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City of Riverside
Workers\' Compensation Division
MEDICAL PROVIDER NETWORK REPORT
SEPTEMBER 2017
Provider Name
Abdelhalim, MD, Robin
Albion, MD, David M.
Alive, MD, Marie
Allie, MD, John
Allen, MD
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Who needs medical provider network report?
01
Medical provider network reports are needed by insurance carriers, employers, and medical providers who are involved in a workers' compensation claim. It is a necessary document for ensuring proper communication, coordination, and reimbursement in relation to medical treatment and services provided to an injured employee.
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What is medical provider network report?
The medical provider network report is a document that provides information about the network of healthcare providers available to injured workers for medical treatment under workers' compensation.
Who is required to file medical provider network report?
Employers in California who provide workers' compensation benefits are required to file the medical provider network report.
How to fill out medical provider network report?
The medical provider network report can be filled out online through the Division of Workers' Compensation website in California.
What is the purpose of medical provider network report?
The purpose of the medical provider network report is to ensure that injured workers have access to quality medical care through a network of approved healthcare providers.
What information must be reported on medical provider network report?
The medical provider network report must include details about the network of healthcare providers, including their contact information, specialties, and locations.
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