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IBR When No Response to SBR

In April 2017, the DWC Audit Unit confirmed: the DWC accepts Independent Bill Review submissions when a claims administrator fails to timely respond to a Request for Second Review.Providers may request second review of payment within 90 calendar days of receipt of the claims administrator’s Explanation of Review (EOR). Within 14 days of receipt of the Second Review, a claims administrator must issue a Final EOR with a written determination of each item in dispute.

Create IBR Submission

When reimbursement remains due on a bill after Second Review, file for Independent Bill Review (IBR).