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