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Published byNelson Hancock Modified over 9 years ago
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DIVISION OFFICES
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http://www.la bor.mo.gov/di v_pubs_forms. asp#DWC On-line Form s
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MEDICAL EXPENSE SUMMARY a. Provider Name b. Date(s) of service c. Address d. Exhibit No. e. Dollar Amount Sought: f. Grand total
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Issues to be resolved, one party has rating, the other has taken an unreasonable amount of time to get one, both have ratings but cannot agree, It is important to have authority at the mediation Prior Negotiations. MEDIATION - WC-162
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Treatment request denied employee causation report HARDSHIP MEDIATION
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EE IS NOT AT MMI NEEDS MEDICAL TREATMENT/TTD ER REFUSED TEMPORARY OR PARTIAL MAY BECOME FINAL HARDSHIP HEARING-WC185
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SET W/N 60 DAYS AWARD ISSUED W/N 30 DAYS BASED ON TERMINATION OF TTD BENEFITS 203 HARDSHIP HEARING- WC185
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EE REACHED MMI CLAIM FILED DISCOVERY IS COMPLETE OBJECTIONS DECIDED W/N 20 DAYS OF REQUES AWARD ISSUED W/N 90 DAYS HEARING – FINAL AWARD – WC 186
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