104 - Week File Review (MVA Related)
The review is done to determine whether a claimant continues to qualify for benefits beyond the established 104-week limitation period. The medical file review is conducted and prepared 84 weeks following the injury. The Registered Nurse/Disability Specialist conducting the review itemizes the claimant’s rehabilitation to date, highlights immediate assessment needs, including projected costs, and complies a concise course of action. This information forms the basis of the 104 week File Review.
At SIMAC, we offer a disability management program for both short term and long term non-work-related injury and illness. It is our goal to maximize your employee benefits while ensuring quality care. We work with your employee and their physician to facilitate a prompt, safe return to work. This allows you to maintain a neutral position relative to your disabled employee. In addition, we conduct medical reviews, assess appropriate length of time off, maintain contact with all care providers, and offer restricted duty job modifications.