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One of the most hotly contested areas in workers compensation today is over the certifications of maximum medical improvement and impairment ratings traditionally all you had to do was follow DWC 32 requesting a designated doctor or request a hearing, and then you never had palms with any deadlines however things have changed Matt what's changed in reference to disputing certifications of maximum medical improvement well you're going to get your impairment rating from one of four different doctors it might be your treating doctor or a referral from your treating doctor it could be the state appointed designated doctor or even the insurance company's doctor that we call an RN me for required medical examiner when that when one of those doctors determines that you've reached maximum medical improvement they're going to fill out form DWC 69, and we'll provide a link to it in the comments below, so you can take a look at it, and you'll be able to recognize it and understand it when it comes in the middle because you want to be prepared, so you'll get the TWC 69 in them in the middle and once that happens you're going to no longer be eligible for temporary income benefits to cover your lost wages you're going to then begin to get impairment income benefits if you're owed anything and so if you disagree with that how do you dispute it well there's two different ways the first way is to request a dozen a doctor by filing form DWC 32 the problem with this method is that it only works some time not all the time it only works if there's never been a dozen Ada doctor on your case before if there has been a designated doctor on your case then the only way you can follow dispute is to fall form DWC 45 and request a benefit review conference requesting a benefit review conference starts the litigation process well you're going to end up in some hearings over your impairment rating the problem with these two methods is that they're very difficult the division has put some hurdles in your way, and you're going to have to overcome them the first is with the request for a dozen any doctor it's a very long form, and it's a form that asks a lot of questions about things that you're not going to know them to the other method the 45 requesting the BRC requires you to call the adjuster and try to negotiate your impairment rating before you ever request the divisions attempts to resolute to resolve it through the benefit view conference those are both two pretty hard things to do it's very complicated and so if you do not do that correctly the division says well then you never did it at all, and so they'll try to tell you that you never filed a dispute and that your impairment rating has become final, and it becomes final if you never follow the dispute within 90 days we call that the 90-day roll once you receive the DWC 69 in the mill you have 90 days to follow the dispute, or it's final, and they'll try to tell you that you can't do anything about it but if you're in...
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