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Timeframe for IC/DA to contest AME
06-16-2011, 02:56 PM
Post: #1
Timeframe for IC/DA to contest AME
Hello All!

Is there a specific timeframe for the IC/DA to say they are contesting a claim in CA? I had my AME exam 10 weeks ago today. I went to a surgeon consult on 5/31. The surgeons report was sent to the DA finally on 6/13. My Attorney said based on the surgeons report, (it says I need surgery) the DA would have my TTD reinstated and my retro monies paid. Is there a timeframe now that I have to wait for as well?

Thanks.
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06-16-2011, 03:07 PM (This post was last modified: 06-16-2011 03:08 PM by 1171.)
Post: #2
RE: Timeframe for IC/DA to contest AME
there is a penalty for unreasonable delay (L.C. 5814). it's up to the court to decide what is unreasonable.
you also can request a expedited hearing when benefits are being denied.

http://www.leginfo.ca.gov/cgi-bin/displa...=5800-5816
http://www.dir.ca.gov/dwc/FORMS/EAMS%20F...0252_1.pdf

you can also file a complaint with the Audit Unit
http://www.dir.ca.gov/dwc/Audcomp.pdf
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