Independent Bill Review (IBR) Update 2025 Q3

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 561 390 389 445 392 312 395 330 323       3,537
Total Number of Applications Deemed Eligible in the Month 379 323 339 303 264 365 382 365 365       3,085

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 2,173
Physician Services 781
Medical-Legal Fee Schedule 232
Hospital Outpatient Departments and Ambulatory Surgical Centers 108
Contract for Reimbursement Rates 159
Pathology and Laboratory Services 36
Inpatient Hospital Services 37
Durable Medical Equipment, Prosthetics, Orthotics and Supplies 8
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 3,288 case decisions issued in 2025. The 2,708 overturned cases issued total approximately $5.77 million in additional reimbursement to the IBR applicants.

Disposition Total Count
Overturned 2,708
Upheld 185
Ineligible 332
Withdrawn 63
Total 3,288

October 2025