Application For Independent Medical Review {DWC IMR} | Pdf Fpdf Doc Docx | California

 California   Workers Comp   General 
Application For Independent Medical Review {DWC IMR} | Pdf Fpdf Doc Docx | California

Last updated: 5/30/2015

Application For Independent Medical Review {DWC IMR}

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Description

DWC Form IMR, APPLICATION FOR INDEPENDENT MEDICAL REVIEW. IMR is a process established under the California workers' compensation system to resolve disputes about medical treatment for work-related injuries or illnesses. If an injured employee in California disagrees with their employer's insurance company over the medical treatment they are receiving, they may request an IMR. The DWC Form IMR is used to initiate this process. The form requires the employee to provide information about the treatment in question, including the name of the medical provider, the date of service, and a description of the treatment. The employee must also explain why they believe the treatment is necessary and why they disagree with the insurance company's decision to deny the treatment. The DWC Form IMR is an important tool for injured workers in California who are seeking to resolve disputes about medical treatment for work-related injuries or illnesses. The IMR process provides an opportunity for an independent medical professional to evaluate the treatment in question and make an objective determination as to whether it is medically necessary. www.FormsWorkflow.com

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