DWC Form IBR-1 Request for Independent Bill Review - California

What Is DWC Form IBR-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 IBR-1?
A: DWC Form IBR-1 is a Request for Independent Bill Review in the state of California.

Q: What is the purpose of DWC Form IBR-1?
A: The purpose of DWC Form IBR-1 is to request an independent review of a medical billing dispute.

Q: Who can use DWC Form IBR-1?
A: Any party involved in a medical billing dispute in California can use DWC Form IBR-1, including injured workers, employers, and insurance companies.

Q: Is there a deadline for submitting DWC Form IBR-1?
A: Yes, DWC Form IBR-1 must be submitted within 30 calendar days from the date of receipt of a bill or explanation of review (EOR).

Q: What happens after submitting DWC Form IBR-1?
A: After submitting DWC Form IBR-1, the dispute will be reviewed by an independent bill reviewer (IBR) appointed by the DWC.

Q: How long does the DWC Form IBR-1 process take?
A: The IBR process typically takes 60 calendar days from the receipt of a completed IBR application.

Q: What is the decision of the independent bill reviewer (IBR)?
A: The IBR will issue a final determination on the dispute, which is binding and enforceable.

Q: Can I appeal the decision of the independent bill reviewer?
A: No, the decision of the IBR is final and cannot be appealed.