When submitting an SBR, the original Explanation of Review (EOR) is not a required document, because the Payer Claim Control Number allows the claims administrator to reference the EOR sent for the original bill.

If the Payer Claim Control Number is not available on the EOR, use either:

1. The injury claim number, or
2. DaisyBIll Bill ID

Examples of where to find the Payer Claim Control Number

AIG / Chartis

American Claims Management

Berkshire Hathaway Homestate Companies

Broadspire

BunchCare

CorVel

Employers

ESIS

Gallagher Basset

Liberty Mutual

State Comp Insurance Company (SCIF)

Sedgwick

State Farm

The Hartford

Travelers

York

Zurich

AIG / Chartis

American Claims Management

Berkshire Hathaway Homestate Companies

Broadspire

BunchCare

CorVel

Employers

ESIS

Gallagher Basset

Liberty Mutual

State Comp Insurance Company (SCIF)

Sedgwick

State Farm

The Hartford

Travelers

York

Zurich

We hope that helps!