{"component": "definition", "props": {"groups": [{"snippet": "means a written request for a specific course of proposed medical treatment.", "samples": [{"hash": "iZl8MJbxIe7", "uri": "https://www.alliedmanagedcare.com/wp-content/uploads/2023/03/3-10-23-UR-Plan-Without-Attachments-or-Client-List.pdf", "label": "www.alliedmanagedcare.com", "score": 17.83893013, "published": false}, {"hash": "gs6RxpJidbH", "uri": "https://www.alliedmanagedcare.com/wp-content/uploads/2022/03/Utilization-Review-Plan-Without-Client-Information.pdf", "label": "www.alliedmanagedcare.com", "score": 11.0547571182, "published": false}, {"hash": "63trXrLFR1j", "uri": "https://www.dir.ca.gov/wcab/Panel-Decisions-2022/Michele-EARLEY-ADJ4430885.pdf", "label": "www.dir.ca.gov", "score": 9.0999317169, "published": false}], "size": 9, "snippet_links": [{"key": "request-for", "type": "definition", "offset": [16, 27]}, {"key": "medical-treatment", "type": "definition", "offset": [58, 75]}], "hash": "b3c4dba9b324bd0af206312e2b129c46", "id": 1}, {"snippet": "means a request for authorization submitted under Section 4 of this general permit.", "samples": [{"hash": "e0ZlfiqcoSC", "uri": "https://portal.ct.gov/-/media/deep/public_notice_attachments/draft_permits/2024apr11gpwaterresourceconstructiondraftpermit.pdf", "label": "portal.ct.gov", "score": 17.1589164734, "published": false}, {"hash": "ctbRgxfPSEy", "uri": "https://www.ct.gov/deep/lib/deep/permits_and_licenses/landuse_general_permits/inland_water_general_permits/consumpdiversion_nfgp.pdf", "label": "www.ct.gov", "score": 7.1704311371, "published": false}, {"hash": "jxCUJ8lxSRn", "uri": "https://www.ct.gov/deep/lib/deep/permits_and_licenses/landuse_general_permits/inland_water_general_permits/consumpdiversion_argp.pdf", "label": "www.ct.gov", "score": 7.1704311371, "published": false}], "size": 6, "snippet_links": [{"key": "section-4", "type": "definition", "offset": [50, 59]}, {"key": "general-permit", "type": "clause", "offset": [68, 82]}], "hash": "8843dac084086b2a5981136acb3af9c8", "id": 2}, {"snippet": "means any request by a physician for assurance that appropriate payment will be made for a course of proposed medical treatment.", "samples": [{"hash": "ibNZhAA6c5w", "uri": "https://rules.utah.gov/publicat/bull_pdf/2019/b20191115.pdf", "label": "rules.utah.gov", "score": 9.9253931046, "published": false}, {"hash": "9AaFjB4rxqO", "uri": "https://rules.utah.gov/publicat/code/r612/r612-300.htm", "label": "rules.utah.gov", "score": 8.1704311371, "published": false}, {"hash": "hesZ9Pu9Kwm", "uri": "https://rules.utah.gov/publicat/bull_pdf/2014/b20140915.pdf", "label": "rules.utah.gov", "score": 7.3449692726, "published": false}], "size": 5, "snippet_links": [{"key": "a-course", "type": "clause", "offset": [89, 97]}, {"key": "medical-treatment", "type": "definition", "offset": [110, 127]}], "hash": "5fb33ccfdead695cd6604d38e6e69813", "id": 3}, {"snippet": "means any request by a physician for assurance that", "samples": [{"hash": "eCO9JLRBMb1", "uri": "https://www.laborcommission.utah.gov/wp-content/uploads/2025-Medical-Fee-Schedule-3.pdf", "label": "www.laborcommission.utah.gov", "score": 15.9495267868, "published": false}, {"hash": "2jUMKX56BbX", "uri": "https://laborcommission.utah.gov/wp-content/uploads/2022/10/2024-Medical-Fee-Schedule.pdf", "label": "laborcommission.utah.gov", "score": 8.0225868225, "published": false}, {"hash": "lO1V3Ec8Kgp", "uri": "https://laborcommission.utah.gov/wp-content/uploads/2022/04/2023-Medical-Fee-Schedule.pdf", "label": "laborcommission.utah.gov", "score": 7.4969201088, "published": false}], "size": 5, "snippet_links": [], "hash": "eabec63ae52a6763a2fa30b2ffc9a03f", "id": 4}, {"snippet": "means a written confirmation of an oral request for a specific course of proposed medical treatment pursuant to Labor Code section 4610(h) or a written request for a specific course of proposed medical treatment. An oral request for authorization must be followed by a written confirmation of the request within seventy-two (72) hours. Both the written confirmation of an oral request and the written request must be set forth on the \u201cDoctor's First Report of Occupational Injury or Illness,\u201d Form DLSR 5021, section 14006, or on the Primary Treating Physician Progress Report, DWC Form PR-2, as contained in section 9785.2, or in narrative form containing the same information required in the PR-2 form. If a narrative format is used, the document shall be clearly marked at the top that it is a request for