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Workers Comp Unwrapped Episode 520: IBR, IMR, or Direct Appeal? How to Pick the Right Dispute Track After the 2026 UR Overhaul
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Last episode we audited ten billing gaps. This episode is about what to do when a dispute is already on your desk and you need to pick the right track. The utilization review regulations that took effect on April 1, 2026 sharpened the lines between second bill review, independent bill review, independent medical review, and a direct appeal to the Appeals Board, and they added a ten-day lane for certain drug disputes. Ajay and Angel walk through the choice as a decision tree, one question at a time, so providers can sort any denial or reduction into the right track in under a…
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