California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 3 - Insurers
Article 20 - Standards Applicable to Workers' Compensation Claims Adjusters and Medical Billing Entities and Certification of those Standards by Insurers
Section 2592.05 - Designation

Universal Citation: 10 CA Code of Regs 2592.05

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) A Designation shall be provided by the insurer to any person who successfully completes the claims adjuster, medical-only claims adjuster, or medical bill reviewer training required by sections 2592.02 and 2592.03 or section 2592.04, respectively. The Designation for a claims adjuster, medical-only claims adjuster or a medical bill reviewer shall be in the form specified in Section 2592.10 or 2592.11, respectively.

(b) An Experienced Claims Adjuster or Experienced Medical-Only Claims Adjuster Designation shall be provided by the insurer to a person as defined in Section 2592.01(f) or (g), respectively. The Experienced Claims Adjuster or Experienced Medical-Only Claims Adjuster Designation shall be in the form specified in Section 2592.12.

(c) An Experienced Medical Bill Reviewer Designation shall be provided by the insurer to a person as defined in Section 2592.01(h). The Experienced Medical Bill Reviewer Designation shall be in the form specified in Section 2592.13.

(d) An insurer shall provide to the claims adjuster, medical-only claims adjuster or medical bill reviewer a Post-Designation Training Form that states the course and hours taken for the post-designation training following the completion of the required training. The Post-Designation Training Form shall be on the form specified in Section 2592.14.

(e) A medical billing entity may provide medical bill reviewer and experienced medical bill reviewer Designations and Post-Designation Training Forms to its employees or agents that meet the requirements of this article so long as the insurer using the medical billing entity confirms that the medical billing entity has met all requirements of this article and obtains copies of all records required by this article.

1. New section filed 1-23-2006; operative 2-22-2006 (Register 2006, No. 4).

Note: Authority cited: Section 11761, Insurance Code. Reference: Section 11761, Insurance Code.

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