© DaisyBill 2017 Workers’ Compensation Resources

1. Injury accepted by claims administrator 2. Only reimbursement amount disputed as required by

a. OMFSb. 5307.11 contracts (including, PPO contracts)

3. Timely request for Second Reviewa. Within 90 days of receipt of original EOR

4. Claims administrator issued a Second Review EOR5. Timely IBR submission

a. Within 30 days of receipt of Second Review EOR

$

Independent Bill Review: 5 Requirements