Independent Bill Review (IBR) Update 2025 Q2

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 561 390 383 384 366 312             2396
Total Number of Applications Deemed Eligible in the Month 379 323 339 303 264 371             1,979

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 1557
Physician Services 465
Medical-Legal Fee Schedule 149
Hospital Outpatient Departments and Ambulatory Surgical Centers 67
Contract for Reimbursement Rates 96
Pathology and Laboratory Services 29
Inpatient Hospital Services 27
Durable Medical Equipment, Prosthetics, Orthotics and Supplies 4
Ambulance Services 2

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 2,174 case decisions issued in 2025. The 1,800 overturned cases issued total approximately $2.63 million in additional reimbursement to the IBR applicants.

Disposition Total Count
Overturned 1,800
Upheld 101
Ineligible 228
Withdrawn 45
Total 2,174

July 2025