Regulations
| 9768.4....IMR Contract Application Procedures | |
| Â (4) Designate the address(es) of the physician's office with necessary medical equipment where in-person examinations will be held. Â (5) Agree to see any injured ...more | |
| 9768.7....IMR Request to Be Placed on Voluntary Inactive Status | |
| A physician may request to be placed on the inactive list during the IMR contract term. The physician shall submit the request to the Administrative Director and specify ...more | |
| 9771.2....Information to Be Furnished as it Becomes Available | |
| Â (c) A change in the information required by Section 9771(e) (1), (2), (3), (4), (5), and (8) shall be submitted within 5 days of the change. Â Note: Authority: ...more | |
| 9771.63....Individual Information Sheet (WCHCPO 2) | |
| An individual information sheet required pursuant to these rules shall be in the following form: Â CONFIDENTIAL Â DIVISION OF WORKERS' COMPENSATION Â State of ...more | |
| 9792.10.3....Independent Medical Review - Initial Review of Application | |
| (a) Following receipt of the Application for Independent Medical Review, DWC Form IMR, pursuant to section 9792. 10. 1(b), the Administrative Director shall determine ...more | |
| 9792.10.4....Independent Medical Review - Assignment and Notification | |
| (a) The independent review organization delegated the responsibility by the Administrative Director to conduct independent medical review pursuant to Labor Code section ...more | |
| 9792.10.5....Independent Medical Review - Medical Records | |
| (a) (1) Within fifteen (15) days following the mailing of the notification from the independent review organization that the disputed medical treatment has been assigned ...more | |
| 9792.10.6....Independent Medical Review - Standards and Timeframes | |
| (a) The independent medical review process may be terminated at any time upon notice by the claims administrator to the independent review organization that the disputed ...more | |
| 9792.10.7....Independent Medical Review - Implementation of Determination and Appeal | |
| (a) Upon receiving the final determination of the Administrative Director that a disputed medical treatment is medically necessary, the claims administrator shall, unless ...more | |
| 9792.10.8....Independent Medical Review - Payment for Review | |
| (a) The costs of independent medical review and the administration of the independent medical review system shall be borne by claims administrators. For each Application ...more | |
