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.
The receivables screen: twenty-eight bills, one payer check covering sixteen claimants, three short-pays flagged, $1,123.90 still owed; placeholder names.
One payer check, sixteen claimants, three short-pays caught to the cent, $1,123.90 still owed. Doe/Roe placeholders, real workflow — Sedgwick and Gallagher Bassett in Utah, nine MCOs in Ohio, one screen either way.
Your Utah codes and payers, set up in week oneOne entry → every documentShort-pays caught automaticallyYour data stays on your PCReal phone support: (302) 202-3172
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-specific setup — 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.Itemized 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.

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 →

A duty is not a market

Ten days to refer, and no funded program 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-specific setup.

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.

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

What is genuinely for sale here today

Case files, adjusters, mileage, receivables.

Nurse case management billing works in Utah today: activity grid, the priced lines your invoice is built from, 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 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

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 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.

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: (302) 202-3172 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: (302) 202-3172.

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 program, 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, itemized 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.

15 minutes

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.

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