Medical Resource Office
Jacqueline Kurth, Manager
Email: [email protected]
800 W Washington St, Phoenix AZ 85007
Phone: (602) 542-6731
FAX: (602) 542-4797
Mission Statement: The MRO Office shall provide administrative review and oversight of the implementation of a process for the use of medical treatment guidelines, A. R. S. §23-1062.03. The MRO Office provides staff support to the Commission regarding the Physicians' and Pharmaceutical Fee Schedule, which is evaluated and updated each yea, A.R.S. § 23-908([B).
Treatment Guidelines Information
MEDICAL TREATMENT GUIDELINE PROCESS FLOWCHARTS
MEDICAL TREATMENT GUIDELINE FORMS
Who uses it? Medical Provider and Payer.
Where to File? Medical Provider submits initial request for preauthorization for medical treatment or services to Payer. Within 7 business days of receipt of preauthorization request or reconsideration request, Payer uses form to communicate decision on initial preauthorization request or reconsideration request to Medical Provider, with copies to Injured Employee or Injured Employee's Attorney.
When to File? Medical Provider submits initial request for preauthorization for medical treatment or services to Payer on this form. Medical Provider may also use this form to submit request for reconsideration of Payer's initial decision regarding preauthorization request. Payer uses this form to communicate decision to Medical Provider within 7 business days of receiving request for preauthorization or reconsideration. Payer uses this form to provide notice to Medical Provider that an Independent Medical Examination (IME) has been requested or initial request for preauthorization or reconsideration is incomplete.
FEE SCHEDULE INFORMATION
NCCI MEDICAL DATA REPORTS