Seamon v. Workers' Compensation Appeal Board

LEADBETTER, Judge.1

This case raises a question of first impression regarding the utilization review (UR) provisions of the Workers’ Compensation Act (Act).2 On April 30, 1999, this court granted reargument before the court en banc to consider whether the failure of a utilization review organization (URO) to obtain medical records from all other treating providers, as required by applicable regulations, renders the UR report inadmissible in subsequent proceedings before a Workers’ Compensation Judge (WCJ) to determine the reasonableness and necessity of medical treatment under review.3

*1260On March…