Independent Bill Review (IBR) Update 2026 Q1
Applications Filed
| IBR Filings | Jan |
Feb | Mar | Apr | May | Jun | Jul |
Aug | Sep | Oct | Nov | Dec | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total Number of IBR Applications Received by the IBR Organization | 459 | 403 | 495 | 1,357 | |||||||||
| Total Number of Applications Deemed Eligible in the Month | 211 | 275 | 336 | 822 |
Applicable Fee Schedule
This is the DWC fee schedule that covers the service for the disputed bill and is used by the IBRO to decide the appropriate reimbursement. Contracts between providers and payers may supersede the DWC fee schedules and are considered separately by the IBRO.
| Applicable Fee Schedule | Count |
|---|---|
| Interpreter | 708 |
| Physician Services | 419 |
| Contract for Reimbursement Rates | 87 |
| Medical-Legal Fee Schedule | 80 |
| Hospital Outpatient Departments and Ambulatory Surgical Centers | 31 |
| Inpatient Hospital Services | 15 |
| Pathology and Laboratory Services | 8 |
| Ambulance Services | 6 |
| Durable Medical Equipment, Prosthetics, Orthotics and Supplies | 2 |
| Pharmaceutical | 1 |
Case Outcomes
- Overturned – The IBRO has determined that additional reimbursement is warranted.
- Upheld – The IBRO has determined that no additional reimbursement is warranted.
There have been 760 case decisions issued in 2026. The 607 overturned cases issued total approximately $785 thousand in additional reimbursement to the IBR applicants.
| Disposition | Total Count |
|---|---|
| Overturned | 607 |
| Upheld | 153 |
| Ineligible | 100 |
| Withdrawn | 37 |
| Total | 897 |
April 2026