The Utilization Review Process

Under the Pennsylvania Workers’ Compensation Act, a carrier may file a Uilization Review Request to determine whether medical treatment is reasonable or necessary for a work-related injury. If any party, such as the medical provider, injured worker, or insurance carrier, is unsatisfied with the outcome of the unitization review, an appeal may be filed to a Workers’ Compensation Judge, by filing, by filing a petition to review utilization review determination (UR Petition). Jerry M. Lehocky filed a UR Petition on behalf of an injured worker following an unfavorable Utilization Review. The carrier had requested a Utilization Review to determine the reasonableness and neceddity of all the treatment being provided to the injured worker by his treating physician. The Utilization Review Determination concluded that none of the treatment was both reasonable and necessary. The Emploer was ordered to make payment for the medical services which had been subject to review.



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Pennsylvania Workers’ Compensation

If you get hurt on the job, you’re entitled to compensation for your injuries. Our attorneys will help you file your claim successfully.
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Social Security Disability

If you have a medical condition and can not work, you may be eligible for Social Security disability benefits. Contact us today for a FREE consultation.
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My Case Status for Existing Clients

All current clients have access to My Case Status. This website allows them access to check the status and progression of their case, update their information, securely send and receive medical and case-related documents, contact their legal team, and watch helpful videos.

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