When a Massachusetts workers' compensation conference order involving medical issues is appealed, the DIA appoints an impartial physician from its roster to examine the employee and report to the administrative judge under M.G.L. c.152 s.11A. There is no printed form: the narrative report addresses medical end result, permanent impairment or loss of function, whether disability exists and its extent and duration, and whether the work injury is the major or predominant cause.
A physician on the DIA's impartial roster, approved by the Senior Judge, writes the whole report. Parties may choose a roster physician within 10 days of the appeal, or the judge or the Impartial Unit appoints one.
The issuer sets what the letter or report must contain; check its current rules before you write it.
Impartial Physician Report (Section 11A Impartial Medical Examination)
There is no form to fill: the program asks for a letter or report with the content it sets. Vero Scribe writes the visit note it draws on, so the details are ready when you write it.
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No. In an independent medical exam one party, often the insurer, hires and pays the physician. The impartial physician is retained by the DIA as the judge's neutral medical expert, has no allegiance to either party, and may not refer or treat the worker after the exam.
The DIA distributes it to the parties at least one week before the hearing begins. The physician typically receives the medical records about 30 days in advance, forwarded by the Impartial Unit from the judge along with any hypothetical facts and stipulations.
Yes. Under 452 CMR 1.14(2) the impartial physician may request records and reports from providers who treated the employee before the appointment, and diagnostic providers must send them directly on request. No party may send documents to the physician without the judge's consent.