Audit Complaints for Workers' Compensation
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Learn how to report claims administrators for not properly paying bills or otherwise non-compliantly processing bills. Providers can do this confidentially. The DWC uses Audit Complaints to monitor and research claims administrators, and to enforce the law.
Topics Covered
- Overall strategy for effectiveness: be brief, be specific, and cite the regulations
- Required steps
- What Audit Complaints can and cannot do
- Sample templates
NOTE: The Audit Complaint form was updated in 2019. Access the updated form here: https://www.dir.ca.gov/dwc/Auditref.pdf
Resource Documents
DaisyBill is not a law firm, nor do we offer legal advice through any of our paid services or free informational and educational resources. Information or insight gleaned from our paid services or free resources should not be construed as legal advice.
Worker’s Compensation billing is disturbingly convoluted. We take pride in reviewing the laws, rules, and policies and, to the best of our ability, explaining what we’ve read in plain English.
If you seek legal advice or representation, please contact a licensed attorney in your jurisdiction who specializes in Workers’ Compensation.
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