Workers' Compensation Division (WCD) workers' compensation claim disputes. Covers Reconsideration, Medical disputes, and Vocational assistance disputes. These represent the first level of WC claim disputes. Data for the Oregon workers' compensation report
This dataset has the following 11 columns:
Column Name | API Column Name | Data Type | Description | Sample Values |
---|---|---|---|---|
Year | year | calendar_date | 2021-01-01T00:00:00.000 2011-01-01T00:00:00.000 2006-01-01T00:00:00.000 2009-01-01T00:00:00.000 2008-01-01T00:00:00.000 view top 100 | |
Med dispute requests | med_dispute_requests | number | The count of medical dispute requests received during the calendar year. | 2378 2076 3046 2159 2174 view top 100 |
Med dispute issues: Fees | med_dispute_issues_fees | number | The count of disputes about medical fees received during the calendar year. Most medical fee disputes are handled as ADRs. | 1640 1046 1758 1342 506 view top 100 |
Med dispute issues: Medical services | med_dispute_issues_medical_services | number | The count of disputes dealing with medical services received during the calendar year. Medical services are defined as, medical, surgical, diagnostic, chiropractic, dental, hospital, nursing, ambulance, drug, prosthetic, or other physical restorative services. | 310 294 506 213 271 view top 100 |
Med dispute issues: MCO issues | med_dispute_issues_mco_issues | number | The count of Managed Care Organization (MCO) medical disputes received during the calendar year. | 173 137 69 60 189 view top 100 |
Med dispute issues: Treatments | med_dispute_issues_treatments | number | The count of disputes dealing with medical treatments received during the calendar year. | 159 108 91 173 99 view top 100 |
Med dispute issues: Compensability | med_dispute_issues_compen_stability | number | The count of disputes dealing with whether an injured worker's claim was accepted or denied that were received during the calendar year. | 87 91 66 186 168 view top 100 |
Med dispute issues: Palliative care | med_dispute_issues_palliative_care | number | The count of disputes dealing with palliative care received during the calendar year. Palliative care is defined as medical services rendered to reduce or temporarily moderate the intensity of an otherwise stable condition to enable the worker to continue employment or training. | 52 3 5 6 9 view top 100 |
Med dispute issues: Interim medical benefits | med_dispute_issues_interim_medical_benefits | number | The count of disputes dealing with interim medical benefits received during the calendar year. Interim medical benefits are benefits paid by the insurer or the worker's health benefit plan for medical services provided during the interim period - the period beginning when an employer first learns of a claim and ending when the insurance company accepts or denies the claims. | 0 1 3 4 11 view top 100 |
Med dispute issues: Change of attending physician | med_dispute_issues_changes_of_attending_physician | number | The count of disputes dealing with change of attending physician received during the calendar year. | 21 6 9 19 14 view top 100 |
Med dispute issues: Independent medical exams | med_dispute_issues_independent_medical_exams | number | The count of disputes dealing with independent medical exams (IMEs) received during the calendar year. | 7 6 9 4 5 view top 100 |