Can insurance companies arbitrarily determine UCR rates? Where did the concept of Usual, Customary and Reasonable Payment (UCR) come from? How do we know if an insurer calculated UCR correctly? How do we challenge a UCR decision? Can we balance bill the patient for the amount the insurance company reduced our fee? May we question the age of the data used by an insurer to calculate UCR? What databases are currently certified by the state for worker’s compensation? How old is the fee data in the certified databases? Why is a worker’s compensation carrier allowed to reduce my fee? How are “reasonable fees” in worker’s compensation calculated? What can I do to speed up payment in a worker’s compensation case? Can a WC carrier deny payment if the employer has not reported the injury? How do WC databases work?
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