Filing Appeals in California: SBR Filing and Jet Filing

Expert Filing Services for Faster, More Accurate Workers' Compensation Claim Resolutions

Managing SBR can be challenging for healthcare providers, especially when deadlines, documentation requirements, and submission errors lead to delayed or denied reimbursements. Many practices lose valuable time trying to correct filings or respond to disputes manually. Medical Lien Management expertly streamlines this process by handling Second Bill Review (SBR) submissions through a proprietary Jet Filing system, ensuring accuracy, compliance, and faster resolutions that help providers recover what they’re owed without administrative strain.

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      What is SBR and Jet Filing?

      Navigating the workers’ compensation claims process can be complex and time-consuming. Filing appeals through Second Bill Review (SBR) and Jet Filing are key methods used to resolve disputes and ensure healthcare providers receive the proper reimbursements for their services.

      Here’s an overview of how each of these filing methods works and why they’re essential for maximizing your revenue cycle.

      Second Bill Review (SBR) Filing

      Second Bill Review (SBR) is an essential tool for healthcare providers when a workers’ compensation claim has been denied or underpaid. If a claim has been rejected or incorrectly paid, an SBR filing allows for a re-evaluation of the claim to determine if proper payment was made based on California workers’ compensation fee schedules.

      How SBR Filing Works:

      • Request Initiation: After a claim has been denied or incorrectly paid, a healthcare provider can initiate the Second Bill Review process. The request must be submitted within 60 days of receiving the Explanation of Review (EOR).
      • Documentation Review: MLM’s expert team reviews the claim in detail, examining the medical billing codes, treatment records, and insurance provider guidelines to identify errors or omissions.
      • Reevaluation by Insurer: The insurance carrier will reevaluate the claim based on the new documentation submitted. This may include adjustments to medical billing codes, service details, or the overall claim payment.

      Effective SBR filing can help recover underpaid claims, correct payment errors, and ensure that all claims are in full compliance with California workers’ compensation regulations. With MLM’s expertise, we help minimize denial rates and speed up reimbursements, ensuring your practice gets paid accurately and on time.

      Jet Filing: Accelerating the Claims Process

      Jet Filing is a technology-driven solution that accelerates the submission and processing of workers’ compensation claims. This system is designed to automate and streamline the filing process, drastically reducing errors and delays while ensuring your claims are processed quickly and accurately.

      Step 1.

      Automation

      Jet Filing uses advanced automation technology to submit claims electronically, ensuring that the proper documentation and medical codes are included in each submission. This reduces the chances of human error and improves claim accuracy.

      Step 2.

      Faster Processing

      Traditional claim submission methods can be slow and prone to errors. Jet Filing eliminates bottlenecks by using real-time data transfers and direct integration with insurance systems. This ensures that your claims are reviewed and processed faster, reducing delays and improving cash flow.

      Step 3.

      Integrated System

      Jet Filing integrates with insurance systems, payer databases, and medical record systems to ensure efficiency and accuracy in every submission. This automation allows for faster resolutions and minimizes the need for follow-ups.

       

      Our proprietary jet filing method helps healthcare providers improve their revenue cycle efficiency by accelerating claim submissions and speeding up payments. By reducing administrative workload, manual errors, and submission delays, Jet Filing ensures that claims are processed more quickly, enabling faster reimbursement.

      Why Choose MLM for SBR and Jet Filing?

      With over 30 years of experience in managing workers’ compensation claims, MLM stands out as an industry leader in appeals management. Our SBR and Jet Filing services are designed to streamline the entire process, ensuring that your practice receives fair, timely reimbursements.

      Expert Industry Knowledge:

      MLM has deep expertise in workers’ compensation billing and SBR filing. Our team is well-versed in California workers' compensation laws and understands the intricacies of each insurer’s policies. This ensures that your claims are always compliant and strategically handled.

      Proven Success:

      We have successfully processed hundreds of SBR filings, helping healthcare providers recover lost revenue from underpaid claims and incorrect billing. MLM’s track record of maximizing reimbursements speaks for itself.

      Efficient and Automated Systems:

      With our Jet Filing technology, MLM dramatically reduces the time it takes to process and submit claims. We integrate automated solutions to speed up the filing process, ensuring faster resolutions and optimized cash flow.

      Dedicated Support:

      From case evaluation and documentation review to appeal submission and follow-up, MLM provides full-service support. Our team of experts is committed to ensuring your claims are processed efficiently and accurately.

