Simultaneous Objections to Medical Bills

November 5, 2021

As referenced in Subject Number 046-1465, the Chair of the Workers' Compensation Board has adopted amendments to 12 NYCRR 325-1.25, effective November 1, 2021, to require all objections to medical bills be made simultaneously to make the process more efficient.

In accordance with the regulation:

• Objections made to medical bills for treatment rendered on or after the regulation's effective date must be made simultaneously.
• If treatment was provided before the regulation's effective date and the insurer previously made an objection to the medical bill, they can file all remaining objections within either the time remaining under the current rules OR within 45 days, whichever is shorter.
• If treatment was provided before the regulation's effective date and no objections to the medical bill have previously been made, the insurer must make all objections simultaneously.