When medical opinions differ, resolving disputes is critical to fair and timely claims management. This module explains the medical-legal process in California workers’ compensation, including how Qualified Medical Evaluators (QMEs) and Agreed Medical Evaluators (AMEs) are selected and used. You’ll also explore how to prepare for evaluations, interpret reports, and manage disputes that impact compensability and benefits. 4 hours, on-demand, and it counts toward the CPWC certification.
Taking several modules? The full CPWC certification covers all 24 and meets California’s 120-hour classroom requirement.
Average of verified CPWC student surveys
On-demand, built around a full-time job
Counts toward the CPWC certification
Take it on its own or as part of CPWC
The CPWC certification is made up of 24 modules totalling 120 hours, which meets California’s classroom training requirement for new claims adjusters under 10 CCR §2592. You can take any module on its own, or take the full certification.
Medical Legal Dispute Resolution.
Compensability, benefits, disability, liens, fraud, and more. $119 each.
MBR, Medical Only, or Indemnity. Choose by the claims you handle.
All 24 modules, 120 hours, meets the California requirement.
| Module code | CPWC10 |
|---|---|
| Format | Online and on-demand. Interactive reading, video, and assessments. |
| Length | About 4 hours |
| Continuing education | Earns CE credit |
| Reference material | Integrated with Sullivan on Comp |
| Counts toward | The CPWC certification |
| Prerequisites | None. CPWC modules can be taken in any order. |
| Price | $119 for this module, or from $1,079 for a full CPWC track |
This course is ideal for claims professionals, legal staff, and employer representatives who are involved in resolving medical disputes or managing complex claims. It’s especially useful for those responsible for requesting or interpreting medical-legal reports.
Procedure you can apply to a live file, not theory.
Counts toward the training California requires for your role.
Post-designation training runs 16 to 30 hours every two years depending on role.
Three things worth being clear about before you enroll.
It earns CE credit and counts toward CPWC. The certification needs the full hours for your track.
It teaches how to apply the rules in daily claims work. It does not replace counsel on a specific dispute.
Built around California statute, regulation and practice, not a national overview.
“This program provided an excellent, practical deep dive into California workers’ compensation rules and procedures. The detailed insights on claims handling, dispute resolution, and statutory compliance have significantly boosted my confidence and effectiveness on the job.”
Ebony Hodge Ashleigh Morgan
“The most helpful part of the course was how it explained the workers’ compensation settlement process in a clear and practical way. The sections covering Compromise and Release (C&R) settlements, Medicare Set-Asides (MSAs), and the role of the claims adjuster were particularly valuable.”
Bianca O Hasanat Khan
“As a business owner, this course has been a valuable resource. It’s given me a clearer understanding of the workers’ compensation process and what’s at stake when claims arise.”
Rita B. Jose Mejia
No. CPWC modules can be taken in any order and this one has no prerequisites. It assumes you work with California workers’ compensation claims.
An uncontested bill must be paid within 45 days of receipt of the itemization — 60 days for a governmental entity. Any objection must be sent within 30 days of receipt. A bill neither paid nor contested in time is payable at the applicable rate increased by 15 percent, plus interest. Sources: Labor Code §4603.2.
Utilization review is the claims administrator’s own decision on whether requested treatment is medically necessary. Independent medical review is the appeal from a UR denial, decided by an outside organization rather than by the payer. A worker has 30 days from service of the UR decision to file for IMR, and 10 days for a formulary or MTUS drug dispute. Sources: Labor Code §§4610, 4610.5, 4610.6.
No. It earns continuing education credit and counts toward the certification. CPWC requires the full set of modules for your track.
About 4 hours, on-demand and self-paced, so you can fit it around a full-time job.
Yes. CPWC10 earns continuing education credit and counts toward the CPWC certification.
Yes. The module is integrated with Sullivan on Comp for the legal reference behind each rule.
It depends on your role. Under 10 CCR §2592 a new indemnity claims adjuster needs 160 hours including 120 classroom hours; a medical-only adjuster needs 80 hours including 50 classroom; a medical bill reviewer needs 40 hours including 30 classroom. All must be completed within 12 consecutive months. The three CPWC tracks are built to those tiers. A single module does not meet the requirement on its own.
Yes. Post-designation training is 30 hours every two years for indemnity adjusters, 20 hours for medical-only adjusters and 16 hours for medical bill reviewers. Failing to complete it causes loss of designation until the training is done. Source: 10 CCR §§2592.02, 2592.03, 2592.04, 2592.14.
If you need several modules, yes. Modules are $119 each; full tracks start at $1,079 for MBR and cover the hours California requires for that role.
Regulatory figures on this page were verified against Sullivan on Comp in August 2026. Confirm current deadlines against the Department of Industrial Relations and Department of Insurance before relying on them for a live claim.
Enroll in Medical Legal Dispute Resolution for $119, or take a full CPWC track from $1,079.
Not sure which track fits? Read the CPWC certification overview, or browse the other 23 modules.
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