Meadowbrook-Harbor MPN Program - AmeriTrust Group, Inc.
Meadowbrook-Harbor MPNProgramMPN Employer Administration GuideRevised 11/1/2011MPN Programs available 11/01/2011 for policyholders with:Star Insurance CompanyWilliamsburg National Insurance Company
Meadowbrook-Harbor MPN Program11/1/2011Table of Contents1. Introduction2. Revised Workers’ Compensation Medical Provider Network (MPN) changes . . . . . . . 33. Employee Notification – MPN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5a. Initial MPN Employee Notificationb. Complete MPN Employee Notificationc. Employer’s Responsibility for MPN Notification Processd. MPN Provider Search Website4. Exhibitsa. Employee Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8b. Continuity of Care Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21c. Transfer of Care Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26d. Economic Profiling Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31e. Independent Medical Review (IMR) Application . . . . . . . . . . . . . . . . . . . . . . . . . 33f. Additional Employer Forms (optional)i. Pre-designation of personal physician form . . . . . . . . . . . . . . . . . . . . . . . 41ii. Acknowledgement of Receipt form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43Proprietary and ConfidentialPage 2
Meadowbrook-Harbor MPN Program11/1/2011IntroductionWelcome to the MEADOWBROOK MPN Program.Under the terms of your Workers’ Compensation Policy, your Workers’ Compensation Claimswill be administered by Meadowbrook Insurance Group. Meadowbrook is pleased to includeyour company in the California Medical Provider Network (MPN) program. You will be utilizingthe MEADOWBROOK MPN.The MEADOWBROOK MPN provides access to an exclusive group of physicians who understandWorkers’ Compensation requirements and are experienced in providing quality medical care forinjured workers. Our program ensures that every covered employee that suffers a work-relatedinjury or illness has access to prompt medical care, along with a safe Return-To-Work as soon asmedically appropriate.This Employer guide contains important information to assist you with the administration of theMEADOWBROOK MPN. To ensure your employees receive the required materials in a timelymanner, you will find copies (and samples) of forms and recommended procedures. This guideis only a summary of the MPN program. Any questions not addressed in this guide should bereferred to MEADOWBROOK Insurance or the MPN Contact listed below.MCMC LLC provides Managed Care Services for Meadowbrook Insurance Group and theirpolicyholders. Harbor Health Systems (Harbor) is their MPN administrator.MPN CONTACTSMCMC LLC10750 7th St. #101Rancho Cucamonga, CA 91730Voice: 877.707.5633Fax: 909.949.6313E-mail: p.com/MPN/search.aspMeadowbrook Insurance Group1707 Village Center Circle #100Las Vegas, NV 89134-0515Voice: 800.781.8062 or 702.360.4292Fax: 866.291.4664E-mail: p.com/MPN/search.aspProprietary and ConfidentialPage 3
Meadowbrook-Harbor MPN Program11/1/2011Revised Workers’ Compensation and Medical Provider Network (MPN) ChangesThe California Division of Workers’ Compensation (DWC) released new Workers’ Compensationregulations, including the Medical Provider Network (MPN). These include mandatory new/revisedemployee and posting notices.Effective October 8, 2010, California employers must:1. Post revised Workers’ Compensation employee posting notices,2. Distribute an updated version of the new hire pamphlet to employees hired on or afterthat date,3. Provide a new DWC-1 Claims Form/Notice of Potential Eligibility to workers injured onor after that date, and4. Post new Medical Provider Network (MPN) notices if they use an MPN.All California employers must: Post the new version of the ‘Notice to Employees – Injuries Caused by Work’ (DWC7) Distribute a new ‘Your Rights to Workers’ Compensation Benefits’ pamphlet to all newemployees who start to work on or after 10.08.10, at the time of hire or before the end ofthe first pay period.Employers with an existing Medical Provider Network (MPN) must also:1. Create an MPN “Implementation Notice” to distribute to employees at the “time ofhire”2. Create a complete written MPN Notice (English and Spanish) and post it “in aconspicuous location frequented by employees during the hours of the workday and inclose proximity to the Workers’ Compensation posting (Notice to Employees – InjuriesCaused by Work) by 10.08.10.3. Distribute the complete MPN Notice to any employee injured at work on or after thatdate.Employers who are implementing, changing or terminating an MPN must also: Create an MPN “Implementation Notice” to distribute to employees “prior to theimplementation of an MPN or at Time of Hire” Post a complete written MPN Notice (English and Spanish) and post it “in a conspicuouslocation frequented by employees during the hours of the workday and in close proximity tothe Workers’ Compensation posting (Notice to Employees – Injuries Caused by Work) by10.08.10. Give the Complete MPN Notice to any employee injured at work on or after 10.08.10. Give covered employees notice that you are implementing an MPN Give injured employees notice that you are terminating, or changing the MPN.Proprietary and ConfidentialPage 4
