Tenn. Comp. R. & Regs. 0800-02-05-.05 - DOCUMENTS TO BE PROVIDED UPON REQUEST OF WORKERS' COMPENSATION SPECIALIST
(1) Upon request by the Workers' Compensation
Specialist, a party to a Request for Assistance or a Request for a Benefit
Review Conference shall provide all documentation relevant to resolution of the
dispute both to the Specialist and to all parties, including but not limited to
the following:
(a) Medical Records, including
impairment ratings given;
(b)
Medical Bills;
(c) Employer's First
Report of Injury;
(d) Wage
Statement;
(e) Employment
Application and/or Personnel records, including work status;
(f) Statutory basis for denial and
documentation supporting such;
(g)
Job Description/Analysis of employee's job prior to injury;
(h) Education level of the
employee;
(i) Employment history of
the employee;
(j) Issues in
dispute;
(k) Prior medical records
of employee, including psychiatric records if relevant to the merits of the
claim;
(l) List of all the
employee's prior workers' compensation claims;
(m) List of any prior litigation the employee
has been involved in;
(n) List of
any prior criminal convictions which would be admissible pursuant to the
Tennessee Rules of Evidence;
(2) Any party has an ongoing obligation to
supplement and/or correct any documentation or information otherwise required
by the Specialist to be produced.
(3) Any unexcused failure to produce these
documents as determined by the Administrator or Workers' Compensation
Specialist will be subject to the penalty provisions contained in the workers'
compensation law and/or these rules.
Notes
Authority: T.C.A. ยงยง 4-5-202, 50-6-101 through 50-6-103, 50-6-233, and 50-6-237 through 50-6-242.
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