Utilization Review

L&I contracted with Comagine Health to provide utilization review (UR) services for its Workers’ Compensation Program.

What requires Comagine Health Review?

To find out what services require utilization review by Comagine, check out our fee lookup utility. Below are common services authorized by Comagine.

Comagine reviews your request based on L&I’s Medical Treatment Guidelines. If there is no guideline, Comagine Health will apply InterQual criteria.

Comagine reviews for medical necessity and then makes a recommendation to the Department Labor and Industries to determine whether the service is related to an accepted diagnosis.  The Department will contact the provider via phone/letter with a final determination.

To Contact Comagine Health

*Check our Fee Schedule Lookup to see if a specific billing code requires pre-authorization.


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