Meadowbrook-Harbor MPN Program11/1/2011Employee Notification - MPNThe following discusses the MPN Employee Notification process and procedures to beperformed by the Employer.SummaryEvery covered employee shall be notified, in writing, about the use of the HARBOR MedicalProvider Network (MPN) for work-related injuries and illnesses. The written notification isrequired by Labor Code section § 4616.3.Initial MPN Employee NotificationThe Initial MPN Implementation Notice shall be sent to all covered employees at one of thefollowing times:1. Prior to the implementation of the MPN Program; or2. At the time of Hire.An MPN Implementation Notice is not required if the MPN Applicant or insured employer ischanging from one MPN to another MPN within 60 days. The MPN implementation notice shallbe provided in English and also in Spanish, to Spanish-speaking employees.Complete MPN Employee NotificationThe Complete Written MPN Implementation Notice shall be sent to all covered employees atone of the following times:1. At the time of Injury; or2. When an existing employee transfers into the MPN Program (MPN Transfer of Care).The Complete Written MPN implementation notice to all covered employees shall, at aminimum, include the following information:1. That medical treatment for new work injuries will be provided through the MedicalProvider Network (MPN) as of the effective date of coverage unless the employeeproperly predesignates a physician or medical group prior to injury;2. The effective date of coverage under the new MPN;3. That existing work injuries may be transferred into the new MPN. The worker shouldcheck with the worker’s claims adjuster for more information.Proprietary and ConfidentialPage 5
Meadowbrook-Harbor MPN Program11/1/20114. That more information about the MPN can be found on the Workers’ Compensationposter or by asking your employer.5. The name of your MPN designated contact for all employees;6. A description of the MPN Program;a. How to review, receive or access the provider network;b. How to access initial care and subsequent care (including access standards);c. How to access treatment outside the MPN geographical service area;d. How to choose a physician within the MPN;e. What to do if your employee has trouble getting an appointment with a MPNprovider;f. How to change a physician within the MPN;g. How to obtain a referral to a specialist within the MPN or outside the MPN, ifneeded;h. How to use the second and third opinion processes;i.How to request and receive an Independent Medical Review;j.A description of the standards for transfer of ongoing care into the MPN anda notification that a copy of the policy shall be provided upon request; andk. A description of the continuity of care policy and a notification that a copy ofthe policy shall be provided upon request.Proprietary and ConfidentialPage 6
Meadowbrook-Harbor MPN Program11/1/2011Employer’s Responsibility for MPN Employee Notification ProcessThe MPN employee notification process is the most important initial component of the MPNprogram implementation. It must be managed and administered consistently. The notificationprocess could be significant if the claim becomes litigated.1. Post the MPN Notification (Complete Written Employee MPN Notification)a. NOTE: The notice shall be posted in both English and Spanish in a conspicuouslocation frequented by employees during the hours of the workday and in closeproximity to the mandatory Workers’ Compensation posting.2. Distribute the following MPN information to all current covered employees and futurenew hire employees: (English version to all employees and also Spanish version toSpanish-speaking employees).a. MPN Implementation Notice (Exhibit A)b. Employee MPN Acknowledgement Forms (optional)c. Physician Pre-Designation Forms3. Collect the completed and executed Employee MPN Acknowledgement Forms fromyour employees.4. CHANGE OF MPN – For employers that utilized a different MPN previously, provide theCHANGE OF MPN notice to injured covered employees to give the required notice of thechange of MPN coverage.5. NEW EMPLOYEES – Provide the MPN Implementation Notice at time of hire.6. TIME OF INJURY – Provide the Complete Written MPN Employee Notification at time ofinjury. (In addition to required DWC claim forms).MPN Provider Search WebsiteEmployers and their covered employees may access the listing of approved medical providers inthe Harbor MPN at the following website spProprietary and ConfidentialPage 7
Meadowbrook-Harbor MPN Program11/1/2011Exhibit AEmployee Notice (English and Spanish)Proprietary and ConfidentialPage 8
Meadowbrook-Harbor MPN Program11/1/2011INSTRUCTIONS: Please paste the information below onto letterhead for distribution to all employees when anMPN is implemented and also to all new employees hired after the date of the implementation of an MPN. Insertthe effective date and name of the MPN into the spaces indicated. Additional information can be added tocustomize this letter.Implementation Notice Medical Provider Network(Title 8, California Code of Regulations, section 9767.12)Medical treatment for new work-related injuries will be provided by the Medical Provider Network (MPN) as ofNovember 1, 2011 unless an employee properly predesignates a physician or medical group prior to injury.Important information regarding the MPN can be found on the worker’s compensation posting notice at your worklocation or by asking your employer.Unless you predesignate a physician or medical group, your new work injuries arising on or after November 1,2011 will be treated by providers in a new medical Provider Network, Meadowbrook-Harbor MPN. If you have anexisting injury, you may be required to change to a provider in the new MPN. Check with your claims adjuster.You may obtain more information about the MPN from the workers’ compensation poster or from you employer.Existing work injuries may be transferred into the new MPN. Please check with your claims workers’ compensationclaims examiner for more information.Proprietary and ConfidentialPage 9
