Why might an adjuster request a Worker Requested Medical Exam (WRME)?

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An adjuster might request a Worker Requested Medical Exam (WRME) to determine causation and justification for denial because this type of exam provides objective medical evaluations that can clarify the relationship between the workplace injury and the claimed medical conditions. When evaluating claims, assessors need to establish whether the injury is genuinely work-related and whether the treatment or conditions being claimed are valid under the policy. A WRME aids in forming a comprehensive understanding of the claimant's medical status and can substantiate or refute the claims, offering a basis for decisions regarding coverage and compensation. In complex cases where causation is not clear, this can be a crucial step in the claims process.

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