Our provider treated the injured party for months prior to the IME. After services were denied, our provider continued treatment disagreeing with the findings. At the arbitration, we indicated our client’s SOAP notes revealed continued subjective complaints and objective evidence in the form of decreased cervical and lumbar ranges of motion, positive orthopedic tests, and muscle spasms.

The SOAP notes documented sufficient evidence that the injured party was still suffering from complaints in the cervical and lumbar spine post IME, as well as positive subjective findings. Upon the arbitrator’s review, it was determined that the post IME treatment was medically necessary.

Result: Our provider was awarded the full amount of the post-IME treatment.