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Can the insurance carrier obtain an IME or records review upon receiving a request for optional prior approval?

April 26, 2017IME Insurance obtain prior records request review

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Can the insurance carrier obtain an IME or records review upon receiving a request for optional prior approval?

1 Answer

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10 Posted

No. The insurance carrier must approve or deny the request based upon a review of the medical documentation to determine if the test or procedure is a consistent application of the Guidelines.