Most Recent Articles
Mar 5, 2020
California IBR Fee Reduced Effective January 2020
Finally, some good news about Independent Bill Review (IBR)! Effective January 1, 2020, the required filing fee for providers requesting IBR dropped from $195 to $180.
Mar 6, 2020
$47 Million and Counting: Second Review Saves Provider Revenue
California workers’ comp providers face an inexcusable amount of hassle, red tape, and outright abuse in the struggle to collect correct reimbursement. Take it from us...
Feb 26, 2020
Benihana AND Broadspire Join IBR Hall of Shame
In this entry in the IBR Hall of Shame, we surface still another example of a workers’ comp claims administrator clearly not understanding, or not complying with, and/or just...
Jan 17, 2020
Sedgwick – IBR Hall of Shame
All too often, insurance companies and claims administrators find unfair ways to deny, delay, and otherwise wiggle out of paying the workers’ compensation reimbursements that...
Mar 7, 2019
SCIF IBR Disputes Are Further Proof of Provider Reimbursement Chaos
We are again chronicling the reimbursement pandemonium inflicted on providers by the current California Second Review appeal and Independent Bill Review (IBR) processes.<...
Jun 9, 2014
Reduced Fees for Filing IBRs
Last week we reported on the fee reduction for filing an Independent Bill Review. We now have published confirmation and more details on fee reductions for both IBRs and Ind...
Sep 15, 2020
AmTrust - IBR Hall of Shame
Below, we document the flouting of workers’ compensation law by AmTrust North America (AmTrust), and its continued refusal to reimburse a provider despite being ordered to do...
Sep 21, 2020
Gallagher Bassett Sinks Second Review Appeals
For California workers’ comp providers, we encourage submitting Second Review appeals when the claims administrator incorrectly adjusts or denies payment. Below we sho...
Sep 22, 2020
AmTrust: Audit Complaint Filed With DWC
In a recent article, AmTrust - IBR Hall of Shame, we described how AmTrust refuses to properly reimburse a provider, despite a Maximus Independent Bill Review (IBR) decision ...
Oct 2, 2020
Zurich Further Jeopardizes Providers' Payment With Incorrect Appeal Instructions
Even when there is potential payer fraud, California requires the provider -- not the payer -- to shoulder the burden of correcting claims administrator “mistakes.” For the t...
Oct 5, 2020
Zurich: CORRECT Appeal Instructions for Zurich Denials
Today, we explain the COMPLIANT protocol for California providers to dispute the noncompliant denials that Zurich recently issued, and that were based on its completely nonco...
Oct 6, 2020
Broadspire Defies CA Law and Denies Appeals Sent by Providers
Broadspire, A Crawford Company, is another example of a claims administrator that disregards California regulations with impunity. After accepting a compliant and time...