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Case Number:
Date Assigned:
Decision Date:
Priority:CM130071831
01/08/2014
05/23/2014
Standardize of Injury:
UR Denial Date:
Application
Received:02/25/2010
12/05/2013
12/30/2013HOW THE MR FINAL DETERMINATION
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What is reviewer is board certified?
Reviewer is board certified when they have obtained certification in a specific medical specialty.
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All healthcare providers who review medical cases or provide expert opinions are required to file that they are board certified.
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Fill out the reviewer is board certified by providing the name of the certifying board, date of certification, and specialty.
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The purpose of reviewer is board certified is to ensure that healthcare providers reviewing medical cases have the necessary qualifications and expertise in their specialty.
What information must be reported on reviewer is board certified?
The information reported on reviewer is board certified includes the certifying board, date of certification, and specialty.
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