Stuart Baron Feb 23, 2018 11:01 AM
It would appear to be a valid denial by the court. You will notice that they did not say that the carrier had to pay for the surgery (LC4605). What they did say is that since it was successful and she recovered, providing her with TD and potential PD makes sense and is in line with the statute....
Anne Bazel Feb 23, 2018 01:10 PM
They should've paid for the surgery. Since it was successful, obviously it was medically necessary.
Cliff Bernstein Feb 24, 2018 12:19 AM
The UR doctor should state whether or not they reviewed the patients records
Stuart Green Feb 26, 2018 08:55 AM
What if the surgery made her worse, or at least no better?