UTAH BILLING FACTS · NURSE CASE MANAGERS SUPPORTED TODAY

Utah workers’ comp case management billing —
a ten-day duty, and then what?

Utah gives the carrier a 10-day reemployment referral duty and stops there. WCF Insurance, the privatized former state fund, and the private carriers pay for nurse case management, which is the live market and what this page sells.

No card. No contract. Your data stays on your computer.
Utah Labor Commission

The facts, before the pitch.

How billing works in Utah

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 Utah Labor Commission before anyone quotes you one — including us.
The clock
Not a deadline we have verified for Utah. Ask the Utah Labor Commission, and read the payer’s own contract, before you rely on a date.

The system. A statutory 10-day reemployment referral duty; nurse case management is the live market.

Nurse case managers in Utah are supported today. Invoice-based case-management billing needs no state pack — it works here now. Private vocational rehabilitation in Utah is a different story, told plainly further down, and there is a Utah voc-rehab list you can join.

Your week

Your week, in Utah’s documents.

A referral duty measured in days, a privatized state fund, and a caseload strung along one long valley.

  • 7:45 a.m.
    Telephonic updates on three files.Entered as they end, with claim numbers and adjusters attached.
  • 10:35 a.m.
    Appointment attended, wait time, 39 miles.Itemised as they happen, priced as you type.
  • 2:00 p.m.
    Monthly report for a WCF file.Written once from the entries already made.
  • 4:25 p.m.
    Invoices out, receivables aging by payer.Tuesday’s calls already listed.
The receivables screen: ten bills, one payer check covering four claimants, one short-pay flagged, $674.07 still owed.
One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in Utah or an MCO in Ohio.

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

A duty is not a market

Ten days to refer, and no funded programme behind it.

Utah’s statutory reemployment referral duty gives the carrier ten days to act. It does not create a funded vocational rehabilitation benefit, and a referral duty on its own does not support a private billing practice.

WCF Insurance and the carriers pay for nurse case management every week. That is the work that runs here, and it needs no state pack.

The payer directory

Who pays you in Utah.

WCF Insurance, the privatized former state fund, plus the national carriers and TPAs. Concentrated population, familiar adjusters, and invoices that get read carefully.

Utah payers

  • WCF Insurance (privatized former state fund)
  • Private carriers

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 Utah payers, their submission addresses and their quirks get set up during onboarding, from your own files.

What is genuinely for sale here today

Case files, adjusters, mileage, invoices.

Nurse case management billing works in Utah today: activity grid, itemised invoice, mileage and wait time on 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 itemised invoice

In the format the payer asks for, from the same entries, with the activity log behind it. No CMS-1500 unless your payer wants one — and some do.

Aging by payer

WCF Insurance (privatized former state fund), the carriers and the TPAs, each with billed, paid and still-owed, and an aging list that names who is sitting on your money.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

Utah resources

Where the rules actually live.

Ask the Utah Labor Commission for

  • the rules that govern rehabilitation billing in Utah

We have not published a verified link set for Utah 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 Utah Labor Commission 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.

Utah · what is real today

See a Utah case-management caseload run itself.

Fifteen minutes, a case-management caseload on screen, and an honest answer about what Utah voc rehab would need. Or join the Utah 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: 1-877-843-1717.

States that work like Utah

All 50 states and the District of Columbia →

Questions, answered.

What is the 10-day referral duty?

A statutory obligation on the carrier to make a reemployment referral within ten days. It is a duty, not a funded programme, which is why Utah is a case-management market rather than a voc-rehab one.

What can I bill here today?

Case-management work: visits, calls, wait time, mileage and reports, itemised to WCF and the carriers, with receivables and aging behind them.

Is there a Utah fee schedule for this?

Not one we have verified, so no rate is printed.

Can I join a list if Utah changes?

Yes — join the Utah voc-rehab list and we will write only when there is something real to show.

Where does my data live?

On your computer, in your own folders, exportable forever.

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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