Processing Overdue - No Response

When a claims administrator remits no response to a Request for Second Review, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

Processing Overdue - Bill Not on File

When a claims administrator representative inaccurately reports a Second Bill Review (SBR) as not on file, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

EOR Non-compliant - Untimely

When a claims administrator fails to issue timely EOR for a Second Review, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

EOR Non-compliant - Incomplete

When an EOR received from a claims administrator lacks information required by Labor Code 4603 or California Code of Regulations § 9792.5.5, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

Denial Incorrect - Missing Documentation

When a claims administrator incorrectly denies request for Second Review citing missing documentation, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

Denial Incorrect - Duplicate Bill

When an EOR incorrectly denies a request for Second Review as duplicate billing, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

Denial Incorrect - Compensable Injury

When a claims administrator denies a Second Review for billed services wrongly citing a compensable injury as non-compensable, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

Denial Incorrect - Authorization

When a claims administrator authorizes billed services, then later denies an SBR-1 Form citing a lack of authorization, we strongly recommend that you file an Audit Complaint. Doing so could improve California workers’ comp billing for the entire community.

About Us

DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.

Drop us a line with any news you would like us to share or any issue that concerns you.

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