| Utah WORKERS COMPENSATION COLLECTION PUBLICATIONS AND INFORMATION FOR MEDICAL PROVIDERS |
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- Medical Control
The employer may direct the injured employee to a preferred medical provider. If the employer
does not direct the injured employee, the injured employee may select the treating provider. The
injured employee may change treating providers one time but should notify the employer/insurer
of the change as soon as possible. The treating provider may refer the injured employee to
another doctor. The employee may select his/her own pharmacy or select a pharmacy from the
Express Scripts pharmacy network. Emergency medical care does not require preapproval and
should be secured at the nearest location.
- The Labor Commission does not have a Hospital or Ambulatory Surgical Center fee
schedule. However, provider reimbursement for services performed at these facilities as
defined in §34A-2-111, is subject to the Utah fee schedule per §34A-2- 407(8)(b).
Carriers and self-insured employers may reimburse hospitals per contracted rates or
UCR. If a preferred provider (PPO) program is developed by an insurance carrier or self-
insured employer, an employee may be required to use the preferred providers. Failure
to do so may result in the employee being obligated for charges in excess of the preferred
provider allowances.” Refer to Utah Code 34-A-111
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