Section 418.10114. Requests for existing medical records and reports.

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Rule 114. (1) Nothing in these rules shall preclude a carrier, a carrier's agent, an employee, or an employee's agent from requesting additional existing medical records and reports related to a specific date of injury, in addition to those specified in R 418.10113, or those required for proper submission of a bill from a provider.

(2) If a provider is requested by the carrier to prepare and submit a special written report in addition to the medical records required by R 418.10113, R 418.10203, R 418.10204, and R 418.10901, then the provider shall bill the special report using procedure code 99199-32. For

special reports up to 3 pages in length, the carrier shall reimburse the provider at $25.00 PER PAGE.

(a) Complex reports greater than 3 pages in length or record reviews shall be reimbursed on a contractual basis between the carrier and the provider.

History: 1998-2000 AACS.

                    
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