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I believe it's customary for the insurance carrier to review medical records. Unfortunately they have to do this because there are people out there who try to scam the system. So the insurance carriers do this to verify people's injury claims. Essentially, they want to make sure that the injury is the result of a work related incident and not someone trying to scam them. They are most likely trying to insure that the injury wasn't there prior to the incident. And if the carrier is required to pay long term benefits because the person is unable to work, the insurance will want to insure that the person is truly in such a dire situation and not faking it. A review of the medical records will help them to determine this.

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Q: Is it legal for the carrier of a workman's comp case to ask for authorization for medical information both before and after a date of injury?
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Related questions

Under what circumstances would covered entities be entiteld to receive protected medical information with out authorization from the patient?

if you answer "Other" to the question


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