Cal. Code Regs. tit. 10 § 2592.11
Current through Register 2024 Notice Reg. No. 45, November 8, 2024
MEDICAL BILL REVIEWER DESIGNATION
This Designation is awarded to
______________________________
(Medical Bill Reviewer's Name)
for Medical Bill Reviewer Training
as a result of successfully completing the required hours for workers' compensation training pursuant to California Insurance Code Section 11761 and California Code of Regulations, Title 10, Section 2592.04
Total Hours of Training Completed: ____________
Designation Given By:
______________________________
(Name of Insurer or Medical Billing Entity)
| ___________________________ | ___________________________ | |
| (Date) | (Signature) |
Name of person awarding designation (print or type):
Title of person awarding designation:
Business address:
Cal. Code Regs. Tit. 10, § 2592.11
Note: Authority cited: Section 11761, Insurance Code. Reference: Section 11761, Insurance Code.