If compensability has not been determined, does the UR agent hold the request until it is determined, or send a letter stating it has not been determined?
The UR request must be obtained in writing and compensability should be confirmed before conducting UR. During the “pay without prejudice” period, UR should be conducted. Compensability is documented in the UR case notes. If the claims adjuster states compensability is an issue, the UR agent should inform the injured worker and ordering practitioner that the claims adjuster has raised the issue of compensability and as such, UR will not be conducted until the issue is determined. The UR agent should instruct the parties to contact the claims adjuster.
Related Questions
- I would like to request a financial donation or a donation of product or samples for my group or charitable organization. Where can I send my letter or proposal?
- How long does it take for the police to send through a letter stating a driving offence?
- When is the best time to send the formal request letter?
