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QME tomorrow,don't have an Atty. back at work 4 mos. full duty and regular assignment . Thought adjuster on my side but sent cover letter QME stating case law and that I'm not QIW because I've been back to work. I just want permanent restrictions lifted. job will NOT accomodate long term if they are or changed. To I'm doing well now. I disagreed with permanent and stationary report's restrictIons but did agree that injury was solely due to incident at work (no apportionment). I'm m afraid this QME will find apportionment due to mild arthritis or weight. What can. I do to have a fair outcome. adjuster said he was sending QME more records from Kaiser but I didn't receive anything additional. I received a huge packet in April but that's not what he mentioned in letter I receivved by email yesterday. !!! Please advise
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With no time before the apt there is little you can do now.
There may be alternatives after the report is in.
You can object to the contents of the email and postpone the exam.
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05-11-2016, 02:17 PM
(This post was last modified: 05-11-2016, 02:21 PM by California_Help.)
I recommend taking this letter to the WCAB where your case is located and ask to meet with an I&A officer. I do not know if it would be worth rescheduling the QME appointment or if this is reason to reschedule, but you can discuss with an I&A officer. I personally would go to the appointment, but this is my opinion.
In the mean time you can make a written request to your claims adjuster for copies of the medical records she is sending and state you have not been copied on them. You can also send any medical records to the QME as long as you notify your claims adjuster 20 days in advance.
Please know the claims adjuster is not there for you, she works for the insurance company and her job is to limit the cost of your claim.
It sounds like you are back to work and have recovered with almost no medical issues currently? If this is the case I do not anticipate a high PD rating so apportionment would not be much of a factor. Usually a high PD rating is for those who have serious injuries that have prevented them from working. Restrictions do affect PD ratings, and you have stated you are going to request no restrictions from the QME. This may in turn leave you with little PD rating.
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.
