Medical Benefits

Reasonable and Necessary Treatment

Injured workers with compensable Illinois workers’ compensation claims are entitled to reasonable and necessary medical treatment. The Illinois Workers’ Compensation Act provides: The employer shall provide and pay … for all the necessary first aid, medical and surgical services, and all necessary medical, surgical and hospital services […]

Woman in physical therapy
Medical Benefits

Utilization Review

Employers and insurance companies can evaluate the medical necessity of proposed or previously provided medical treatment with a process called utilization review (“UR”). Section 8.7 of the Illinois Workers’ Compensation Act governs the use of utilization review, which it defines as: the evaluation of proposed […]