New fee reduction for Workers’ Compensation Independent Medical Review and Independent Bill Review submissions

March 17, 2015
Area(s) of Interest: Payor Issues and Reimbursement Practice Management Workers' Compensation 

The California Department of Industrial Relations (DIR) announced that fees for submission of an Independent Medical Review (IMR) or Independent Bill Review (IBR) for workers’ compensation were reduced effective January 1, 2015.

The following table summarizes the reduction in fees.



Fee prior to December 31, 2014


Fee effective January 1, 2015


Independent Medical Review


Standard IMRs involving non-pharmacy claims






Standard IMRs involving pharmacy-only claims






IMRs terminated or dismissed, not forwarded to a medical professional reviewer






IMRs terminated or dismissed after case forwarded to a medical professional reviewer






Expedited IMRs involving non-pharmacy claims (no change in fee)






Independent Bill Review


Completed IBR






Terminated IBR not sent to review





Physicians who submitted an IMR or IBR on or after January 1, 2015, will receive a refund for any fees paid in excess of the new fee schedule.



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