N.H. Admin. Code § Lab 507.05 - Request for Pre Approval of Medical Hospital or Remedial Care
(a) When
pre approval of medical, hospital or remedial care in accordance with
RSA
281-A:23 is required, the injured employee
shall obtain a written statement from the medical provider containing the
following:
(1) The nature of the proposed
care;
(2) How the proposed care is
required to address problems that are the result of the work-related
injury;
(3) The anticipated benefit
of the care; and
(4) An estimate of
the cost for the care.
(b) A copy of the statement from the medical
provider shall be sent to both the insurance carrier and the department of
labor. The carrier shall have 20 days to evaluate the request and decide if it
will approve the requested care.
(c) If the carrier denies the requested care
or does not respond within the stated time frame, the injured worker shall
contact the department, in writing, to request a hearing.
Notes
#9019, eff 11-1-07
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