Meadowbrook-Harbor MPN Program11/1/2011INSTRUCTIONS: Please paste the information below onto letterhead for distribution to all employees when anMPN is implemented and also to all new employees hired after the date of the implementation of an MPN. Insertthe effective date and name of the MPN into the spaces indicated. Additional information can be added tocustomize this letter.Aviso de Implementación de la Red de Prestadores de Servicios Médicos(Título 8, Código de Reglamentaciones de California, sección 9767.12)El tratamiento médico para las lesiones nuevas relacionadas con el trabajo será proporcionado por una Red dePrestadores de Servicios Médicos (MPN por sus siglas en inglés) a partir del 1 De noviembre de 2011 a menos queel empleado haya designado previamente y de manera apropiada, a un médico o grupo médico antes de sufrir lalesión. Se puede encontrar información importante con relación a la MPN en el aviso de compensación altrabajador publicado en su lugar de trabajo o bien consultando a su empleador.A menos que usted designe previamente a un médico o grupo médico, las nuevas lesiones que usted sufra en eltrabajo y ocurran a partir del INSERT EFFECTIVE DATE OF NEW MPN o con posterioridad a esa fecha, serántratadas por profesionales pertenecientes a la nueva Red de Prestadores de Servicios Médicos, MeadowbrookHarbor MPN. Si usted tiene una lesión existente, se le puede pedir que cambie de profesional y utilice a unprestador de servicios médicos perteneciente a la nueva MPN. Consulte a su ajustador de reclamos. Usted puedeobtener más información acerca de la MPN consultando la publicación de compensación al trabajador o a suempleador.Las lesiones existentes ocurridas en el trabajo se pueden transferir a la nueva MPN. Por favor consulte a suexaminador de reclamos de compensación al trabajador para mayor información.Proprietary and ConfidentialPage 10
Meadowbrook-Harbor MPN Program11/1/2011Important Information about Medical Care if you havea Work-Related Injury or IllnessComplete Written MPN Employee Notification(Title 8, California Code of Regulations, section 9767.12)California law requires your employer to provide and pay for medical treatment if you are injured at work. Youremployer has chosen to provide this medical care by using a Workers’ Compensation physician network called aMedical Provider Network (MPN). This MPN is administered by Harbor Health Systems. This notification tells youwhat you need to know about the MPN program and describes your rights in choosing medical care for workrelated injuries and illnesses.What is a MPN?A Medical Provider Network (MPN) is group of health care providers (physicians and other medical providers) usedby your employer to treat workers injured on the job. Each MPN must include a mix of doctors specializing in workrelated injuries and doctors with expertise in general areas of medicine. MPNs must allow employees to have achoice of provider(s).How do I find out which doctors are in my MPN?The MPN contact listed at the end of this notification will be able to answer your questions about the MPN and willhelp you obtain a regional list of all MPN doctors in your area. At minimum, the regional listing must include a listof all MPN providers within 15 miles of your workplace and/or residence or a list of all MPN providers within thecounty where you live and/or work. You may choose which list you wish to receive. You can get the list of MPNproviders by calling the MPN contact or by going to the network search site listed at the end of this notice. Youalso have the right to a complete listing of all of the MPN providers upon request.What happens if I get injured at work?In case of an emergency, you should call 911 or go to the closest emergency room.If you are injured at work, notify your employer as soon as possible. Your employer will provide you with a claimform. When you notify your employer that you have had a work-related injury, your employer or insurer will makean initial appointment with a doctor in the MPN.How do I choose a provider?After the first medical visit, you may continue to be treated by this doctor, or you may choose another doctor fromthe MPN. You may continue to choose doctors within the MPN for all of your medical care for this injury. Ifappropriate, you may choose a specialist or ask your treating doctor for a referral to a specialist. If you need help inchoosing a doctor you may call the MPN Contact listed above.Can I change providers?Yes. You can change providers within the MPN for any reason, but the providers you choose should beappropriate to treat your injury.What standards does the MPN have to meet?The MPN has providers for the following for the entire state of California.The MPN must give you a regional list of providers that includes at least three physicians in each specialtycommonly used to treat work injuries/illnesses in your industry. The MPN must provide access to primaryphysicians within 15 miles and specialists within 30 miles. If you live in a rural area there may be a differentstandard.Proprietary and ConfidentialPage 11
