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 2592.13 - Designation-Experienced Medical Bill Reviewer
EXPERIENCED MEDICAL BILL REVIEWER DESIGNATION
This Designation is awarded to
______________________________
(Medical Bill Reviewer's Name)
for Experienced Medical Bill Reviewer
as a result of meeting the requirements for workers' compensation medical bill reviewing experience pursuant to California Insurance Code Section 11761 and California Code of Regulations, Title 10, Sections 2592.01 and 2592.05
Total Years of California Experience At Time of Designation: ____________
Designation Given By:
______________________________
(Name of Insurer or Medical Billing Entity)
___________________________ | ___________________________ | |
(Date) | (Signature) |
Name of person awarding designation (print or type):
Title of person awarding designation:
Business address:
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.