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California Question -- 1171?
#1
Hi,
I have a PQME re-evaluation soon which I believe is for the intention to rate my orthopaedic injuries. I was made MMI last week.

My question is, how different is the PQME process now that I am repped?

One reason I am repped is because when I first went to this PQME, my Claims Adjuster "chose to not participate" and did not send any of my medical records. I provided all the medical records for the PQME. The appt. was very formal, yet I was allowed to talk, ask questions, bring additional records for him to see, etc.

At this point, I am out of the loop. However, I did get copied in on a letter to my C/A from my A/A, ordering him to send all records to the PQME.

I wish I could, but I just don't trust this C/A. Am I allowed to bring medical records, etc., to this re-evaluation, or do I just show up without anything in my hands like going to an AME?

What can I expect from a re-evaluation? Can I point out to the PQME from his first evaluation, that my I/C did not comply with his original orders?

I've tried to get these answers from my A/A, but he is just too busy. Sad Gettig a new A/A is not an option, so I go with the flow.

Thanks in advance! Tongue Tongue Tongue
Let Go, and Let God......
 
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#2
This re-eval will be handled just like your first exam; there should be no difference now that you're represented.
whatever records or additional information you provide that the carrier doesn't already have should be sent to them.
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
Well that's the problem. I don't know what they were actually sent because nothing goes by me anymore.

It will work out. I just worry too much. Tongue Tongue

Thanks 1171! Big Grin
Let Go, and Let God......
 
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