Pilot Program to Lengthen Appeal Timeframe
Effective January 1, 2015, WSI will implement a pilot program to lengthen the appeal timeframe for a disputed medical charge.
Currently, the appeal timeframe for a disputed charge is 30 days from the date of the Remittance Advice. The pilot program will allow a provider to submit an appeal within 60 days from the date of the Remittance Advice. The Remittance Advice Reason Codes document contains a complete list of the reason codes with the codes impacted by the extended appeal timeframe identified.