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Ca treatment laws
#1
I was injured 22 years ago take about 30 % of the meds I used to take. Today they denied all my meds can anyone help I am starting the IMR process thank goodness i have a good primary care Dr who said I should not go from 90 mgs of ms contin to zero in 1 day what is odd is 5 years ago i took 300 mgs a day amy help appreciated
 
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#2
become informed about the process
http://www.dir.ca.gov/dwc/IMR.htm
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#3
(05-07-2014, 04:12 AM)mlburns69 Wrote: I was injured 22 years ago take about 30 % of the meds I used to take. Today they denied all my meds can anyone help I am starting the IMR process thank goodness i have a good primary care Dr who said I should not go from 90 mgs of ms contin to zero in 1 day what is odd is 5 years ago i took 300 mgs a day amy help appreciated

You can start the IMR process, but I also recommend appealing the UR denial. You or your doctor can appeal it. It is usually better to have the doctor appeal the denial. I recommend contacting your doctors office to discuss. You have 20 days from the denial to appeal it. Read the last pages of the UR denial and it should give a contact number and fax number. You can also call the UR reviewer, if it is a nurse and discuss why the medications are needed. Again with medication issues this is better appealed by a doctor.

Does the UR denial state WHY your medications were denied? Read it carefully and then you can see how to appeal it.

You should have received directions on how to apply for an IMR. Did you with an envelope? You can also provide medical records and a narrative with the IMR application. If you need help with the application, you can call the work comp board your case is located at, and ask to speak to an I&A officer. You have 30 days from the UR denial date to request the IMR.

It is always best to contact your doctors office and request the doctor to write an appeal or opine on the reasons for the denial.

Let me know if you are at all confused about this, or call an I&A officer for help.

I wish you the best.
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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