Notice of Assignment of Independent Medical Review (IMR)
Download FormThe administrative director (AD) has designated a company called Maximus to conduct all Independent Medical Reviews (IMR). When a dispute is assigned for review, Maximus must notify the parties in writing in a letter called the Notice of Assignment (NOA).
The 15-Day Deadline
The notification generally provides that the parties have 15 calendar days (with some limited exceptions) to provide Maximus, at a minimum, all medical reports issued in the prior six (6) months. In addition, the claims examiner must forward the following:
- A copy of the UR determination notifying the employee and the treating physician that the requested medical treatment was denied, delayed or modified.
- A copy of all reports and information provided to the physician who reviewed the treatment request.
- A copy of the treating physician's request for authorization (RFA) for the disputed treatment.
Why the Deadline Matters
Because the reviewer decides the dispute based on the records in front of them, making sure the right medical evidence reaches Maximus within the deadline can directly affect the outcome of the review.
How GEKLAW Can Help
The IMR process is document-driven and time-sensitive. An experienced Workers' Compensation attorney can help make sure the complete, relevant medical record is submitted on time so your treatment request gets a fair review. If your treatment has been denied, we can help.
