Request For Utilization Review {WC131} | Pdf Fpdf Doc Docx | Colorado

 Colorado   Workers Comp 
Request For Utilization Review {WC131} | Pdf Fpdf Doc Docx | Colorado

Last updated: 6/30/2016

Request For Utilization Review {WC131}

Start Your Free Trial $ 13.99
138 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

WC131 - REQUEST FOR UTILIZATION REVIEW. This form is used in the Colorado Division of Workers' Compensation Medical Utilization Review Program to request a review of a medical provider’s treatment decisions related to a workers' compensation case. This process ensures that medical treatment provided to an injured worker aligns with accepted medical standards and is necessary for their condition. The form must be completed by a requesting party (such as an employer, insurance carrier, or claimant) and submitted along with relevant medical records, case history, and a fee. The review determines whether the medical care being provided is appropriate, excessive, or unnecessary based on the Colorado Workers' Compensation Act and applicable medical guidelines. If a provider is found to have provided excessive or inappropriate treatment, consequences such as changes in treatment or denial of payment for services may follow. www.FormsWorkflow.com

Related forms

Our Products