Delaware workers’ comp case management billing —
§2353, and how rarely it fires.
19 Del. C. §2353 lets the Board order vocational services on a Delaware claim, which keeps the volume small and the referrals episodic. Nurse case management is the steady work here, billed to the carriers and TPAs.
The facts, before the pitch.
How billing works in Delaware
- 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 Delaware Office of Workers' Compensation before anyone quotes you one — including us.
- The clock
- Not a deadline we have verified for Delaware. Ask the Delaware Office of Workers' Compensation, and read the payer’s own contract, before you rely on a date.
The system. Board-ordered vocational services; nurse case management is the live market.
Where the rules are written. 19 Del. C. §2353.
Nurse case managers in Delaware are supported today. Invoice-based case-management billing needs no state-specific setup — it works here now. Private vocational rehabilitation in Delaware is a different story, told plainly further down, and there is a Delaware voc-rehab list you can join.
Your week, in Delaware’s documents.
A small jurisdiction where practitioners often carry Pennsylvania, Maryland and New Jersey files in the same week.
- 8:00 a.m.Telephonic updates across three states’ files.The jurisdiction belongs to the claim, so nothing has to be remembered per call.
- 10:45 a.m.Appointment attended, wait time, 31 miles.Itemized as they happen.
- 1:45 p.m.Monthly reports for two TPAs.Both out of the weekly logs it already wrote.
- 4:10 p.m.Invoices out to three payers, three receivables started.Each aging from the day it left.
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 →
Delaware files usually arrive next to Pennsylvania, Maryland and New Jersey ones.
§2353 vocational services are Board-ordered, which makes them occasional rather than a practice. Most people billing Delaware claims are also billing in the states around it, each with its own forms and payer habits.
That is the argument for a system where the jurisdiction is a property of the claim: pick the claimant and the right configuration comes with them. Pennsylvania · Maryland · New Jersey
Who pays you in Delaware.
Private carriers and TPAs, no state fund. National names, regional adjusters, and files that frequently cross the state line.
Delaware 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 Delaware 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 Delaware today with no state-specific setup, and it works the same way across the state line, which is how this caseload is usually carried.
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 Delaware Office of Workers' Compensation for
- the current text of 19 Del. C. §2353
We have not published a verified link set for Delaware 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 Delaware Office of Workers' Compensation 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 a Delaware case-management caseload run itself.
Fifteen minutes, a case-management caseload on screen, and an honest answer about what Delaware voc rehab would need. Or join the Delaware 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 Delaware
Questions, answered.
How often does §2353 actually produce vocational work?
Episodically — it is Board-ordered rather than automatic, which is why we describe Delaware as a case-management market rather than a voc-rehab one.
I bill Delaware, Maryland and Pennsylvania claims.
Then the jurisdiction needs to belong to the claim rather than to your memory. Extra states are $49 a month on Professional. Pricing.
Is there a Delaware rate we should know?
Not one we have verified, so none is printed here.
What does onboarding configure?
Your invoice templates, folders, naming, payers and rates, from your own filed copies, in your first week.
Where does my data live?
On your computer, in your own folders.
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.