I received a medical evaluation with faulty information which resulted in the cancellation of disability, Workers Compensation, or other benefits. Can I file a complaint?
The Board has very limited jurisdiction over independent evaluation reports. The role of the evaluator is to provide an “independent opinion” of the individual’s condition after 1) examining the patient and/or 2) reviewing the records of the treatment obtained by the other treating physicians involved in the patient’s care. The Board will normally recommend that disability patients pursue an appeal through the disability insurance company. Worker’s compensation independent (IME) and qualified medical examiner (QME) evaluations are governed by the Medical Unit of the Division of Workers’ Compensation. This state agency is responsible for regulating the conduct of IMEs and QMEs in workers’ compensation cases, and may be able to advise you on other workers’ compensation-related issues. You may contact them at P.O. Box 8888, San Francisco, CA 94128-8888.
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