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75+ Attorneys in 7 Offices
Cipriani & Werner has over 75 attorneys in 7 cities with expertise in commercial litigation, civil litigation, workers’ compensation, and more.
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Harrisburg
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Scranton
Marlton
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Cipriani & Werner has built expertise in commercial litigation, civil litigation, and workers’ compensation.
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Cipriani & Werner has offices throughout Pennsylvania, New Jersey, and West Virginia.
650 Washington Road Suite 700Pittsburgh, PA 15228Phone: (412) 563-25001011 Mumma Road Suite 201Lemoyne, PA 17043-1145Phone: (717) 975-9600450 Sentry Parkway Suite 200Blue Bell, PA 19422Phone: (610) 567-0700409 Lackawanna Ave Suite 402Scranton, PA 18503-2059Phone: (570) 347-0600155 Gaither Drive Suite BMt. Laurel, NJ 08054Phone: (856) 761-38001144 Market Street Suite 300Wheeling, WV 26003Phone: (304) 232-3600500 Virginia St. East Suite 750Charleston, WV 25301Phone: (304) 341-0500 -
C&W Journal
C&W Journal
Cipriani & Werner provides legal insight for business professionals.
May 2012 Edition
Court Confirms Narrow UR Determinations
Source
Bucks County Community College v. WCAB (Nemes, Jr.), A.2d (Pa. Cmwlth. 2007)
Analysis
Although a prospective Utilization Review (UR) Determination was partially favorable to the employer, it was held to be invalid because the claimant had not treated with the named provider for months. Despite the notation on the UR Request that it apply to all providers of the same license and specialty, the Court held that one UR can only apply to a single individual provider.
What it Means for You
Precision and thoroughness are important when filing Utilization Review requests. Separate requests must be completed for each individual provider, including multiple doctors in the same office. Contact a Cipriani & Werner attorney to discuss the best procedure for challenging the compensability of a claimant's treatment in your case.
Journal Edition
March 2007
