DWC Form SBR-1 Provider's Request for Second Bill Review - California

What Is DWC Form SBR-1?

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 SBR-1?
A: DWC Form SBR-1 is the Provider's Request for Second Bill Review in California.

Q: Who can use DWC Form SBR-1?
A: Providers in California can use DWC Form SBR-1 to request a second bill review.

Q: What is the purpose of DWC Form SBR-1?
A: The purpose of DWC Form SBR-1 is to request a second review of a bill that has been previously reviewed and found to be incorrect or incomplete.

Q: How should DWC Form SBR-1 be completed?
A: DWC Form SBR-1 should be completed by providing all the required information, including the reasons for requesting a second bill review.

Q: Is there a deadline for submitting DWC Form SBR-1?
A: Yes, providers must submit DWC Form SBR-1 within 90 days from the date of receipt of the Explanation of Review (EOR) from the claims administrator.

Q: What happens after submitting DWC Form SBR-1?
A: After submitting DWC Form SBR-1, the claims administrator will conduct a second review of the bill and provide the provider with a written response.

Q: Can a provider appeal the decision made after the second bill review?
A: Yes, if the provider is not satisfied with the decision made after the second bill review, they can request an Independent Bill Review (IBR) within 30 days from the date of the decision.