California Regulations 32.5 28
From Wcc
§ Rebuttal QME Examinations
(a) For injuries occurring between January 1, 1991 and December 31, 1993, an unrepresentedemployee shall have the right to a QME panel for one comprehensive medical-legal evaluation torebut the findings of a panel QME, provided however, that the rebuttal evaluation is reasonable andnecessary to resolve a disputed medical fact as defined in section 9793(e) of this Title. The employeeshall notify in writing the claims administrator, or if none, the employer, the justification for the rebuttalevaluation. A copy of this notice shall be submitted to the Medical Director with this request.Reasonable and necessary justification shall include but not be limited to a discrepancy between thetreating physician's conclusions and the QME's conclusions as to the level of permanent impairment,the need for medical treatment or the employees status as a Qualified Injured Worker. (b) For injuries occurring on or after January 1, 1994, and upon request by the Appeals Board, the Medical Director shall assign a QME to address disputed issues provided, however, that the claims administrator or if none, the employer, agrees to pay for the cost of this rebuttal examination. History: Renumbering of former section 32.5 to section 32 and renumbering and amendment of former section 32.7 to section 32.5, effective 5/14/00. |
