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This document contains the decision and order from a medical contested case hearing regarding the entitlement of a Claimant to left shoulder manipulation under anesthesia for a compensable injury.

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How to fill out MEDICAL CONTESTED CASE HEARING NO. 09118

01

Obtain the MEDICAL CONTESTED CASE HEARING NO. 09118 form from the appropriate authority or website.

02

Carefully read the instructions provided with the form to understand the requirements.

03

Fill in your personal information in the designated sections, including your name, address, and contact details.

04

Provide a detailed description of the medical services or treatments that are being contested, including dates and involved parties.

05

Attach any relevant supporting documents, such as medical records, bills, or correspondence related to the case.

06

Review the form for completeness and accuracy before submission.

07

Submit the form by the specified deadline, either online or by mailing it to the appropriate office.

Who needs MEDICAL CONTESTED CASE HEARING NO. 09118?

01

Individuals who have received a denial for medical services or treatments and wish to contest the decision.

02

Patients seeking to appeal decisions made by insurance companies regarding coverage.

03

Healthcare providers who need to dispute payment denials from insurers on behalf of their patients.

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What is MEDICAL CONTESTED CASE HEARING NO. 09118?

MEDICAL CONTESTED CASE HEARING NO. 09118 is a legal process designed to resolve disputes related to medical issues in the context of a workers' compensation claim. It involves a hearing where evidence is presented regarding medical treatment or benefits.

Who is required to file MEDICAL CONTESTED CASE HEARING NO. 09118?

Typically, it is the responsibility of the injured worker or the insurance provider to file a MEDICAL CONTESTED CASE HEARING NO. 09118 when there is a disagreement about medical care or benefits.

How to fill out MEDICAL CONTESTED CASE HEARING NO. 09118?

To fill out the MEDICAL CONTESTED CASE HEARING NO. 09118 form, include relevant information such as the claimant's details, specifics of the medical dispute, dates of incidents, and any supporting documentation that outlines the nature of the contested medical treatment.

What is the purpose of MEDICAL CONTESTED CASE HEARING NO. 09118?

The purpose of MEDICAL CONTESTED CASE HEARING NO. 09118 is to provide a formal venue for adjudicating disputes regarding medical treatment or benefits so that a fair resolution can be reached based on the evidence presented.

What information must be reported on MEDICAL CONTESTED CASE HEARING NO. 09118?

The information that must be reported on MEDICAL CONTESTED CASE HEARING NO. 09118 includes the parties involved, details of the medical treatment in question, the basis for the dispute, and any medical records or evidence supporting each party's position.

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