Department of Rehabilitation Services (DRS) Provider Billing Guides

Department of Rehabilitation offers a billing guide for the UB-04, CMS 1500, and ADA Dental Claim Forms to assist you in filing your DRS claims. If you strictly follow the guidelines, we believe you will experience fewer difficulties with claim payments as well as higher levels of speed and accuracy. Each guide contains a view of the form, a legend of codes used, and descriptions of content for each block.

Use the links below to access block-by-block instructions for completion of the claim forms accepted by Department of Rehabilitation Services.