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Washington Independent Medical Examination Fax Cover Sheet

State:
Washington
Control #:
WA-SKU-3662
Format:
PDF
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Description

Independent Medical Examination Fax Cover Sheet

Washington Independent Medical Examination (IME) Fax Cover Sheet is a document used to transmit medical records from an IME to a health care provider or other medical professional. It can be used to send medical reports, test results, or other medical documents between providers. It is an important part of the communication between medical professionals and helps ensure that information is sent securely and accurately. The cover sheet provides a clear and concise description of the sender, recipient, and the contents of the fax. It also includes an authorization statement that must be signed by the sender before the fax can be sent. There are two types of Washington IME Fax Cover Sheets: a general cover sheet for standard IME documents and a special cover sheet for records related to work-related injuries or illnesses. The general cover sheet includes fields for the sender, recipient, fax date, and fax number. The special cover sheet includes additional fields for the patient name, date of injury/illness, and a description of the records being sent. Both cover sheets must be signed by the sender before the fax can be sent.

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FAQ

If the report is well-reasoned and well-supported, regardless of the favorability of the opinion, it is a good report. When evaluating an IME report, consistency matters. Inconsistent reports are not credible and they also make it difficult for the reader to figure out what, if anything, must be conceded on the claim.

What is the difference between IME and certified continuing medical education (CME)? Certified CME is a type of IME. Not all IME is certified CME; however, all certified CME is IME. If the IME is certified/accredited, it is referred to as certified CME.

A typical IME takes about 10-15 minutes. However, the appointment may take longer if your injuries are severe. Be patient during your examination. Allow the doctor to run any tests that are needed.

Under normal circumstances, the physician that performed the IME will have the report prepared and mailed to the insurance adjuster within two weeks. Occasionally, if additional records are requested for review, it could take slightly longer.

An independent medical examination (IME) is an objective medical-legal examination requested (by L&I or self-insurer) to establish medical findings, opinions, and conclusions about a worker's physical condition. These examinations may only be conducted by L&I-approved examiners.

An independent medical examination (IME) is a medical exam that is performed by a doctor with whom you have no prior relationship.

More info

Report of Independent Medical Examination must include this cover sheet and a narrative report that includes the components listed below. If. Download Independent Medical Examination Fax Cover Sheet (F245-383-000) – Department of Labor and Industries (Washington) form.New York State law concerning Independent Medical Examinations was extensively amended in 2000. You are strongly encouraged to send documents, reports, etc. Keys to a successful IMR. This page includes all DCFS forms available online. General ; Dependent Student Medical Leave Certification Form ; Hemophilia Referral Fax. Interactive ; Hospital Coverage Letter. The injured worker is entitled to full wage replacement, rather than the temporary disability rate, for all time lost from work to attend the examination. Submit a fax cover sheet which includes: Total number of pages; Noridian department name; Provider name; Provider contact information.

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Washington Independent Medical Examination Fax Cover Sheet