Workers compensation fraudsters include medical providers who:

• Bill for inappropriate or unnecessary treatment
• Submit bills with improper medical codes
• Pay bribes or kickbacks

---

• Searchable Database of Liens Dismissed per Labor Code §4903.05(c)(2)

• Suspended Provider List
• Criminally Charged Providers Whose Liens are Stayed pursuant to Labor Code § 4615
• Lien consolidation hearings’ Special Adjudication Unit Calendar 
• Full List of Lien Claimants Whose Liens Have Been Flagged In EAMS As Potentially Subject To A Stay Under Labor Code Section 4615
• Public documents on which DWC relied in flagging lien claimants in EAMS as potentially subject to a stay under Labor Code section 4615.

• Report suspected medical care provider fraud
• Report fraud committed by a medical provider who is a Qualified Medical Evaluator (QME), by submitting the QME Complaint Form.

Workers compensation fraudsters includeinsurers, claims administrators and third-party administrators who:

• Make payments to nonexistent claimants or medical providers
• Refer patients or clients to medical providers or attorneys for compensation
• Issue excessive payments to an attorney or medical provider in return for kickbacks
• Backdate documents to avoid penalties, or alter documents to support unjustified denials of claims

Partners:

• California Department of Insurance Fraud Division
• Workers' Compensation Insurance Rating Bureau of California (WCIRB): Look up insurers who wrote a California workers’ compensation insurance policy for a specific employer on a specific date within the last five years.

 

Workers compensation fraudsters include employers who:

• Misreport claims history, or omit work injuries
• Encourage workers to submit fraudulent claims