AVAILABLE FOR NORTH CAROLINA

North Carolina rehabilitation professional billing —
Form 25N to paid invoice.

Form 25N puts you on the case, the NCIC registry under 11 NCAC 23C says you may be there, and you invoice the carrier or the TPA at market hourly rates — North Carolina has no rehabilitation fee schedule to argue with. That freedom is exactly why your itemisation has to be unarguable.

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No card. No contract. Your data stays on your computer.
North Carolina Industrial Commission (NCIC)

The facts, before the pitch.

How billing works in North Carolina

Who you bill
The carrier or TPA.
What you send
Invoice at market hourly rates — there is no rehabilitation fee schedule.
The channel
Direct to the payer; North Carolina mandates medical e-billing.
Fee basis
Market hourly rates.
The clock
Not a deadline we have verified for North Carolina. Ask the North Carolina Industrial Commission (NCIC), and read the payer’s own contract, before you rely on a date.

The system. Carrier-assigned through Form 25N; the registry covers vocational AND nurse case managers.

Where the rules are written. 11 NCAC 23C.

The paperwork with its own name. Form 25N.

One of three states where nurse case managers register alongside vocational providers.

Electronic billing. Providers must e-bill (medical billing). Direct electronic submission is on our roadmap and is not something we ship today: Med Claims Pro builds the bill, the report packet and the receivable, and files your proof of what left — you send it through the channel the North Carolina Industrial Commission (NCIC) gives you.

Available for North Carolina. The codes, the forms, the payers and the fee basis on this page are what the software is set up to run — and onboarding fits it to your templates, your folders and your filing names in the first week.

Your week

Your week, in North Carolina’s documents.

A registry that covers vocational professionals and nurse case managers, a carrier assignment on a single form, and a rate you set and then have to defend.

  • 8:05 a.m.
    New Form 25N arrives. Assignment accepted, file opened.Client, claim number, carrier, referral source and rate set once, in one place, at the start.
  • 10:20 a.m.
    Appointment attended, forty minutes, plus wait time.Wait time is its own line because it is its own argument. Both are billable, both are recorded as they happen.
  • 1:50 p.m.
    Vocational assessment write-up and employer contact.The narrative is written once and feeds the monthly report and the invoice.
  • 4:15 p.m.
    Invoice out, at your hourly rate, itemised by date and activity.And a receivable the moment it leaves, so nobody has to remember it.
The daily activity grid: coded, timed entries at 0.1-unit precision with notes, rates and claim numbers.
The grid an Ohio caseload produces — codes at $81.90 and $91.00, 0.1-unit entries, notes in her own bracket style. In North Carolina the codes, the rates and the form change; the row does not.

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, the claim form or invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

One registry, two professions

North Carolina puts nurse case managers on the same list as vocational professionals.

The NCIC registry covers both, which is unusual — only Maryland’s practitioner registration and Georgia’s Rule 200.2 do anything similar. If you carry medical case management and vocational files at the same time, North Carolina treats you as one professional with one standing.

Your software should too. The same activity grid produces a vocational invoice and a case-management invoice; the receivables list ages them together by payer; the aging report names the carrier sitting on your money regardless of which kind of file it came from.

There is no rehabilitation fee schedule in North Carolina, so nothing external justifies your rate. The itemisation does: date, activity, minutes, rate, total, with the record behind every line. The nurse case manager page.

The payer directory

Who pays you in North Carolina.

Private carriers and TPAs, assigned by Form 25N. No state fund, no fee schedule, no intermediary — which makes the payer relationship, and the invoice that lands on the adjuster’s desk, the entire game.

North Carolina 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.

Payer fax numbers and billing addresses 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 North Carolina payers, their submission addresses and their quirks get set up during onboarding, from your own files.

North Carolina resources

Where the rules actually live.

Straight from the source

Outbound links to the North Carolina Industrial Commission (NCIC). We do not mirror agency documents — the agency’s copy is the one that counts.

How we keep this page honest

Every fact above is transcribed from the North Carolina Industrial Commission (NCIC) 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: 1-877-843-1717 or admin@onservice.us.

Available for North Carolina

See a North Carolina caseload run itself.

Fifteen minutes, North Carolina’s codes on screen, with a caseload that looks like yours. Or start the trial and poke around on your own — no card, no contract.

There is a phone number and a person answers it: 1-877-843-1717.

States that work like North Carolina

GeorgiaRehabilitation supplier · Available today VirginiaCRP · Configured during onboarding South CarolinaNurse case manager · Nurse case managers today MarylandRehabilitation practitioner · Configured during onboarding

All 50 states and the District of Columbia →

Questions, answered.

There is no fee schedule. What do I bill?

Your market hourly rate, itemised by date and activity. The software does not set your rate; it makes the bill behind it impossible to argue with, and it keeps the same rate consistent across a file so nothing drifts mid-case.

Does it cover nurse case management as well as vocational work?

Yes, and North Carolina is one of the few states where that is a formal fact rather than a convenience — the NCIC registry covers both. Same grid, different invoice. More.

North Carolina requires providers to e-bill. Do you do that?

Not today, and we will not imply otherwise. Med Claims Pro builds the bill, the documentation and the receivable and files proof of what was sent; direct electronic submission for mandate states is on our roadmap. Ask us where it is when you call.

Can it track Form 25N assignments per carrier?

Yes. The assignment, the referral source and the adjuster live on the file, and the reports break billed, paid and owed down by payer, so you can see which carrier assigns most and which one pays slowest.

What happens to my data if I cancel?

The software goes read-only. You keep viewing and exporting everything, in your own formats, indefinitely. How that works.

See your own week run itself.

Fifteen minutes, your state’s codes on screen — or start the trial and poke around on your own.

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