Liens retro UR (California)

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Liens retro UR (California)

Postby lacompfun on Tue Mar 26, 2019 7:09 pm

Scenario

1.Denied case. Settles by C&R. Now liens are litigated.

Question

1. What triggers the retro UR?

Seems like should be:

1. AOE COE trial. Other threshold issues like employment etc

2. If defenses loses those issues then retro UR triggered.


Any codes and cases with answers much appreciated.
lacompfun
 
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Re: Liens retro UR (California)

Postby LawAdvocate on Thu Mar 28, 2019 8:15 am

Any threshold issue must be resolved prior to AOE/COE,coverage, application of contract must be resolved prior to triggering retro UR and need second bill review/IBR.

I don't have the codes handy, but until the threshold issues are resolve, then you UR/IMR and second bill review/IBR, which ever are applicable are deferred.
LawAdvocate
 
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