Payor-Provider Guidelines

Connecticut has issued new guidelines regarding the various obligations and interaction between insurance carriers and medical providers, effective July 1, 2010. The goal of these new Guidelines is to provide “timely and efficient delivery of monetary benefits and medical treatment.” Often there is an unnecessary lag between the date of injury and the administration of effective medical care because of the confusion in communication that exisits between claimants, insurance company payors and the medical professionals. The lack of clarity in the respective obligations of each party has “fostered an acrimonious relationship among the injured worker, medical provider, employer, and insurance payor…Communication, especially as it relates to medical treatment, is the key to ensuring the system’s goals are achieved.” CBIA News, September 2010. The Guidelines can be viewed and downloaded at: http://wcc.state.ct.us/download/acrobat/payor-provider-guidelines.pdf

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