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California’s Leading Workers’
Compensation Defense Firm

since 1979

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Checklist for UR validity:
1.      Was the UR denial valid?: Timely (5-14 days) Lab. Code Sec.4610(g)
2.      UR physician must be competent to evaluate medical necessity: Lab Code Sec. 4610(e); 8 CCR 9792.9(g)
3.      UR denial must be communicated to the proper parties.: Lab Code Sec. 4610(g)(2) & (g)(3)(A)
4.      Did the UR Denial include the DWC Form IMR with instructions to applicant? 8 CCR 9792.9.1(e)(5)

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