IBRs
Apr 19, 2024
Sedgwick: IBR Filing Fee Hall of Shame
The good news: When Independent Bill Review (IBR) overturns an improper payment denial, Sedgwick Claims Management, Inc. will restore the $180 filing fee the provider ...
Jan 28, 2021
ESIS & ABM Industries - IBR Hall of Shame
We continue to look at the misbehavior of ESIS, which yesterday entered the IBR Hall of Shame for its deplorable treatment of a provider who prevailed in two Independent Bill...
Jan 27, 2021
Is ESIS Gaming California's Work Comp System?
In this latest installment of the IBR Hall of Shame, we chronicle the never-ending payment torture inflicted on a provider who “wins” an Independent Bill Review (IBR). This i...
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 ...
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.
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...
Nov 25, 2019
SCIF Tantrum Subverts the IBR Process
Few behaviors induce more cynicism than when claims administrators ask providers to withdraw requests for Independent Bill Review (IBR) in exchange for correct payment. Appar...
Oct 14, 2019
The Zenith Unsucessfully Attempts to Undermine IBR Request
Claims administrators continue to innovate new techniques that make it harder for providers to receive proper reimbursement. In this installment, we tell a tale of the length...
Oct 3, 2019
Liberty Mutual and a Cautionary Tale of Payment Woes
Today we’re sharing a maddening and all-too-common story of payment woes, this time featuring Liberty Mutual as the miscreant that just won’t pay a bill correctly -- despite ...
Sep 4, 2019
Liberty Mutual, Gallagher Bassett, Chubb Scoff at CA IBR Rules
It’s still happening: claims administrators including Liberty Mutual, Gallagher Bassett, and Chubb are ignoring the rules regarding Independent Bill Review (IBR), brazenly re...
Aug 5, 2019
Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman
A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...
Apr 17, 2019
Liberty Mutual IBR Noncompliance: Unfair and Odious
After 124 days and 13 phone calls, Liberty Mutual fails to pay a $195 IBR fee ordered by Maximus. Employers need to take heed of this unlawful tale and make sure that ...