Workers’ Compensation · Primary-source case analysis
Willette: An Unrepresented Worker Must Use the Panel-QME Path After UR
Willette v. AU Electric Corporation addressed the medical-legal path for an unrepresented employee after utilization review did not approve requested treatment in full.
A timely objection begins the dispute process
An unrepresented employee who contests the UR determination must object within the governing period rather than allow the decision to become final.
A panel QME resolves the medical dispute
The statutory procedure calls for a panel evaluator after the worker makes the timely objection.
The treating and UR physicians do not reopen the contest
After the QME evaluation, those physicians may not issue additional reports addressing the same post-UR treatment dispute.
No single medical report automatically controls
At trial the QME, treating-physician, and UR reports may all be considered, with weight determined from the complete record.
Key takeaways
- Serve and calendar the objection immediately.
- Request the correct panel-QME process for an unrepresented worker.
- Provide the evaluator the treatment and UR reports.
- Build a complete admissible record without unauthorized post-QME reports.
Discuss the procedural record
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