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Get and Sign Cigna Disability Management Solutions Medical Request Form

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Determination). Claimant Name: Date of Birth: What is the primary diagnosis responsible for your patient’s impairment that - in your opinion - is preventing return to work? What is the ICD-9 code for the above diagnosis? Date of Injury/Illness: Is this condition work related? Yes No What are the specific additional (medical/non-medical) factors impacting return to work, if any? When did you first treat your patient for this current impairment episode? Have you treated your patient for...
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Instructions and help about cigna disability management solutions medical request form rev 06 2020

hi this is Jonathan Ginsberg I'd like to show you how to complete a request for reconsideration along with the associated forms, and you will see that these forms are fairly typical what we see in social security in the disability world you don't really know what they want and the instructions are pretty much worthless unfortunately if you do complete the forms yourself I think you should focus on activity limitations that would limit or impact your capacity to perform simple entry level work a diagnosis like a herniated disk or a blood clot in your leg or severe depression that is not a disability but the impact of those conditions for example if you can't sit for more than five or ten minutes, or you have to keep your legs extended at waist level or higher or if you experience crying spells for 30 to 60 minutes three days a week those are issues that would impact you from working so let's go through the different forms you'll need to go to complete there are three forms to do a recon

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