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Eligible IMR Applications Increase, but Little Change in UR Uphold Rate

Friday, September 7, 2018 | 0

The number of applications for independent medical review decreased for a third consecutive year in 2017, but a greater percentage of them were eligible for review, according to the California Division of Workers’ Compensation. The administrative process for resolving medical treatment disputes that was created by Senate Bill 863 continued to side with utilization reviews more than 90% of the time last year. Maximus Federal Services received a total of 248,251 applications appealing a utilization review decision that denied a requested medical treatment in 2017, the divi...

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