Can an adjuster approve treatment or does it need to be reviewed by a medical professional?
An adjuster can approve treatment; however, a denial must be made by a medical professional. Added 4/19/2011 • Which carrier(s) must respond to Medical Treatment Guidelines (MTG) forms regarding provider requests for variances and optional prior approvals in claims involving Medical Treatment Guidelines where it has not yet been decided which carrier(s) is/are liable for payment? The primary carrier. Regarding claims involving Medical Treatment Guidelines where it has not yet been decided which carrier(s) is/are liable for payment, the Board will designate one carrier as the primary carrier on the Board file who will be solely responsible for responding to medical treatment and/or authorization issues pending resolution of carrier liability. Once carrier liability has been determined, the liable carrier will become the primary carrier responsible for handling medical care related to the claim and will assume responsibility for all medical decisions made by the interim primary carrier w
Related Questions
- What is needed from an attorney or claim adjuster to release the amount medicaid paid for medical treatment to a beneficiary who was involved in a vehicular accident?
- For what type of professional medical treatment may the CAB provide informed consent?
- Does Reiki take the place of medical or professional treatment?
