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)