      Comprehensive Revenue Cycle Management:

      Beyond SBR and Jet Filing, MLM offers end-to-end workers' compensation billing services. We streamline A/R management, medical billing and coding, and claim follow-ups to ensure your practice’s revenue cycle runs smoothly.

      Optimizing Every Aspect of the SBR Filing Process

      Filing a Second Bill Review (SBR) in California requires precise documentation, strict deadline compliance, and a strong understanding of why the original bill was reduced or denied. Medical Lien Management offers specialized SBR filing services that help healthcare providers overcome payer disputes, correct underpayments, and recover the revenue they are owed without unnecessary administrative work.

      Supporting Documentation Compilation

      We gather all required documentation, including medical reports, treatment notes, DWC forms, and justification letters. This ensures your SBR package is complete and ready for review.

      Timely SBR Submission

      SBR requests must be submitted within 90 days of receiving the EOR. Our team ensures every submission meets this deadline to prevent automatic denials caused by timing issues.

      Payer Communication and Follow-Up

      We communicate with adjusters and bill reviewers to confirm receipt, request processing updates, and address any issues that may slow down reimbursement.

      Denial Analysis and Escalation (IBR Preparation)

      If the SBR is denied, MLM prepares your file for Independent Bill Review (IBR). We document payer errors, compile all evidence, and guide your practice through the next recovery step.

      Data Reporting and Outcome Tracking

      Our reporting tools give providers clear visibility into SBR performance, including approval rates, turnaround times, and financial results. This helps you make informed business decisions.

      Payment Posting and Reconciliation

      Once payments are issued after a successful SBR, we match payments to claims and post them accurately. Any remaining balance is reconciled to ensure your revenue cycle stays clean and accurate.

      Compliance and Regulation Oversight

      We stay updated with all DWC and administrative director rules to ensure every SBR submission is fully compliant with California workers’ compensation requirements, improving acceptance rates and reducing risk.

      Get Started with MLM’s SBR and Jet Filing Services

      If your workers’ compensation claims are delayed or underpaid, MLM’s SBR and Jet Filing services can help you recover the revenue you deserve. Our team is dedicated to providing fast, efficient, and accurate claims filing to improve your practice’s cash flow and reduce claim denials.

      Contact us today for a free consultation to learn how MLM can help optimize your workers’ compensation claims process and ensure that you are reimbursed fully and promptly.

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      Committed to Compliance, Privacy, and Industry Standards

      At MLM, we prioritize security and state-level compliance. Our systems and staff align with HIPAA regulations and industry best practices to protect sensitive health data and meet payer guidelines.

       

      From encryption to audit-ready workflows, every process is designed with security and legal compliance in mind.

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      Collect 30% More With
      Managed Revenue Cycle Services

      Maximize your reimbursements and streamline your billing process with MLM’s proven RCM services healthcare providers trust. Let us handle your medical revenue service collections while you focus on patient care.

      Revenue Cycle Management FAQ

      The Workers’ Compensation Appeals Board (WCAB) handles disputes over workers’ compensation claims in California. Managing WCAB claims effectively is crucial for ensuring your practice receives the appropriate reimbursements and minimizing payment delays.

      We carefully review each denied claim, identify the cause of the denial, and submit timely appeals. Our team follows up with WCAB and insurance providers to ensure quick resolutions and optimize reimbursements for your practice.

      SBR (Second Bill Review) is used to challenge denied or underpaid claims. It’s a re-evaluation of the initial decision. Jet Filing, on the other hand, uses advanced technology to automate and speed up the claims submission process, reducing delays and errors for faster processing and reimbursement.

      While timelines can vary, MLM’s proactive approach and timely follow-ups typically result in faster resolutions, often within 30-60 days, depending on the complexity of the claim.

      Yes! MLM specializes in both WCAB and standard insurance claims. We streamline both processes to reduce denials and accelerate reimbursement for all types of claims.

      We analyze denial patterns, improve documentation, and optimize coding practices to reduce future WCAB rejections and improve your overall claims process.

      Our pricing depends on the volume and complexity of your claims. We offer a free consultation to assess your needs and provide tailored pricing based on your practice’s requirements.

      Getting started is simple! Reach out to us for a free consultation, and we’ll discuss how MLM can help streamline your WCAB claims process and maximize your reimbursements.

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