0800-02-05-.05
Documents
Cite as Tenn. Comp. R. & Regs. 0800-02-05-.05
TO
BE
PROVIDED
UPON
REQUEST
OF
WORKERS’
COMPENSATION SPECIALIST.
(1)
Upon request by the Workers’ Compensation Specialist, a party to a Request for Assistance
or a Request for a Benefit Review Conference shall provide all documentation relevant to
resolution of the dispute both to the Specialist and to all parties, including but not limited to
the following:
(a)
Medical Records, including impairment ratings given;
(b)
Medical Bills;
(c)
Employer’s First Report of Injury;
(d)
Wage Statement;
(e)
Employment Application and/or Personnel records, including work status;
(f)
Statutory basis for denial and documentation supporting such;
(g)
Job Description/Analysis of employee’s job prior to injury;
(h)
Education level of the employee;
(i)
Employment history of the employee;
BENEFIT REVIEW PROCESS RULES
CHAPTER 0800-02-05
(j)
Issues in dispute;
(k)
Prior medical records of employee, including psychiatric records if relevant to the
merits of the claim;
(l)
List of all the employee’s prior workers’ compensation claims;
(m)
List of any prior litigation the employee has been involved in;
(n)
List of any prior criminal convictions which would be admissible pursuant to the
Tennessee Rules of Evidence;
(2)
Any party has an ongoing obligation to supplement and/or correct any documentation or
information otherwise required by the Specialist to be produced.
(3)
Any unexcused failure to produce these documents as determined by the Administrator or
Workers’ Compensation Specialist will be subject to the penalty provisions contained in the
workers’ compensation law and/or these rules.