Home>News> Complaint Form Issued for Employers, Insurers that Delay Medical Treatment
Complaint Form Issued for Employers, Insurers that Delay Medical Treatment
After hearing many complaints about inappropriate delays and denials of medical treatment, the state Division of Workers' Compensation (DWC) recently introduced a Utilization Review (UR) complaint form. This form can be submitted by mail or e-mail. Click here for a copy.
The law requires all employers and insurance companies that handle Workers' Comp claims to use a UR program to decide whether to approve requests for medical treatment. Physicians, injured workers and others can file a complaint if they believe a UR program isn't being run by the rules. Complaints may trigger a DWC investigation.
The DWC is also considering regulations to assess fines against employers and insurers that use the UR process to delay or deny medical treatment. Continue checking www.geklaw.com for updates on these regulations if and when they come into effect.
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LEGAL DISCLAIMER: This web site is for informational purposes only.
If you are seeking legal advice or representation, please contact us at 213 739-7000. Pursuant to Labor Code Section 5432(a), making a false or fraudulent workers' compensation claim is a felony subject to up to 5 years in prison
or a fine of up to $50,000 or double the value of the fraud, whichever is greater, or by both imprisonment and fine.
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