• Skip to main content
  • Skip to primary sidebar

David G. Schiller, Attorney at Law

Raleigh Litigation Lawyer

N.C.G.S. § 97-25.2. Managed care organizations.

The requirements of G.S. 97-25 may be satisfied by contracting with a managed care organization. Notwithstanding any other provision of this Article, if an employer or carrier contracts with a managed care organization for medical services pursuant to this Article, those employees who are covered by the contract with the managed care organization shall receive medical services for a condition for which the employer has accepted liability or authorized treatment under this Article in the manner prescribed by the contract and in accordance with the managed care organization’s certificate of authority; provided that the contract complies with rules adopted by the Commission, consistent with this Article, governing managed care organizations. An employee must exhaust all dispute resolution procedures of a managed care organization before applying to the Commission for review of any issue related to medical services compensable under this Article. Once application to the Commission has been made, the employee shall be entitled to an examination by a duly qualified physician or surgeon in the same manner as provided by G.S. 97-27.

If an employee’s medical services are provided through a managed care organization pursuant to this section, subject to the rules of the managed care organization, the employee shall select the attending physician from those physicians who are members of the managed care organization’s panel, and may subsequently change attending physicians once within the group of physicians who are members of the managed care organization’s panel without approval from the employer or insurer. Additional changes in the attending physician or any change to a physician or examination by a physician not a member of the insurer’s managed care organization’s panel shall only be made pursuant to the organization’s contract or upon reasonable grounds by order of the Commission. (1993 (Reg. Sess., 1994), c. 679, s. 2.1.)

Primary Sidebar

Employment Law

  • Discrimination
  • Equal Pay
  • Employee Retirement Income Security Act (ERISA)
  • Family and Medical Leave Act
  • Non-competition Agreements
  • REDA
  • Retaliation
  • Retirement Benefits
  • Sexual Harassment
  • Social Security Disability
  • State Employees
  • Unemployment Benefits
  • Unpaid Wages
  • Whistleblower
  • Workers' Compensation
  • Wrongful Discharge
  • North Carolina Employment Security Act

Litigation

  • Class Actions
  • Deceptive Trade Practices
  • Defective Products
  • Personal Injury
  • False Claims Act

Family Law

  • Absolute Divorce
  • Alimony
  • Family Law Appeals
  • Child Custody
  • Child Support
  • Domestic Violence
  • Mediation
  • Name Changes
  • Post Separation Support
  • Premarital Agreements
  • Property Division
  • Separation Agreements
  • Alienation of Affections
  • Employment Law
    • Discrimination
    • Equal Pay
    • ERISA
    • FMLA
    • Non-competition Agreements
    • REDA
    • Retaliation
    • Retirement Benefits
    • Sexual Harassment
    • Social Security Disability
    • State Employees
    • Unemployment Benefits
    • Unpaid Wages
    • Whistleblower
    • Workers’ Compensation
    • Wrongful Discharge
  • Litigation
    • Class Actions
    • Deceptive Trade Practices
    • Defective Products
    • False Claims Act
    • Personal Injury
  • Family Law
    • Absolute Divorce
    • Alimony
    • Family Law Appeals
    • Child Custody
    • Child Support
    • Domestic Violence
    • Mediation
    • Name Changes
    • Post Separation Support
    • Premarital Agreements
    • Property Division
    • Separation Agreements
    • Alienation of Affections
  • David G. Schiller
  • Contact
    • Contact Form – Employment
    • Contact Form – State Employees
    • Contact Form – Family Law

Our Office

Our office is conveniently located in downtown Raleigh across from the Governor’s Mansion, with parking available on the street and in the lot behind the building.

304 East Jones Street
Raleigh, NC 27601

Attorney David G. Schiller is licensed to practice law in North Carolina. Attorney Schiller provides the information on these pages as a public service. Information contained in these pages is not intended as, and should not be taken as, legal advice. The use of the information provided in these pages should not be taken as establishing any contractual or other form of attorney-client relationship between Attorney Schiller and the reader or user of this information. Every case that the firm describes on this website was based on its unique facts. These results do not predict outcome in future cases.

Copyright © 2021 David G. Schiller, Attorney at Law · All Rights Reserved · Powered by Mai Theme