Does TDI Always Use The Disability Duration That The QHP Authorizes?
No. The TDI Medical Review Unit uses medical duration guidelines (MDG) to determine disability durations. Based on the MDG, the Medical Unit has several alternatives. It can authorize TDI benefits for the number of weeks that the QHP has indicated, it can reduce the number of weeks based on the MDG or it can refer the claim to the Claims Management System. A Registered Nurse in the Claims Management Unit will then review the claim and if necessary, contact the QHP and/or the customer for additional information.
Related Questions
- Why am I not being paid TDI benefits for all the weeks the Qualified Healthcare Provider (QHP) approved as needed for my recovery period?
- Can a claimant use Family Leave Insurance back-to-back with a Temporary Disability Insurance (TDI) claim for pregnancy?
- Does TDI Always Use The Disability Duration That The QHP Authorizes?
