Utilization Review has no "types" of which I'm aware. The WORKERS COMP insurer uses a UR vendor to deny treatment, legally. When you get the UR...

Sadly, you were not 'guaranteed' treatment, you were guaranteed the right to fight in court for every treatment mode the treating doctor requests. ...

We have NO DEMURRERS in Workers Comp. Demurrers are in Personal injury (and civil law) where the other side says if everything you claim is true...

With regard to evidence 'healing away', don't be concerned. There is no 'pain and suffering' in Workers Comp so swelling and bruises that resolve...

If you got diagnostic studies and treatment from any doctors acting on YOUR PROMISE that you were pursuing your Workers Compensation benefits, and...

Those events alone are not Fraud. Just because people get hurt in a subsequent incident does not mean they cannot accept an award for their losses...

There is nothing to pay back because you received NO treatment paid by MediCal. ( I'm troubled that your attorney couldn't answer that.) You...

NO, DO NOT expect to be paid for employer negligence. You only get Workers Comp benefits when you are injured on the job, and it's a no-fault...

I work with the treating doctors to keep requesting new modes of treatment, and keep appealing the UR Denials. If they won't ok the Total Knee,...

Can an employer refuse to 'accept' a 'note'? Yes, The WCAB Judge only can issue a decision on a Treating PHysician FROM THE MPN or the QME. So...