Alabama workers’ comp case management billing —
§25-5-77(c), and what it does not cover.
Ala. Code §25-5-77(c) makes vocational rehabilitation something a physician certifies, which keeps the private market narrow and episodic. Nurse case management is the work that runs every week here, billed to the carriers and TPAs.
The facts, before the pitch.
How billing works in Alabama
- Who you bill
- The carrier or TPA.
- What you send
- CMS-1500 or invoice.
- The channel
- Direct.
- Fee basis
- No published rate we have verified. Ask the Alabama Department of Labor before anyone quotes you one — including us.
- The clock
- Not a deadline we have verified for Alabama. Ask the Alabama Department of Labor, and read the payer’s own contract, before you rely on a date.
The system. Vocational rehabilitation is physician-certified and narrow; nurse case management is the live market.
Where the rules are written. Ala. Code §25-5-77(c).
Nurse case managers in Alabama are supported today. Invoice-based case-management billing needs no state-specific setup — it works here now. Private vocational rehabilitation in Alabama is a different story, told plainly further down, and there is a Alabama voc-rehab list you can join.
Your week, in Alabama’s documents.
A narrow vocational statute, and a field case-management caseload that covers a lot of ground.
- 7:50 a.m.Telephonic calls on four files.Each logged as it ends, with the claim number and adjuster attached.
- 10:45 a.m.Appointment attended, wait time, then 63 miles.Three lines, three rates, entered once.
- 1:55 p.m.Monthly report for the carrier.Written once from the entries already made.
- 4:25 p.m.Invoices out and receivables started.Aging begins the day the bill leaves.
Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, a CMS-1500 fills with the right units and the right payer block where a payer wants one — and where your state bills on its own form or an invoice, the dated, timed, priced lines that go on it come off the grid, and the receivable is tracked from the moment the bill leaves. The whole chain →
Physician certification is a narrow gate.
Under §25-5-77(c) vocational rehabilitation depends on a physician certifying it, which is a real but narrow route. It does not support a dependable private voc-rehab billing practice, and pages that imply otherwise are selling you something.
The market with weekly volume is nurse case management, invoiced to carriers and TPAs. That is what we can help with in Alabama today.
Who pays you in Alabama.
Private carriers and TPAs, with no state fund. Referrals come from adjusters, which makes the invoice the document that represents you between phone calls.
Alabama payers
- Private carriers
- TPAs
National carriers you will meet
- Travelers
- The Hartford
- AmTrust
- Zurich
- Chubb
- Berkshire Hathaway
- Liberty Mutual
- AF Group / Accident Fund
- Old Republic
- Great American
TPAs that send the referrals
- Sedgwick
- Gallagher Bassett
- ESIS
- Helmsman
- Broadspire
- CorVel
- TRISTAR
- CCMSI
- Athens Administrators
One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.
Billing addresses and submission preferences go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your Alabama payers and their submission preferences get set up during onboarding, from your own files.
Case files, adjusters, mileage, receivables.
Nurse case management billing works in Alabama today with no state-specific setup: activity grid, the priced lines your invoice is built from, mileage and wait time as their own lines, aging by payer.
The activity grid
Field visit, telephonic call, wait time at the appointment, the miles there and back — logged once, with the claim number, the adjuster and the referral source attached as you type.
The log behind the bill
A weekly narrative log per case file, dated and grouped, reproducing your own Word template — and where a payer wants a CMS-1500 the software fills one. It does not write an invoice document today: the dated, timed, priced lines that go on yours come off the grid.
Aging by payer
Every carrier and TPA you invoice, each with billed, paid and still-owed, and an aging list that names who is sitting on your money.
It is the same week an Ohio vocational rehabilitation case manager works, in different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. Thirty-odd billable touches a day either way, and the same four documents behind every one of them. The nurse case manager page has the whole workflow.
Where the rules actually live.
Ask the Alabama Department of Labor for
- the current text of Ala. Code §25-5-77(c)
We have not published a verified link set for Alabama yet, and we would rather send you nowhere than somewhere out of date. If you have the current documents, send them over — admin@onservice.us.
How we keep this page honest
Every fact above is transcribed from the Alabama Department of Labor or the statute named, dated July 2026, and reviewed when the agency republishes. Where we have not verified something we say so rather than filling the gap.
Found something out of date? Tell us and we will fix it the same week: (302) 202-3172 or admin@onservice.us.
See an Alabama case-management caseload run itself.
Fifteen minutes, a case-management caseload on screen, and an honest answer about what Alabama voc rehab would need. Or join the Alabama voc-rehab list and we will write to you when there is something real to show.
There is a phone number and a person answers it: (302) 202-3172.
States that work like Alabama
Questions, answered.
Can I build a vocational rehabilitation practice in Alabama?
§25-5-77(c) makes it physician-certified, which keeps it narrow and episodic. We would rather say that plainly than sell you a state setup for a market that will not feed it.
What does the software actually do for me here?
The nurse case management chain: activity grid, weekly narrative log, receivables and aging by payer, with mileage and wait time as their own lines. The full workflow.
Is there an Alabama fee schedule for this work?
Not one we have verified, so this page prints no rate. You bill your own, itemized.
Do you handle multiple TPAs?
Yes. Each is a payer with its own aging, and the report that names the slow one takes a click.
Where does my data live?
On your computer. Cancel and it goes read-only, never deleted.
See your own week run itself.
We load your state’s codes before the call, so you are looking at a caseload like yours inside the first two minutes — not a slide deck.