• Multiple claims, or a history of frequent claims, or ongoing treatment of pre-existing conditions

  • Multiple body parts or injuries are involved

  • For determination of MMI from objective medical findings, of if treatment extends beyond a determination of MMI

  • To determine causation

  • Claim is lacking a correlation between symptoms and objective findings

  • Evidence of early risk factors for delayed recovery


  • Refusal to undergo reasonable diagnostic testing, or evidence of excessive testing

  • Non-compliance

  • Facilitate return to work, or if return to work has failed

  • The claimant is not properly informed about their treatment options and lacks education to make informed choices


  • Inconsistent treating care, switching physicians, or unexplained gaps in care

  • The current medical diagnosis is undetermined

  • Absence of, or slower than expected, functional improvement

  • To obtain a second opinion

  • Medication concerns, particularly regarding the overuse of opioids

  • Concern that treatment is not evidence-based

  • Infrequent follow up

  • Lack of attempts at the least invasive treatments before implementing active interventions


  • Continued exposure to potentially dangerous chemicals or allergens

  • Chemical or environmental exposure with continued symptoms or complaints

  • Chemical or environmental exposure with alternative medicine treatment approach


  • Treatment plan is inconsistent with the generally accepted treatment guidelines

  • Lack of functional progress despite medically appropriate treatment that is consistent with the MT U& T Guidelines

  • Concerns about a treatment plan, or treatment that includes unusual methods

When in doubt – call and have a chat! 406-549-6520

*How geeky are you? We’re pretty serious about our treatment guidelines around here, Montana U & T Guidelines.

More good reading:
Genex Services. 2019. Seeing Red Warning signs of off track claims