Carriers response to Variance request
The Carrier reviews the request, determines if there is a need for an Independent Medical Exam (IME), and responds within 15 calendar days without an IME or within 30 calendar days with an IME. (Note: The Carrier must inform WCB and the Medical Provider within 5 business days of the request if it intends to get an IME.) If treatment is denied, the Medical Provider has 8 business days to resolve the issue informally. If no attempt is made or the attempt fails, the injured worker has 21 business days to request a review of the denial by WCB. Note: There are two options for resolving disputes over variance requests. The default option is an expedited hearing. The other option is a review for a final determination by the WCB Medical Director. In order to use this streamlined option through the Medical Director, both the Carrier and the injured worker must waive their rights to a hearing.