Terms and Definition

Certified healthcare provider:
TDI-DWC provides training to prepare healthcare providers to take a certifying examination. If the healthcare providers pass the certifying examination, the certification will last for two years. The healthcare providers will need to take a recertification training and pass the certification examination in order to continue to perform these evaluations.

ABACUS IME healthcare provider(s) maintain certification for the American Medical Association, Guides to the Evaluation of Permanent Impairment for the 4th Edition, 5th Edition as well as the 6th Edition.

Only certified health care providers can perform these evaluation and the health care providers must indicate which role the health care providers are serving in the claim in performing this evaluation. Only a doctor serving in one of the following roles is authorized to evaluate for MMI-IR and file this report [28 Texas Administrative Code (TAC) §130.1 governs such authorization]:

  • Treating Doctor
  • Doctor selected by Treating Doctor acting in place of the Treating Doctor
  • Designated Doctor selected by TDl-DWC
  • Insurance Carrier-selected RME Doctor approved by TDl-DWC to evaluate MMI and/or permanent impairment after a Designated Doctor examination