This is the DWC fee schedule that covers the service for the disputed bill and is used by the IBRO to decide the appropriate reimbursement. Contracts between providers and payers may supersede the …

In 2025, California providers must pay more to file for Independent Bill Review (IBR) to dispute improper reimbursements from payers, due to an increased IBR filing fee.

The IBR application lists ten categories from which the applicant selects the fee schedule(s) for the billed services provided. Some IBR cases contain multiple fee schedule review requests.

Feb 25, 2025 · If you’re filing for Independent Bill Review (IBR) to dispute underpayments or denied reimbursements, the IBR filing fee has increased as of January 1, 2025. Maximus Federal Services, …

Nov 25, 2024 · The increase wouldn’t seem like bad news for providers on its face; when Maximus rules in the provider’s favor, California law mandates that the claims administrator reimburse the provider …

Nov 21, 2024 · To submit the IBR request, the provider must pay Maximus a (currently) $180 filing fee. However, according to an email from Maximus to daisyBill, the IBR filing fee will increase to $195, …

Dec 12, 2024 · Starting January 1, 2025, the IBR filing fee will increase to $195, as confirmed by Maximus. This increase applies to all IBR cases received on or after this date.

For Independent Bill Review applications submitted on or after January 1, 2025 the application fee is $195. For ineligible and withdrawn applications, providers may receive a partial refund of the IBR …

Nov 22, 2024 · In addition to the high practice expenses required to bill for injured workers’ treatment compliantly, providers must currently pay a $180 IBR filing fee for the state intervention necessary …

While filing both a lien and IBR application eliminates the risk of violating the statute of limitations for lien filing, it does require the provider to pay two filing fees: $150 for the lien (Labor Code section …