You go on the Industrial Commission’s registry, a carrier assigns you on a Form 25N, and you invoice at market rates — because North Carolina publishes no rehabilitation fee schedule. The registry covers vocational and nurse case managers alike. Here is the whole chain.
North Carolina is the state that treats vocational rehabilitation professionals and nurse case managers as one regulated population. The North Carolina Industrial Commission maintains a registry of rehabilitation professionals under 11 NCAC 23C, and it covers both. There is also a training requirement attached to being on it.
The Commission’s own page for the whole area is nursing and rehabilitation at the NCIC. If you are an RN doing field or telephonic case management here, you are in the same regulatory world as the vocational counsellor down the hall — one of only three states where that is true (Maryland’s practitioner registration and Georgia’s Rule 200.2 are the others).
You do not market your way onto a claim in North Carolina so much as get assigned to one. Form 25N is the Commission form by which a carrier appoints a rehabilitation professional to a case.
Two practical consequences. First, the 25N is the beginning of your file and the answer to “who authorised this work” — keep it where you can find it in ten seconds. Second, your payer relationship is with the carrier or TPA that made the assignment, not with the Commission. The Commission regulates you; the carrier pays you.
North Carolina does not publish a rehabilitation fee schedule. You invoice at market hourly rates — whatever your agreement with that carrier says.
What our research does not tell you: what those market rates actually are. We have verified rate figures for Ohio, Washington, Minnesota and Georgia and we print them with the month we checked them. For North Carolina we have not, so we are not going to invent a “typical” number for you to anchor a negotiation on. Ask your peers on the registry and the carriers you already work with.
What follows from having no schedule is worth more than a number anyway. In a fee-schedule state the rate argument is over before it starts. Here, the rate is in your engagement terms, which means three things matter:
The state requires electronic medical billing. Whether a given rehabilitation invoice falls inside that requirement depends on how your payer classifies the service, and that is a question for the carrier and the Commission rather than for us.
Med Claims Pro does not ship direct e-billing today. It produces your invoice, your activity documentation and your receivables, and keeps proof of what went out and when. Direct electronic submission for mandate states is on our roadmap, and we will keep describing it that way until it ships. If your carriers require electronic submission through a clearinghouse today, you will still be submitting through their channel.
Without a schedule to point at, what protects an invoice is the record behind it. A line that reads “06/12, 0.4, telephone conference with treating physician’s office re: work restrictions” is difficult to trim. A line that reads “case management” is not.
The rest is ordinary receivables hygiene that this state makes unusually important: age by carrier, compare paid line to billed line rather than paid total to billed total, and when something comes back short, establish whether the carrier disputed the rate or the hours before you pick up the phone. See short-pay and aging.
North Carolina is a private-carrier state, and work arrives by assignment. The carrier that put your name on a Form 25N is the carrier that pays you — often through a TPA, and often with an adjuster who will assign again if this file goes well.
Because assignment and payment come from the same relationship, the ordinary receivables job here is also business development. A carrier you have to chase twice is a carrier whose next assignment is worth less than it looks.
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.
Everything above is transcribed from North Carolina Industrial Commission (NCIC) 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.
The registry carries a training requirement; the Commission is the authority on its current terms. What this guide will not do is publish a market rate we have not verified, or claim an e-billing capability we have not shipped.
The governing rules: 11 NCAC 23C.
Current as of July 2026 — verify with North Carolina Industrial Commission (NCIC).
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, four files — and in a market-rate state the invoice and the narrative had better agree exactly, because the narrative is what defends the invoice.
Med Claims Pro is configured to your formats, folders, payers and codes during onboarding — included in every plan. See how North Carolina billing maps onto it, or book fifteen minutes and watch a week like yours run itself.
There is not one. Rehabilitation professionals invoice at market hourly rates set by agreement with the carrier. Our research does not establish what those market rates are, and we are not going to publish a figure we have not verified.
The Industrial Commission form by which a carrier assigns a rehabilitation professional to a claim. It is the authority for your involvement and the start of your file.
Yes. The NCIC registry under 11 NCAC 23C covers rehabilitation professionals including both vocational and nurse case managers — one of only three states where the two register alongside each other.
North Carolina mandates medical e-billing; whether a particular rehabilitation invoice falls inside it depends on how the payer classifies the service. Ask the carrier and the Commission. Med Claims Pro does not ship direct e-billing today — it is on the roadmap.
Most of it. The registry, the 25N assignment and the market-rate invoicing are the same world. Invoice-based case-management billing is supported in all fifty states today — see the nurse case manager page.
Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.