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CA Notices
MedBill
Payments
Litigation
Potpourri
100

This notice is used when delaying a claim for a medical reason and the injured worker is not represented.  

Full Delay medical reason, need QME 

100

What is included in mileage benefits besides the mileage? 

tolls and parking costs 

100

What is the Waiting period? 

  • 3 calendar days, payable if lost time more than 14 days
100

What Applicant Attorney firm files the most claims?  

Abramson 

100

What does IBR represent? 

Independent Bill Review 

200

What is an SC Start or resume notice? 

salary continuation 

200

What is a standardized medical diagnosis code?  The International Classification of Diseases 

ICD

200

When is TTD owed?  

  • Within 14 calendar days from employer knowledge and disability

    • All compensation due at time of payment to be paid
200

Who are the managers for Staff Counsel?

Newcomb and Jemerson 

200

How many workers are in California?  

18.8 - 19 million workers 

  • Wage and salary employees
  • Self‑employed workers
  • Full‑time and part‑time workers
300

What do you file to start the QME process? 

Objection to treating doctor 

300

What is the M54.5 ICD code? 

low back pain 

300

What is the limit for TTD benefits?  

104 weeks or 5 years

300

What type of hearing is used to assist parties in resolving disputes? 

Mandatory settlement conference

300

Who is the largest work comp carrier in California?  

SCIF- State Compensation Insurance Fund 


This makes State Fund larger in California than any private carrier, even though companies like Travelers or Hartford may be larger nationally

400

What should be included in the TD Stop Notice if you are not starting PD benefits?  

PD Monitor 

400

Do we cover med-legal invoices on denied claims?  How do we make sure they are paid?  

yes, and they are added to the I&TO screen under medical personnel.  

400

What is a SIP? 

Self-imposed penalty owed for late payments, need to have DWC1

400

How much is allowed per the fee schedule for a full day for interpreter fees?  

$456

400

How many employers are in California?  

About 1.84 million employers (with employees)

This is the figure most commonly used in labor law, workers’ compensation, and claims contexts.

  • ~1.8 million private‑sector employers with paid employees
  • ~37,000 public‑sector employers
  • Total employers with employees: ~1.84 million
500

What is the difference between a PD Start Notice and a PD Deferral Notice?  

PD based on RTW at 100% of AWW 
500

How do you get medical bills paid when you reverse a compensability decision because of the QME?  

set an FCO Recon activity

and

If you don't, we may owe a penalty on the unpaid med bills.  

500

Can you request reimbursement of an indemnity overpayment?  

  • Overpayment recovery allowed when IW agrees to overpayment
  • File petition with WCAB for judge decision on allowing overpayment, if IW doesn't agree to overpayment
500

If a party files a hearing notice, how long do you have to file an objection?

10 days

500

How many CA work comp handlers do we have? 

80