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If you believe some of the nonmedical records or materials should not go to the QME you must notify the claims administrator adjuster within ten 10 days that you object and the reasons for your objection. QME Form 108 rev. Nov. 2007 June 2008 Page 1 You also must send to the claims administrator adjuster or employer copies of any medical records and other materials you plan to send to the QME at least 20 days before sending it to the QME and the claims writing. STATE OF CALIFORNIA DEPARTMENT...
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QME Form 108 is a document used in the workers' compensation system in California. It is used to report a qualified medical evaluator's fees for services provided in evaluating a workers' compensation case.
Qualified medical evaluators (QMEs) who have performed services for workers' compensation cases in California are required to file QME Form 108.
QME Form 108 can be filled out by providing the necessary information, including the QME's contact information, the case information, the dates of service, and the fees charged for each service.
The purpose of QME Form 108 is to accurately report a QME's fees for services rendered in workers' compensation cases, ensuring transparency and compliance with the regulations.
QME Form 108 requires the following information to be reported: QME's contact information, case information, dates of service, and fees charged for each service provided in evaluating the workers' compensation case.
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