Are medical providers permitted to request review of a variance request denial on behalf of the claimant?
No. The claimant and/or the claimant’s legal representative are the only parties who may request review of a carrier’s denial of a variance request. • Is there a specific form for the Treating Medical Provider to use to document the claimant’s agreement to the treatment that varies from the Medical Treatment Guidelines when submitting a variance request? Yes, the MG-2 Form, Attending Doctor’s Request for Approval of Variance and Carrier’s Response. In Section C on the first page of the form, there is a certification above the Treating Medical Provider’s signature that includes the following statement, “I certify that the claimant understands and agrees to undergo the proposed medical care.” A statement signed by the claimant is not required.
Related Questions
- Is a review of a variance request by the insurance carriers medical professional considered an independent medical examination (IME) or review of records? Also, what how long does the insurance carrier have to respond to the request if the review is performed by its medical professional?
- If durable medical equipment is not addressed in the Guidelines, is a variance request required in order for the item to be supplied to the injured worker?
- What is the process for a claimant to file for review from a denial of a variance? Is there a form the claimant must use to request such review?
