Wyoming workers’ comp case management billing —
a monopolistic fund, and a $30,000 election.

Your week, in Wyoming’s documents.

One payer, an enormous map, and a vocational benefit that goes through a state agency rather than through you.

• 7:30 a.m.
  Calls before a two-hour drive.Entered as they end, with the claim number attached from the file.
• 11:30 a.m.
  Appointment attended, wait time, 132 miles.Travel time and mileage as their own lines — in Wyoming they carry the invoice.
• 2:40 p.m.
  Monthly report for the state fund file.From the same entries, in your own template.
• 4:45 p.m.
  Invoice out, receivable aging from today.One payer still needs a follow-up list.

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 Wyoming 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 →

One insurer, and a vocational benefit routed through a different agency entirely.

Ohio, Washington, North Dakota and Wyoming run monopolistic funds. The other three have private vocational providers billing into the system in one form or another; Wyoming routes the benefit through an election into the state Division of Vocational Rehabilitation, capped at $30,000 over five years.

That leaves no private voc-rehab billing market. What is left is case management, billed to the state fund, across a state where the drive is regularly longer than the appointment.

If you want to see what a monopolistic fund looks like when private providers do bill into it: Ohio and North Dakota.

Who pays you in Wyoming.

One payer: Wyoming Workers’ Compensation, the state fund. Simpler in every way except that when it is slow, everything is slow at once.

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

Case files, adjusters, mileage, invoices.

Case-management billing works in Wyoming today: the activity grid, the itemised invoice, travel time and mileage on their own lines, and aging that tells you how long the fund has held a bill.

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.

Questions, answered.