authorization.", "samples": [{"hash": "eXOeSz2WBrC", "uri": "https://www.dir.ca.gov/dwc/DWCPropRegs/2024/Utilization-Review/2nd-15-Day-Comment-Period/Text-of-Regulations.docx", "label": "www.dir.ca.gov", "score": 18.2288265228, "published": false}, {"hash": "6FU4C36BpsB", "uri": "https://www.dir.ca.gov/dwc/DWCPropRegs/2024/Utilization-Review/Text-of-Regulations.docx", "label": "www.dir.ca.gov", "score": 10.1937026978, "published": false}, {"hash": "8oB8V8uEe7x", "uri": "https://cwci.org/document.php?file=1727.pdf", "label": "cwci.org", "score": 5.928249836, "published": false}], "size": 5, "snippet_links": [{"key": "confirmation-of", "type": "clause", "offset": [16, 31]}, {"key": "oral-request", "type": "definition", "offset": [35, 47]}, {"key": "medical-treatment", "type": "definition", "offset": [82, 99]}, {"key": "code-section", "type": "definition", "offset": [118, 130]}, {"key": "written-request", "type": "definition", "offset": [144, 159]}, {"key": "the-request", "type": "clause", "offset": [293, 304]}, {"key": "report-of", "type": "clause", "offset": [450, 459]}, {"key": "occupational-injury-or-illness", "type": "definition", "offset": [460, 490]}, {"key": "primary-treating-physician", "type": "definition", "offset": [534, 560]}, {"key": "progress-report", "type": "definition", "offset": [561, 576]}, {"key": "contained-in", "type": "definition", "offset": [596, 608]}, {"key": "information-required", "type": "clause", "offset": [666, 686]}, {"key": "clearly-marked", "type": "definition", "offset": [758, 772]}], "hash": "345b66b10e48cb505a3c000bb26553c6", "id": 5}, {"snippet": "means a written request for a specific course of proposed medical treatment, pursuant to Labor Code section 4610(h). A request for authorization must be set forth on a \u201cRequest for Authorization for Medical Treatment (DWC Form RFA),\u201d completed by a treating physician, as contained in", "samples": [{"hash": "hPmxLwynLl8", "uri": "https://encompasswc.com/wp-content/uploads/2023/06/Encompass-URAC-Accredited-UR-Plan-06012023.pdf", "label": "encompasswc.com", "score": 18.4788000624, "published": false}, {"hash": "9bautzLGIFs", "uri": "https://encompass-hs.com/wp-content/uploads/2022/06/Encompass-URAC-Accredited-UR-Plan-eff-06012022-Final.pdf", "label": "encompass-hs.com", "score": 11.2368240356, "published": false}, {"hash": "cnpwfGm5CjX", "uri": "https://encompass-hs.com/wp-content/uploads/2022/06/Encompass-URAC-Accredited-UR-Plan-05262022-effective-06012022.pdf", "label": "encompass-hs.com", "score": 11.2067079544, "published": false}], "size": 4, "snippet_links": [{"key": "written-request", "type": "definition", "offset": [8, 23]}, {"key": "code-section", "type": "definition", "offset": [95, 107]}, {"key": "authorization-for-medical-treatment", "type": "clause", "offset": [181, 216]}, {"key": "completed-by", "type": "clause", "offset": [234, 246]}, {"key": "treating-physician", "type": "definition", "offset": [249, 267]}, {"key": "contained-in", "type": "definition", "offset": [272, 284]}], "hash": "bb9fb114416359ef7d29d54eb83137a8", "id": 6}, {"snippet": "means any request by a physician for assurance that appropriate payment will be made for a course of proposed medical treatment, including surgery or hospitalization, or any diagnostic studies beyond plain X-rays.", "samples": [{"hash": "2zFoZiDHYIa", "uri": "https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=48a803b9b3fc9dff8e0f22bb1bb4527b0022a8a1", "label": "citeseerx.ist.psu.edu", "score": 11.4982891083, "published": false}, {"hash": "kQmYqtoP4Bm", "uri": "http://drcolledge.com/articles/physicians_handbook2007.pdf", "label": "drcolledge.com", "score": 5.0, "published": false}, {"hash": "knsdlApEvc2", "uri": "https://www.utah.gov/pmn/files/77319.pdf", "label": "www.utah.gov", "score": 4.8959617615, "published": false}], "size": 3, "snippet_links": [{"key": "a-course", "type": "clause", "offset": [89, 97]}, {"key": "medical-treatment", "type": "definition", "offset": [110, 127]}, {"key": "diagnostic-studies", "type": "clause", "offset": [174, 192]}], "hash": "e3f97456be52cad997c438f84d933508", "id": 7}, {"snippet": "means a written request for a specific course of proposed medical treatment that meets all of the following criteria:", "samples": [{"hash": "9mYie6uJAv5", "uri": "https://dir.ca.gov/dwc/DWCPropRegs/2024/Utilization-Review/2nd-15-Day-Comment-Period/Text-of-Regulations-Accessible.docx", "label": "dir.ca.gov", "score": 20.1325569153, "published": false}, {"hash": "e1xOzWXOdyL", "uri": "https://www.dir.ca.gov/dwc/DWCPropRegs/2024/Utilization-Review/15-Day-Comment-Period/Text-of-Regulations-Accessible.docx", "label": "www.dir.ca.gov", "score": 