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Replying to Thread: Timely UR
Created On Monday 4, August, 2008 10:31 AM by rosellavera


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rosellavera
Senior Member

Posts: 431
Joined: Jul 2005

Monday August 04, 2008 10:31 AM

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LC 4610 (g)(1) states....

"In determining whether to approve, modify, delay, or deny
requests by physicians prior to, retrospectively, or concurrent with
the provisions of medical treatment services to employees all of the
following requirements must be met:

Prospective or concurrent decisions shall be made in a timely
fashion that is appropriate for the nature of the employee's
condition, not to exceed FIVE WORKING DAYS from the receipt of the
information reasonably necessary to make the determination, but in no
event more than 14 days from the date of the medical treatment
recommendation by the physician."

Are the 14 days from the date of the medical treatment also 14 WORKING DAYS?

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