wouldn't this constitute an ime

[fireball]

hi guys, still waiting to hear from att yet i thought i would post it here.
I need surgery to repair a broken lead in my scs and sugery to implant another in the upper extremeties.
w/comp did not say "NO" but they wanted their medical department to review all my records and for them to make the decision. i also had a follow up visit with the person who manages my scs to record the exact damage before everything was sent to them

the medical department sent my dr/w/comp and myself a letter stating it was medically nesscessary for both of the sugeries

im guessing since they didnt like their own medical departments advice they now want me to go to an ime.

here's my question, i did the follow up exam they requested and sent all info to their dr who they stated would make a decision---so i now have 2 opinions one of my doc and one of theirs---how many different drs. can they use until they find one that says i dont need sugery

cheers!!!

p.s.its been months and its not a good experience just vibrating on one side of my body!

[1171]

there is no limit to the number of consultation either party may use in a claim.
you can object to a consultation at any time.

[fireball]

yeah, i did that it is the answer im awaiting for from my atty plus this dr. office is 3hrs away--i dont drive and am restricted for sitting long periods

[fireball]

update----w/comp FINALLY said the ime was to see if the pain in my upper arms is casualy related to the injury--we all know what that means-- another 10page document from the ime on how its not related and im fine. However, they have agreed to pay all expenses-hotel,meals,gas and a driver (if this alone doesnt tell u that they already have their answer) and delay it until after the sugery. so i guess i will go and enjoy the nite on them---CHICAGO style!!!!!!!

by the way i thought i saw somewhere on this forum that i can request the questions workcomp wants answered plus further info on the doctor(it was a link from someone) is this true!!!!

I wanna make them work for this IME

cheers!!!!!!!!!!!!!

[Bad Boy Bad Boy]

This link you mean, expand it to 100%;

http://www.disabilityclaimssolutions.com...rticle.pdf

[fireball]

bbbb, not the one i saw i saved it to favorite it is (sorry not literate enough to post it as a website) http://www.cuconsumers.org/CUCFconinfo0031.html let me know if u visit the site and what u think----I believe it is from an attorny

cheers!!!!

[Bad Boy Bad Boy]

Yes, I have seen this before. One might attempt to try getting all that information, but a injured worker most likely be pushed to the side, where as if the injured workers attorney pushed for such information, I would think it then be obtained. You have to admit, they don't think any injured worker will study up on their rights, laws, and rules of their State. Then again, they count on injured workers knowing very little also. (EXAMPLE) What employer ever teaches any employee what Work Comp is really all about? None I ever known.

[fireball]

u nailed it, but like i said(dang i say that alot!!!) I have been to so many ime's that this time i want to know exactly what the questions are. for gosh sakes they will be paying me hundreds of dollars to get to chicago--meals,driver hotel etc. that website stated what i was entitaled to so many documents. so am i really entitaled to that info?? now that i have the time before the ime can i could request the info. i am a VERY determined individual--and believe what ever i am entitaled to is mine. like u me and everyone were all tired of this system im too old-- like others to play games(okay not really old but old in the system) will this dr even respond??? should i write a letter of my own to leave with him regarding my past medical(as the lasts ones the w/comp deleted giving the ime all the reports) Just let me know ur advice for an ime i trust u and anyone else out there who has advice

thanxs in advance to everyone


cheers!!!!

[Bad Boy Bad Boy]

Well, since you (me) have the time. Yes, I would use that web site to aide in your writing your letters. One thing to remember, you must include information, such as date of birth, SS number, place of employment, Insurance carrier name & policy number, and Insurance Claim number, along with your State Work Comp Claim Number (s). Don't leave your letters shy of anything, and I would place such information all in the header or footnote of such letters. I would format a primary letter and save it as the basic. Then all you have to do is fill out the rest each time you wish to send a letter out. Saves you plenty of time. Now, the new Mail system. You send letters out Certified mail with return Reciept. I think now, your given a code from the Post Office, and you then track your Certified letter to see if it was signed for. Meaning okay they now got it. And see what happens. Will they reply in a timely fashion to you, I somehow doubt they will. But, always room for a 1st time thing to happen also. If say within 2 weeks you get no response from where the letter went, I would call the place, and ask them what the hold up is? I would bet they say, they never got the letter, that is if their wishing not to respond. Then, what you do, is send your attorney a copy of the letter, and copy of the certified letter Post Office Reciept and all. Ask the attorney (which is simple) to get a Subpoena for the said information that was in the letter. That is what I would start to do first.

[fireball]

thanks, u made my daughters day!!!! she does alot of the typing for me--(alright almost all---)

have a great day!!!

cheers!!!!!