When submitting a Second Review appeal, 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:
- The injury claim number, or
- daisybill Bill ID
Examples of where to find the Payer Claim Control Number
Sedgwick Claims Management Services
State Compensation Insurance Fund (CA)
Liberty Mutual Insurance
Zurich Insurance North America
Berkshire Hathaway Homestate Companies
Tristar Risk Management
Intercare Holdings Insurance, Inc.
AmTrust North America
Cannon Cochran Management Services Inc.
Insurance Company of the West
Keenan & Associates
Employers Compensation Insurance Company
We hope that helps!