. A twelve-minute adjuster call is 0.2 — $21.20 non-catastrophic, $24.80 catastrophic. Payment is expected within 30 days.

Because the rate follows the designation rather than the task, the integrity check on a Georgia bill is different from a code-driven state: nobody is going to query which code you used, but a catastrophic rate on a non-catastrophic file is the kind of error that gets a whole invoice looked at rather than one line.

The bill

An itemised time bill, direct to the payer.

No claim form, no intermediary. The bill is a dated, itemised record of your time going to the adjuster or the TPA handling the file.

What belongs on every line: the date, the injured worker and claim number, what you did in plain words, the time in tenths, the rate, and the extension. What sinks a Georgia invoice is vagueness — “case management, 4.2 hours” is a request for a phone call from someone whose job is to trim it.

Because you are billing an adjuster directly rather than a fee-schedule robot, the narrative quality of your line descriptions is doing real financial work. This is the state where the difference between a good tracking log and a bad one is most visible in what gets paid.

Getting paid

Many payers, thirty days, no automatic remedy.

A Georgia book is spread across carriers, TPAs and self-insured employers. That means a lot of small relationships, each with its own remittance habits, and no single payer whose behaviour you can learn once and rely on.

Two disciplines carry the state. First, age by payer, not in one pile — the 30-day expectation is only useful if you can see who is past it. Second, when a payment is short, find out before you call whether it is a rate question (was this file catastrophic?) or a time question (were hours trimmed?). Those are two different conversations and mixing them costs you credibility with an adjuster you will bill again next month.

What our research does not confirm: Georgia’s electronic-billing classification — whether payers are required to accept electronic bills for this kind of work. We have the flag open and are not going to state it either way. The SBWC is the authority.

Catastrophic, and why it is a different practice

Two designations, two kinds of week.

The catastrophic supplier designation is board-certified and separate. It is not a rate you elect on a file; it is a standing you hold, applied to cases the Board has designated catastrophic.

The billing consequences are simple and worth stating plainly. The rate follows the case designation, not the difficulty of the afternoon. A catastrophic rate on a non-catastrophic file is not an aggressive interpretation, it is an error, and it is the kind that gets an entire invoice pulled apart rather than one line queried. Keep the designation on the front of the case record, next to the claim number and the payer, so it is a property of the file rather than something you remember at billing time — the same discipline Ohio counsellors need for case level.

The other half of the designation story is registration itself. Georgia’s supplier registration renews annually and the roster is public, which means a lapse is visible to exactly the adjusters who would otherwise be assigning you work. Diary the renewal the way you would diary a filing deadline.

Who you will be billing

The Georgia payer landscape.

There is no state fund and no MCO layer in Georgia. Your bill goes to whoever is administering the claim — which in practice means a rotating cast of carriers, TPAs and self-insured employers, each with its own adjuster and its own habits.

Who the money comes from

In Georgia
Private carriers · TPAs · Self-insured employers
National carriers
Travelers · The Hartford · AmTrust · Zurich · Chubb · Berkshire Hathaway · Liberty Mutual · AF Group / Accident Fund · Old Republic · Great American
TPAs who administer claims
Sedgwick · Gallagher Bassett · ESIS · Helmsman · Broadspire · CorVel · TRISTAR · CCMSI · Athens Administrators

That is the structural difference between Georgia and Ohio. An Ohio book concentrates into a handful of MCOs; a Georgia book fragments across many small payer relationships, none of whose behaviour you can learn once and rely on.

Three habits make a multi-payer book manageable: keep the agreed rate and invoice format per payer rather than per practice, age receivables by payer so a consistently slow administrator shows up as a pattern instead of a bad month, and keep the proof of what you sent and when.

Straight from the agency

Where to verify all of this.

Everything above is transcribed from Georgia State Board of Workers' Compensation (SBWC) and the rules it publishes, checked in July 2026. Before you bill from a figure on any website — ours included — check it at the source.

Board Rules 200.1 and 200.2 are the documents to read in full rather than in summary — including the annual renewal requirement and the catastrophic certification.

The governing rules: SBWC Board Rules 200.1 and 200.2.

Current as of July 2026 — verify with Georgia State Board of Workers' Compensation (SBWC).

The part no guide usually mentions

You will type each of these activities four times.

Not because you are disorganised. Because nobody ever built software for this job, so the job got done in Excel and Word — and those four files do not talk to each other.

One activity
07/09 · 0.3 (18 min) · $106/hr
Employer contact — return-to-work options
Non-catastrophic file
Your time recordtenths, all day
The progress narrativewhat the adjuster reads
The itemised billdate, activity, tenths, rate
The receivableand where it sits against day 30

In a direct-to-adjuster state the same entry has to serve as evidence, as narrative and as an invoice line. Typing it three times is how the three of them drift apart.

Med Claims Pro is configured to your formats, folders, payers and codes during onboarding — included in every plan. See how Georgia billing maps onto it, or book fifteen minutes and watch a week like yours run itself.

Questions, answered.

What does a Georgia rehabilitation supplier bill per hour?

$106 an hour as a registered rehabilitation supplier and $124 an hour for catastrophic work on the 2025 SBWC rehabilitation fee schedule. Current as of July 2026 — verify with the Georgia SBWC.

What is the difference between Rule 200.1 and Rule 200.2?

They are the Board rules that govern rehabilitation suppliers and their registration — including the annual renewal and the separate board certification for catastrophic suppliers. Read them at the SBWC rather than from a vendor’s summary.

Do I bill on a CMS-1500 in Georgia?

No. Georgia rehabilitation suppliers bill an itemised time bill in six-minute units, sent directly to the carrier, TPA or self-insured employer.

When should I be paid?

Thirty days is the expectation. There is no MCO or state fund in between, so an unpaid invoice is a conversation with a specific adjuster — which is an argument for an aging list organised by payer.

Does Georgia require electronic billing?

Our July 2026 research left that flag open and we are not going to guess at it. The State Board of Workers’ Compensation is the authority on its own e-billing rules.

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