How does an IME Provider obtain prior authorization?
IME providers should notify the department directly if advanced imaging services are being requested as part of an IME. Qualis UR review is not required for advanced imaging that is related to the IME. Notification is required and prior authorization numbers will be issued. Please follow the steps below: • Call Diane Walker, Occupational Nurse Consultant at 360-902-5182 or fax information to 360-902-5600 (Attention Diane Walker). You will be contacted by phone and given an authorization number which will be needed by the imaging provider for payment. • Print or document otherwise the prior authorization number for records and reference. When contacting Diane Walker at the department please be prepared with the following information: • Name and phone number of person making this request. • The reason for requesting imaging. • Injured worker’s full name. • Injured worker’s date of birth. • Injured worker’s L&I claim number. • Type of imaging requesting; description (body part and body si
