Find the Right California Workers' Comp Form

Throughout the course of any Workers' Compensation case, an injured worker will receive a wide variety of forms, regarding everything from medical treatment to financial benefits. It is extremely important to read the forms carefully, and contact an attorney to confirm what action, if any, needs to be taken. Keep in mind that many of these forms include strict timelines that must be met.

Sample Determination of Independent Medical Review (IMR)

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The document above is a sample of a determination issued through Independent Medical Review (IMR) — the written decision that resolves a dispute over medical treatment in a California Workers' Compensation case.

IMR Determination Timelines

For a "regular" IMR review, the final determination is due within 30 days of Maximus receiving the IMR Application and supporting documentation. For an "expedited" review, the determination will be made within 3 days of receipt of the application and supporting documentation.

What the Decision Means

The decision issued by Maximus is binding on all parties, except on very limited grounds for appeal. If the disputed treatment is deemed medically necessary, the insurance company must authorize the treatment within 5 business days. If the denial is upheld, that decision generally stands for one year, unless there has been a material change in facts.

Appealing a Determination

If one of the limited grounds for an appeal exists, the final determination can be appealed within 30 days. Because those grounds are narrow, it is important to make the strongest possible case during the review itself.

How GEKLAW Can Help

The IMR process moves quickly and the decision carries real weight. An experienced Workers' Compensation attorney can help make sure the reviewer has the complete medical record needed to evaluate your treatment, and can advise you on whether an appeal is available. If your treatment has been denied, we can help.

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