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California dwc bill adjustment reason code

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State of California Division of Workers’ Compensation ...

www.dir.ca.gov

DWC Form SBR-1 (Effective 2/2014) Page 2 Instructions for Provider’s Request for Second Bill Review Overview: The Provider’s Request for Second Bill Review (DWC Form SBR-1) is used to initiate the second bill review process required by Labor Code sections 4603.2(e), for …

  Code, Review, California, Second, Division, Request, Compensation, Bill, Worker, California division of workers compensation, Request for second bill review

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