Commonwealth of Virginia Workers' Compensation Services
Friday, August 01, 2014
Total Program Management

Physician Panels

Virginia law requires that an employer offer a panel of at least three physicians to the injured employee for the purpose of providing medical treatment to work related injuries or diseases. If you do not have a panel, refer to the PPO Network provided by MCI. The program also has a second tier Occupational Specialty Network. See below for a copy of the most recent update of this specialty PPO. If you need assistance in setting up a panel, please contact Chad Smith at 804-786-2311 or LaTarsha McMahand at 804-786-2310.

Workers' Compensation Panel Physician

Documentation of the Panel offering to the injured employee is important. Please provide a copy of the panel offered to, and signed by the employee when filing the FROI. If you do not have a form, you can print the following form or refer to the Workers’ Compensation Manual, PPO tab, last page for a sample copy of the same form.

Click to download the Panel Physician Form (PDF)

See Offering Panels  for step-by-step instructions in our Online Guide.
 
For questions or to request physicians be considered for Panel Membership, call MCI at (804)344-0009.