A regulation-cited rebuttal for every denial type
The reason library at /wizard/sbr-library pairs each common California WC denial with a canned, regulation-cited rebuttal and a Maximus IBR precedent to attach — PPO/PR-242 reductions (§9789.30(d)), missing-documentation (cite the 277 acknowledgment), MLPRR page count, modifier 93/96, ML202 downgrade, ML200 missed appointment, no-prior-auth diagnostics, $0/pending EORs, PR-2, MPPR, 99070 physician-dispensed drugs, automatically-authorized denials (§4610(b)), and duplicate-SBR. Search by denial, statute, or category and copy the rebuttal language.
The one-EOR-one-SBR rule
File exactly one Second Review per EOR, within 90 calendar days of receipt — or the bill is deemed satisfied and the A/R legally vanishes. If the SBR is denied, escalate to IBR within 30 days ($180 fee). Never file multiple SBRs on the same EOR (it's non-compliant). Mindbill auto-selects the right reason from the EOR's adjustment code when you file.