Save time and avoid addendum requests by following these helpful IME referral submission tips! By providing this comprehensive information, you’ll ensure a more thorough report in return.
- Include the compensable body part(s) accepted on this claim.
- Include the specific recommended surgery or diagnostic study to be addressed.
- Provide all pertinent medical records.
- Provide a job description (if applicable).
- Request the specific service(s) you need (IME, peer review, etc.).
- Specify a preferred physician whom you would like to use (if applicable).
- List any specialties you prefer to use. If a requested specialty is unavailable, list alternative specialties you would consider.
- Provide the contact information for the attorney on the case (if applicable).
- Identify the specific issues to be addressed such as RTW, MMI, impairment rating, etc.
- Note if a mileage check is to be issued by Genex and sent on your behalf.
- 11. List any recently approved surgery and/or diagnostic test that should be reviewed for causal relationship. Be sure to provide the specific surgery or diagnostic requested.
- Include any special circumstances regarding the case that should be brought to our attention.
- If applicable, provide the assigned case manager’s contact information who should receive correspondence related to the IME or peer.
- If NY WC Claim: designate Genex as a party of interest to obtain medicals from the WCB