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IBR Awards Providers Additional Payment in 94% of Disputes

  • State: California
  • Topic: Top
  • - Popular with: Legal
  • -  0 shares
Independent bill review awarded additional payment on 94% of the nearly 6,000 disputes resolved on t…

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Do not post libelous remarks. You are solely responsible for the postings you input. By posting here you agree to hold harmless and indemnify WorkCompCentral for any damages and actions your post may cause.
Spencer Chelwick Feb 3, 2026 a 8:21 am PST

As I testified before the AD during a public hearing, there needs to be regulations regarding bill review companies who continually and inappropriately deny payment of medical-legal expenses, they pay one line and deny the rest for arbitrary reasons. So what, they have to reimburse the $180, no penalty, no interest for failing to appropriately review the bills. It falls on the provider to have to complete the 2nd bill review, copy, pay postage and wait only to have to send it to IBR again, pay someone to prepare, pay the IBR fee, copy, mail, pay postage and expenses all for them to say they are owed it and the insurance company only is "fined" $180. to reimburse the fee. This is horrible and this system needs to be addressed and fixed!!!

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