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Education about California workers’ comp rules and regulations

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#36 - Audit Complaints for Workers' Compensation

Recorded on 9/10/2015
38 minutes

Learn how to report claims administrators for not properly paying bills or otherwise non-compliantly processing bills. Providers can do this confidentially. The DWC uses Audit Complaints to monitor and research claims administrators, and to enforce the law.

Topics Covered

  • Overall strategy for effectiveness: be brief, be specific, and cite the regulations
  • Required steps
  • What Audit Complaints can and cannot do
  • Sample templates

  • NOTE: The Audit Complaint form was updated in 2019. Access the updated form here: https://www.dir.ca.gov/dwc/Auditref.pdf

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