Provider Payment Disputes
A provider that is governed by the Labor Commission's Medical Fees per rule R612-2-5 and who disagrees with a payment that is made by a self insured employer or the employer's insurance carrier may appeal that payment to the payer in writing within a one year time period (Rule R612-2-24). If the payer and the provider are unable to resolve the dispute then the provider may appeal the payment to the Industrial Accidents Division for a decision. A decision by the Division may be appealed to the Adjudication Division for a formal hearing.