Can the insurance carrier request an IME or records review upon receipt of a variance request?
Yes. The variance process does allow an additional amount of time (up to a total of 30 days) for the carrier to have an independent medical exam or record review as long as the insurance carrier notifies the provider and the Board within 5 days of a variance request that an independent medical exam or record review is being conducted.
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?
- For denied variance requests, can an insurance carrier attach its peer review decision to the variance request and remain in compliance with the regulations?
- Can the insurance carrier obtain an IME or records review upon receiving a request for optional prior approval?
