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Insurer Responsibility To Furnish Medical Treatment Transfer of Care and Review of Treatment Plans

Section 440.13(2)(d), and (e), Florida Statutes

(d) The carrier has the right to transfer the care of an injured employee from the attending health care provider if an independent medical examination (IME) determines that the employee is not making appropriate progress in recuperation

(e) Except in emergency situations and for treatment rendered by a managed care arrangement, after any initial examination and diagnosis by a physician providing remedial treatment, care, and attendance, and before a proposed course of medical treatment begins, each insurer shall review, in accordance with the requirements of this chapter, the proposed course of treatment, DFS-F5-DWC-25, to determine whether such treatment would be recognized as reasonably prudent. The review must be in accordance with all applicable workers' compensation practice parameters and protocols of treatment established in accordance with this chapter. The insurer must accept any such proposed course of treatment unless the insurer notifies the physician of its specific objections to the proposed course of treatment by the close of the tenth business day after notification by the physician, or a supervised designee of the physician, of the proposed course of treatment.

 

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