After receiving a Request for Factual Correction filed by a claims administrator, what is the timeframe for a QME to respond?

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The timeframe for a Qualified Medical Evaluator (QME) to respond to a Request for Factual Correction filed by a claims administrator is 10 days. This requirement is established to ensure that the QME provides a timely response, allowing for the efficient management of claims and ensuring that any factual inaccuracies can be rectified promptly. This timeframe is critical because it helps maintain the integrity of the evaluation process and ensures that all parties involved have accurate information for potential future proceedings or decisions related to the claim.

Responses beyond this period could lead to delays in the claims processing and potentially impact the outcomes for the injured worker and the insurer. Thus, the 10-day requirement underscores the importance of efficiency and accuracy in the QME's role in the workers' compensation system.

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