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CA - IC Refuses Treatment That IMR Found Medically Necessary
#1
Toungue 
California - I'm in California. IMR overturned IC denial for treatment. A victory for the employee. Or…. Maybe not.

Presented my doctor with a copy of the IMR decision overturning IC original denial. He contacts IC to get authorization for treatment based on the IMR findings. IC continues to deny the treatment request. The only reason my doc resubmitted RFA with a copy of the IMR to the adjuster is to make sure everyone gets paid for the treatment… him, hospital, lab, etc.

How can they legally deny treatment when it was ruled medically necessary via IMR? Now what?
 
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CA - IC Refuses Treatment That IMR Found Medically Necessary - SickOfTheProcess - 04-18-2014, 01:40 AM

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