20.0108776093, "published": false}, {"hash": "cv7yjhcH0so", "uri": "https://www.dir.ca.gov/dwc/DWCPropRegs/2024/Utilization-Review/Text-of-Regulations-Accessible.docx", "label": "www.dir.ca.gov", "score": 12.2046546936, "published": false}], "size": 3, "snippet_links": [{"key": "request-for", "type": "definition", "offset": [16, 27]}, {"key": "medical-treatment", "type": "definition", "offset": [58, 75]}], "hash": "ca1bb96d286cdef2af944096bcceb3c0", "id": 8}, {"snippet": "means a written request for a specific course of proposed medical treatment. A request for authorization must be set forth on a \u201cRequest for Authorization for Medical Treatment (DWC Form RFA),\u201d completed by a treating physician, as contained in California Code of Regulations, title 8, section 9785.5. \u201cCompleted,\u201d for the purpose of this section and for purposes of investigations and penalties, means that information specific to the request has been provided by the requesting treating physician for all mandatory fields indicated on the DWC Form RFA. The form must be signed by the physician and may be mailed, faxed or e-mailed.", "samples": [{"hash": "8oB8V8uEe7x", "uri": "https://cwci.org/document.php?file=1727.pdf", "label": "cwci.org", "score": 5.928249836, "published": false}, {"hash": "65z248JuzAr", "uri": "https://www.workcompcentral.com/pdf/2012/misc/IMRRegulations.pdf", "label": "www.workcompcentral.com", "score": 3.4510610104, "published": false}], "size": 3, "snippet_links": [{"key": "written-request", "type": "definition", "offset": [8, 23]}, {"key": "authorization-for-medical-treatment", "type": "clause", "offset": [141, 176]}, {"key": "completed-by", "type": "clause", "offset": [194, 206]}, {"key": "treating-physician", "type": "definition", "offset": [209, 227]}, {"key": "california-code-of-regulations", "type": "clause", "offset": [245, 275]}, {"key": "title-8", "type": "definition", "offset": [277, 284]}, {"key": "for-the-purpose-of-this", "type": "clause", "offset": [315, 338]}, {"key": "for-purposes-of", "type": "clause", "offset": [351, 366]}, {"key": "the-requesting", "type": "clause", "offset": [465, 479]}, {"key": "mandatory-fields", "type": "definition", "offset": [507, 523]}, {"key": "signed-by-the", "type": "clause", "offset": [572, 585]}], "hash": "e15200742e3c9dab422d5edae9524fb0", "id": 9}, {"snippet": "means a written confirmation of an oral request for a specific course of proposed medical treatment pursuant to Labor Code section 4610(h) or a written request for a specific course of proposed medical treatment. An oral request for authorization must be followed by a written confirmation of the request within seventy-two (72) hours. Both", "samples": [{"hash": "jLscVtrImyu", "uri": "https://cwci.org/document.php?file=2301.pdf", "label": "cwci.org", "score": 5.0574946404, "published": false}], "size": 3, "snippet_links": [{"key": "confirmation-of", "type": "clause", "offset": [16, 31]}, {"key": "oral-request", "type": "definition", "offset": [35, 47]}, {"key": "medical-treatment", "type": "definition", "offset": [82, 99]}, {"key": "code-section", "type": "definition", "offset": [118, 130]}, {"key": "written-request", "type": "definition", "offset": [144, 159]}, {"key": "the-request", "type": "clause", "offset": [293, 304]}], "hash": "7f55da2aab772297e2ed65805863c18f", "id": 10}], "next_curs": "CmYSYGoVc35sYXdpbnNpZGVyY29udHJhY3RzckILEhpEZWZpbml0aW9uU25pcHBldEdyb3VwX3Y1NiIicmVxdWVzdC1mb3ItYXV0aG9yaXphdGlvbiMwMDAwMDAwYQyiAQJlbhgAIAA=", "definition": {"snippet": "means a written request for a specific course of proposed medical treatment.", "title": "Request for authorization", "size": 56, "id": "request-for-authorization", "examples": ["<strong>Request for authorization</strong> shall include the reason for the request, the person or persons that will login to the CGS, and the estimated time the connection will be active.", "<strong>Request for authorization</strong> to return material must be made within 60 days from the date of shipment."], "related": [["service-authorization-request", "Service Authorization Request", "Service Authorization Request"], ["prior-authorization", "Prior authorization", "Prior authorization"], ["service-authorization", "Service Authorization", "Service Authorization"], ["request-for-applications-rfa", "Request for Applications (RFA)", "Request for Applications (RFA)"], ["authorization-letter", "Authorization Letter", "Authorization Letter"]], "related_snippets": [], "updated": "2025-07-12T04:23:46+00:00"}, "json": true, "cursor": ""}}