DWC - IMR Search


Case Search

IMRO Case Number (e.g. CM14-0000037)
Date of Injury to
Date IMR Application Received to
Date of IMR Decision to
IMRO Reviewer Board Specialty
IMR Case Outcome    Clear Form

Case and Treatment Request Search

IMRO Case Number
Date of Injury to
Date IMR Application Received to
Date of IMR Decision to
IMRO Reviewer Board Specialty
Treatment Request Outcome
Treatment Request Category    Clear Form


CASE SEARCH

IMRO Case Number
The IMRO assigns a unique case number for each application. This is different than the “claim number” assigned to the workers’ compensation claim. The IMRO case number can be found on correspondence from Maximus Federal Services and on the Final Determination Letter. Do not use the injured worker’s claim number.

Date of Injury
This date refers to the date of injury of the claim for which the IMR is filed. Each IMR is directly related to one Workers’ Compensation claim.

Date IMR Application Received
This is the date that the IMRO received the IMR application. The database only includes applications for which a final decision was made.

Date of IMR Decision
The date the IMRO medical reviewer made a decision. This is usually (but not always) the same date as the date of the Final Determination Letter.

IMRO Reviewer Board Specialty
This is the Board Certification of the IMRO medical reviewer who reviewed and made the final decision on the IMR case. The IMRO medical reviewer does not necessarily have the same Board Certification as the requesting physician, but is knowledgeable and qualified to review the requested treatment.

IMR Case Outcome
This describes the overall outcome of the IMR review at the IMR case level. A case may contain one or more treatment requests.

  • Uphold – None of the disputed items/services are medically necessary and appropriate.
  • Overturn – All of the disputes items/services are medically necessary and appropriate.
  • Partial Overturn – Some (but not all) of the disputes items/services are medically necessary and appropriate.

Search Results:
Click the Case Number to view the Final Determination Letter. Click the + sign next to the Case Number to see more details about the case. An IMR case may contain multiple treatment requests.

CASE AND TREATMENT REQUEST SEARCH

Use this section to search treatment requests by category. As these categories are still in development, accurate detail on treatment requests can be found in the Final Determination Letter.

Treatment Request Outcome

  • Uphold – The IMRO decided that the disputed service was not medically necessary and appropriate.
  • Overturn – The IMRO decided that the disputed service is medically necessary and appropriate.

Treatment Request Category
“Treatment request” refers to the medical treatment that was denied in UR and challenged through the IMR process. IMR cases have at least one treatment, or may have more than one. Treatment requests are classified into broad categories; specific detail is found in the Final Determination Letter.



May 2016