Medical dispute issues

data.oregon.gov | Last Updated 22 Oct 2018

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

Tags: workers compensation, dispute, reconsideration, medical, voc, wcd

This dataset has the following 11 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
Yearyearcalendar_date
Med dispute requestsmed_dispute_requestsnumberThe count of medical dispute requests received during the calendar year.
Med dispute issues: Feesmed_dispute_issues_feesnumberThe count of disputes about medical fees received during the calendar year. Most medical fee disputes are handled as ADRs.
Med dispute issues: Medical servicesmed_dispute_issues_medical_servicesnumberThe 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.
Med dispute issues: MCO issuesmed_dispute_issues_mco_issuesnumberThe count of Managed Care Organization (MCO) medical disputes received during the calendar year.
Med dispute issues: Treatmentsmed_dispute_issues_treatmentsnumberThe count of disputes dealing with medical treatments received during the calendar year.
Med dispute issues: Compensabilitymed_dispute_issues_compen_stabilitynumberThe count of disputes dealing with whether an injured worker's claim was accepted or denied that were received during the calendar year.
Med dispute issues: Palliative caremed_dispute_issues_palliative_carenumberThe 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.
Med dispute issues: Interim medical benefitsmed_dispute_issues_interim_medical_benefitsnumberThe 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.
Med dispute issues: Change of attending physicianmed_dispute_issues_changes_of_attending_physiciannumberThe count of disputes dealing with change of attending physician received during the calendar year.
Med dispute issues: Independent medical examsmed_dispute_issues_independent_medical_examsnumberThe count of disputes dealing with independent medical exams (IMEs) received during the calendar year.