Is the insurance carrier required to designate certain individuals to serve as a point of contact to assist the Board and medical providers with Medical Treatment Guidelines issues?
Every insurance carrier is required to designate a qualified employee or employees if it handles its own claims, or a qualified employee or employees of its licensed representative as a point of contact for the Board and Treating Medical Providers regarding requests for optional prior approval and requests for a variance within 30 days of the effective date of the regulations. The insurance carrier must also designate a qualified employee or employees, or designate a qualified employee or employee of it’s licensed representative, to receive and act upon requests for authorization for procedures that are not pre-authorized under the Guidelines. The designated employee’s name, telephone number, fax number, and e mail address must be reported to the Workers’ Compensation Board. In addition, if there is a change in the designated point(s) of contact, the change must be reported to the Board within 10 business days of the change. This information is available on the Board’s web site.
Related Questions
- Would Federal agency personnel work with a single point of contact or with several individuals representing the various parts of GSA?
- Can the employer designate its attorney or agent as its point of contact in Section D of the ETA Form 9089?
- Who may the employer designate as its point of contact in Section D of ETA Form 9089?
