The majority of questions you might have regarding your claim can be answered by an I&A officer. If your work injury results in some permanent disability and you are ready to settle your claim, the I&A officer will review your settlement to make sure it's equitable. They will also help resolve conflicts that could arise between you and the claims administrator or your employer over your claim. They will answer questions you have regarding rights and benefits. I&A officers work to ensure the law is followed and will assist you for free if you do not have an attorney. The state Division of Workers' Compensation (DWC) also has an Information & Assistance (I&A) Unit that can assist with questions and understanding the system. Who can give me information about my claim and help me understand the system?Ī.Your claims administrator should advise you of your rights and the steps you will take to get medical care and other benefits you're entitled to under workers' compensation laws. You can reach the Medical Unit by calling 51 or 1-80.īack to top About getting help with my claim The Medical Unit also issues QME panels to injured workers and claims administrators. These physicians help resolve medical disputes in the workers' compensation system by issuing medical opinions that can be used as evidence before the Workers' Compensation Appeals Board. The Medical Unit also appoints qualified medical evaluators (QMEs), spinal surgery second opinion physicians (SSSOPs) and independent medical reviewers (IMRs). The DWC Medical Unit oversees medical provider networks (MPNs), health care organizations (HCOs), utilization review and medical treatment guidelines. What is the DWC Medical Unit and what does it do?Ī.The Medical Unit is a unit within the state Division of Workers' Compensation (DWC) that manages medical issues in workers' compensation. The Division of Workers' Compensation Medical UnitĬomplaints regarding permanent disability ratings About the Division of Workers' Compensation (DWC) Medical Unit In addition to the FAQs below, employees may call 1-80 to hear recorded information on a variety of workers' compensation topics 24 hours a day.Įmployees may call a local office of the state Division of Workers' Compensation (DWC) and speak to the Information and Assistance (I&A) Unit for help during regular business hours, or attend a free seminar for injured workers.įact sheets and guides on a variety of topics can be found on the I&A Unit's Web page. Updated information based upon the implementation of SB 863 and its changes to California's workers' compensation system will be available soon. The FAQs below apply to claims filed on or before Jan.
Answers to frequently asked questions about qualified medical evaluators (QMEs) for injured workers
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