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Labor Code 4062 is used to obtain a comprehensive medical legal evaluation to address any medical determination by the primary treating physician other than those outlined by LC 4060, 4061 and not subject to Utilization Review under LC 4610.
Yes. [A]n injured worker has the right to select one physician or medical provider of his or her own choosing to render treatment. This chosen provider may make one referral of the worker to another specialist to continue treatment without any approval from the employer or its insurance carrier.
A QME, or qualified medical examiner, is a physician who evaluates injured workers when there are questions about their treatment plans or benefits. A QME must pass a test and receive ongoing education on the workers compensation system to provide an unbiased medical opinion.
Qualified medical evaluators (QMEs) are qualified physicians who are certified by the Division of Workers Compensation - Medical Unit to examine injured workers to evaluate disability and write medical-legal reports. The reports are used to determine an injured workers eligibility for workers compensation benefits.
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