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Case Number: Date Assigned: Decision Date: Priority:CM130059648 12/30/2013 05/09/2014 Standardize of Injury: UR Denial Date: Application Received:11/10/2009 11/13/2013 12/02/2013HOW THE MR FINAL DETERMINATION
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Reviewer is board certified refers to a reviewer who has obtained certification in a specific field or specialty.
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