DWC Form SMBFR1115 Report of Suspected Medical Care Provider Fraud - California

What Is DWC Form SMBFR1115?

This is a legal form that was released by the California Department of Industrial Relations - Division of Workers' Compensation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DWC Form SMBFR1115?
A: DWC Form SMBFR1115 is a Report of Suspected Medical Care Provider Fraud form in California.

Q: What is the purpose of DWC Form SMBFR1115?
A: The purpose of DWC Form SMBFR1115 is to report suspected medical care provider fraud to the California Division of Workers' Compensation (DWC).

Q: Who can submit a DWC Form SMBFR1115?
A: Anyone who suspects medical care provider fraud in the California workers' compensation system can submit a DWC Form SMBFR1115.

Q: What information is required on the DWC Form SMBFR1115?
A: The DWC Form SMBFR1115 requires information about the suspected fraud, the injured worker, the medical care provider involved, and the person submitting the report.

Q: What happens after I submit a DWC Form SMBFR1115?
A: After you submit a DWC Form SMBFR1115, the DWC will review the information and may take further action, such as initiating an investigation or referring the case to law enforcement.