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DIVISION OFFICES bor.mo.gov/di v_pubs_forms. asp#DWC On-line Form s

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DIVISION OFFICES

MEDICAL EXPENSE SUMMARY a. Provider Name b. Date(s) of service c. Address d. Exhibit No. e. Dollar Amount Sought: f. Grand total

• 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

Treatment request deniedemployee causation report

HARDSHIP MEDIATION

•EE IS NOT AT MMI•NEEDS MEDICAL TREATMENT/TTD•ER REFUSED•TEMPORARY OR PARTIAL•MAY BECOME FINAL

HARDSHIP HEARING-WC185

•SET W/N 60 DAYS•AWARD ISSUED W/N 30 DAYS•BASED ON TERMINATION OF TTD BENEFITS

203 HARDSHIP HEARING-WC185

EE REACHED MMICLAIM FILEDDISCOVERY IS COMPLETEOBJECTIONSDECIDED W/N 20 DAYS OF REQUESAWARD ISSUED W/N 90 DAYS

HEARING – FINAL AWARD – WC 186

Questions?