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DWC Posts MPN Reimbursement Rate Form

Thursday, July 1, 2021 | 0

The California Division of Workers’ Compensation posted to its website a form for specific medical provider network entities to use when reporting contracted, discounted payments made to medical providers. Senate Bill 537, enacted in October 2019, requires disclosure of rates that are more than 20% lower than payments proscribed by the Official Medical Fee Schedule starting July 1. “Under Labor Code section 5307.12, an MPN entity that provides physician network services or ancillary network services must disclose to payers (a self-insured employer, insurer or third-party claims a...

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