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Next instruction from this context Check the specific WRME conditions in 440-4025: IME-based compensability denial, treating clinician disagreement and a timely WCB hearing request. A new medical opinion request is not the denial appeal itself.
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Existing instructions to review Starting point : Check the specific WRME conditions in 440-4025: IME-based compensability denial, treating clinician disagreement and a timely WCB hearing request. A new medical opinion request is not the denial appeal itself.Who the instructions concern : Workers whose insurer denied compensability based on an independent medical exam (IME), whose attending physician/authorized nurse practitioner disagreed, and who timely requested a WCB hearing on that denial. WCD determines WRME eligibility; it is not available merely because a worker wants another opinion.Prepare: The WRME guide lists worker name/address; treatment-provider list; hearing-request date; copy of insurer denial; and treating-physician nonconcurrence documentation. Ask WCD how authorized-nurse-practitioner disagreement is documented in your case. : The WRME guide lists worker name/address; treatment-provider list; hearing-request date; copy of insurer denial; and treating-physician nonconcurrence documentation. Ask WCD how authorized-nurse-practitioner disagreement is documented in your case.Prepare: Preparation suggestion: proof of the separate WCB hearing request and the IME/report communications. An attorney is not required merely to request WRME. : Preparation suggestion: proof of the separate WCB hearing request and the IME/report communications. An attorney is not required merely to request WRME.Publisher instruction 1 : Check the specific WRME conditions in 440-4025: IME-based compensability denial, treating clinician disagreement and a timely WCB hearing request. A new medical opinion request is not the denial appeal itself.Publisher instruction 2 : Send the written WRME request and listed information to WCD and the insurer under the current official instructions. Ask WCD to confirm receipt and eligibility; WCD selects the examining provider.Publisher instruction 3 : Follow the director's selection notice for scheduling and notices to insurer/WCB, then timely submit examination questions. Keep the appointment and records instructions; do not assume approval or schedule an unauthorized substitute exam.Submission instructions : For a worker-requested medical examination (WRME), read publication 440-4025, preserve the separate WCB denial-hearing request, then send a written WRME request to WCD and the insurer with the listed worker/provider information, hearing-request date, denial letter and nonconcurrence documentation. Ask WCD which treating-clinician documentation applies in your case.Costs and fee questions : The WRME guide states the insurer/self-insured employer pays the authorized exam/report and reimburses qualifying related expenses such as travel, child care and lost net wages. Confirm authorization and documentation; this does not cover every privately arranged second opinion.After submission : Track WCD's written selection notice and the separate scheduling/notification and question-submission steps. The guide describes 14-day steps at different stages; confirm which event starts each interval. Keep the resulting report and ask the treating provider/representative about next steps.Returned, denied or unresolved requests : WRME does not substitute for the WCB denial-hearing request, and claim-closure reconsideration is different. If a request is incomplete or an appointment cannot be kept, contact WCD/insurer promptly; a missed exam does not automatically entitle you to a replacement.Language, disability and offline access : Ask WCD and the selected examiner about interpretation, disability access and travel/expense arrangements before the exam. The guide lists Ombuds Office help at 800-927-1271 and Spanish line 800-843-8086; no attorney relationship is created.WCD WRME 440-4025: worker-requested medical exam after an IME denial: practical steps
Worker-Requested Medical Exam
Oregon Workers' Compensation Division : Independent and worker-requested medical examinations : Worker : State of Oregon