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West Virginia Compliance

Physician Selection

Injured workers in OIC-administered claims may choose any physician so long as that physician accepts payment from the OIC-administered funds, whereas there may be limitations regarding the choice of a physician under the managed care organization of a private carrier. Under these circumstances, the brochure used by the private carrier should be modified to reflect information regarding the private carrier's managed care organization, how a physician is to be selected under that organization, and specific contact information where a claimant may obtain answers to any questions they may have.