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Restoration Insurance Billing 101
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<h1>
Restoration Insurance Billing 101
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By
<strong>
John Reeves
</strong>
· Published in Restoration Guide SoCal
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<p style="font-size:18px; color: var(--muted);">
Direct insurance billing is the difference between a restoration job that costs you a $1,500 deductible and one that costs you $8,000 upfront with reimbursement to chase. Understanding how the billing works helps you ask the right questions before signing.
</p>
<h2>
How direct billing works
</h2>
<p>
You assign benefits to the restoration company (an AOB — Assignment of Benefits — form). The contractor invoices the insurance carrier directly. The carrier pays the contractor. You pay your deductible. This is the standard model for water mitigation in California.
</p>
<h2>
California's AOB rules
</h2>
<p>
California regulates AOB forms tightly compared to some other states. The form must include specific disclosures, you have a right to cancel within a defined window, and the contractor can't sue your carrier directly under most AOB structures. These protections exist because of past contractor AOB abuse in other markets.
</p>
<h2>
What's covered vs. what's billed
</h2>
<p>
Mitigation (water extraction, drying, antimicrobial, documentation) is almost always covered for sudden-and-accidental events. Rebuild work (drywall replacement, paint, flooring) is also covered but billed separately, often by a different contractor. Some California restoration companies are full-service (mitigation + rebuild); many specialize in mitigation only.
</p>
<h2>
The deductible reality
</h2>
<p>
Most California homeowners policies have $500 to $2,500 deductibles. On a $5,000 mitigation invoice with direct billing, your out-of-pocket is your deductible.
<a href="https://socaldry.com" rel="noopener">
a SoCal restoration dispatch service
</a>
and most professional restoration companies confirm this on the initial call.
</p>
<h2>
Red flags
</h2>
<p>
Contractors who demand full payment upfront. Contractors who claim no deductible is required. Contractors who pressure you to sign AOB documents before any work has started. The
<a href="https://www.insurance.ca.gov" rel="nofollow noopener">
California Department of Insurance
</a>
publishes consumer guides for spotting contractor fraud in disaster scenarios.
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JR
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<strong>
John Reeves
</strong>
<p>
Restoration industry consultant with IICRC certification (S500, S520, ASD). Based in Orange County.
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