Timelines

Question 1

of days insurer has to pay accepted claims disposition agreement CDA

Answer 1

14 Days

Question 2

of days IW has to appeal a Notice of Closure

Answer 2

60 Days

Question 3

Days insurer has to close a claim once all information has been obtained

Answer 3

14 Days

Question 4

Timeline for attorney asking for discovery of documents

Answer 4

14 Days, every 30 days for 180 days

Question 5

days an insurer has to reclassify a nondisabling claim to disabling

Answer 5

14 days

Question 6

days an IW has to appeal a denial

Answer 6

60 days

Question 7

of days an IW has to report an OD to their employer

Answer 7

1 year

Question 8

of days an IW has to report an injury to their employer

Answer 8

90 days or 1 year with good cause

Question 9

of days insurer has to send the cover letter to the IME physician

Answer 9

7 days

Question 10

Timeframe for an IME with multiple exams to count as 1 visit

Answer 10

Within 72 hours

Question 11

of days to provide IW with notice of scheduled IME

Answer 11

10 days

Question 12

Timeline for request for reimbursment

Answer 12

2 years

Question 13

of days to pay a reimbursement request

Answer 13

30 days

Question 14

of days to pay medical bills received prior to acceptance of claim

Answer 14

14 days from date of acceptance

Question 15

of days to pay medical bills on accepted claims

Answer 15

45 days

Question 16

of days a NP or ANP can provide medical services or authorize TL

Answer 16

180 days

Question 17

of days a medical provider has to send records to the insurer

Answer 17

14 days

Question 18

of days insurer has to respond for diagnostic pre authorization

Answer 18

14 days

Question 19

of days to report a change of AP on an 827

Answer 19

5 days from first treatment of new AP

Question 20

of days an ER Dr can authorize TL

Answer 20

14 days

Question 21

of days for Type B provide Med Services and TL

Answer 21

60 days of treatment / 30 days of TL

Question 22

Timeline for Voc Training eligibility

Answer 22

5 days when likely eligible/ 30 days for decision

Question 23

of days insurer has to pay PPD award by closure

Answer 23

30 days from notice of closure

Question 24

Timeline for Time Loss TL

Answer 24

By law 14 days from EDOK - SAIF is 13 days and paid every 14 days thereon

Question 25

of days to report an injury on an 801 by employer

Answer 25

5 days from EDOK

Question 26

of days to report an injury on an 827 by Dr.

Answer 26

72 hours from visit

Question 27

of days to send form 1502 to WCD on claim decision

Answer 27

14 days from decision date