Summary:
Either the employee or the employer may object to the medical determination made by the treating physician provided that the medical issue does not fall within the exceptions from objections. If the employee objects to the utilization review decision to modify, delay , or deny the recommended treatment, the employee must notify the employer. If the employer has an attorney a medical evaluation must be obtained as provided and no other medical evaluation may be obtained. If the employee is not represented by an attorney, a medical evaluation must be obtained through the request of a three member panel of qualified evaluators and no other evaluation may be obtained.