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Request for Second Review: Denied Bill
Need to Second Review a denied bill?
Request for Second Review: Add or Change Units/Modifiers
Notice a mistake on a submitted bill?
Request for Second Review: Partial Payment
Need to appeal a partially paid bill? Submit a Second Review!
Second Review: Denied as Duplicate
When a Second Review is incorrectly denied by a claims administrator as a Duplicate Billing, contact the claims administrator and/or file an Audit Complaint.
Second Review Denial: Missing Documentation
When a Second Review is incorrectly denied by a claims administrator due to Missing Documentation, DaisyBill can help. If the bill was submitted using DaisyBill, follow these instructions to contact the claims administrator and/or file an Audit Complaint.
Billing and Payment Rules
DaisyBill stores California workers’ comp-specific billing and reimbursement Ground rules for HCPCS and med-legal codes. This information is helpful for determining reimbursement accuracy.
Request for Second Review: Add New Supporting Documents
When submitting a Request for Second Review, DaisyBill automatically attaches the SBR-1 Form and the modified CMS1500 to the Second Review submission. To choose additional supporting documents to attach to the Second Review, follow the steps below.
Request for Second Review Compliance
Submitting Second Review requests through DaisyBill guarantees 100% compliance when submitted within 90 days of the EOR date.
EORs NOT Required for SBR
A DaisyBiller reported that The Hartford denied a Second Review (SBR) because an EOR was not attached. This is noncompliant behavior!
Apply Second Review Reasons
When submitting a request for Second Review, use your saved Second Review Reasons to populate the Reason for Requesting Second Bill Review field.
Penalty and Interest
Claims administrators owe penalty and interest on all late bill payments. Labor Code § 4603.2 mandates that claims administrators must self-execute penalty and interest.