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No. 76 Page 42 of 74 2023

VT LEG #371318 v.1 (B)(3) deny Deny the treatment benefits if, based on a preponderance of credible medical evidence specifically addressing the proposed treatment benefits, it is the benefits are unreasonable or, unnecessary, or unrelated to the work injury. The insurer shall notify the health care provider, the injured worker, and the Department of the decision to deny treatment; or benefits. (3)(4) notify Notify the health care provider, the injured worker, and the Department that the insurer has scheduled an examination of the employee pursuant to section 655 of this title or ordered a medical record review pursuant to section 655 655a of this title. Based on the examination or review, the insurer shall authorize or deny the treatment benefits and notify the Department and the injured worker of the decision within 45 days of after a request for preauthorization. The Commissioner may, in his or her the Commissioner’s sole discretion, grant a 10-day extension to the insurer to authorize or deny treatment benefits, and such an extension shall not be subject to appeal. (b)(c) If the insurer fails to authorize or deny the treatment benefits pursuant to subsection (a)(b) of this section within 14 days of after receiving a request, the claimant or health care provider may request that the Department issue an order authorizing treatment benefits. After receipt of the request, the Department shall issue an interim order within five days after notice to the insurer, and five days in which to respond, absent evidence that the entire claim is disputed. Upon request of a party, the Commissioner shall notify the