Meadowbrook-Harbor MPN Program11/1/2011The MPN must provide initial treatment within 3 days. You must receive specialist treatment within 20 days ofyour request. If you have trouble getting an appointment, contact the MPN.What if there are no MPN providers where I am located?If you are a current employee living in a rural area or temporarily working or living outside the MPN service area,or you are a former employee permanently living outside the MPN service area, the MPN or your treating doctorwill give you a list of at least three physicians who can treat you. The MPN may also allow you to choose your owndoctor outside of the MPN network. Contact your MPN for assistance in finding a physician or for additionalinformation.What if I need a specialist not in the MPN?If you need to see a type of specialist that is not available in the MPN, you have the right to see a specialist outsideof the MPN.What if I disagree with my doctor about medical treatment?If you disagree with your doctor or wish to change your doctor for any reason, you may choose another doctorwithin the MPN.If you disagree with either the diagnosis or treatment prescribed by your doctor, you may ask for a second opinionfrom another doctor within the MPN. If you want a second opinion, you must contact the MPN and tell them youwant a second opinion. The MPN should give you at least a regional MPN provider list from which you can choosea second opinion doctor. To get a second opinion, you must choose a doctor from the MPN list and make anappointment within 60 days. You must tell the MPN Contact of your appointment date, and the MPN will send thedoctor a copy of your medical records. You can request a copy of your medical records that will be sent to thedoctor.If you do not make an appointment within 60 days of receiving the regional provider list, you will not be allowed tohave a second or third opinion with regard to this disputed diagnosis or treatment of this treating physician.If the second opinion doctor feels that your injury is outside of the type of injury he or she normally treats, thedoctor's office will notify your employer or insurer. You will get another list of MPN doctors or specialists so youcan make another selection.If you disagree with the second opinion, you may ask for a third opinion. If you request a third opinion, you will gothrough the same process you went through for the second opinion.Remember that if you do not make an appointment within 60 days of obtaining another MPN provider list, thenyou will not be allowed to have a third opinion with regard to this disputed diagnosis or treatment of this treatingphysician.If you disagree with the third opinion doctor, you may ask for an Independent Medical Review (IMR). Youremployer or MPN contact person will give you information on requesting an Independent Medical Review and aform at the time you request a third opinion.If either the second or third opinion doctor agrees with your need for a treatment or test, you will be allowed toreceive that medical service from a provider inside the MPN, including the second or third opinion physician.If the Independent Medical Reviewer supports your need for a treatment or test you may receive that care from adoctor inside or outside of the MPN.What if I am already being treated for a work-related injury before the MPN begins?Your employer or insurer has a “Transfer of Care” policy which will determine if you can continue beingtemporarily treated for an existing work-related injury by a physician outside of the MPN before your care istransferred into the MPN.Proprietary and ConfidentialPage 12
Meadowbrook-Harbor MPN Program11/1/2011If you have properly predesignated a primary treating physician, you cannot be transferred into the MPN. (If youhave questions about predesignation, ask your supervisor.) If your current doctor is not or does not become amember of the MPN, then you may be required to see a MPN physician.If your employer decides to transfer you into the MPN, you and your primary treating physician must receive aletter notifying you of the transfer.If you meet certain conditions, you may qualify to continue treating with a non-MPN physician for up to a yearbefore you are transferred into the MPN. The qualifying conditions to postpone the transfer of your care into theMPN are below: (Acute) The treatment for your injury or illness will be completed in less than 90 days;(Serious or chronic) Your injury or illness is one that is serious and continues for at least 90 days withoutfull cure or worsens and requires ongoing treatment. You may be allowed to be treated by your currenttreating doctor for up to one year, until a safe transfer of care can be made.(Terminal) You have an incurable illness or irreversible condition that is likely to cause death within oneyear or less.(Pending Surgery) You already have a surgery or other procedure that has been authorized by youremployer or insurer that will occur within 180 days of the MPN effective date.You can disagree with your employer’s decision to transfer your care into the MPN. If you don’t want to betransferred into the MPN, ask your primary treating physician for a medical report on whether you have one of thefour conditions stated above to qualify for a postponement of your transfer into the MPN.Your primary treating physician has 20 days from the date of your request to give you a copy of his/her report onyour condition. If your primary treating physician does not give you the report within 20 days of your request, theemployer can transfer your care into the MPN and you will be required to use a MPN physician.You will need to give a copy of the report to your employer if you wish to postpone the transfer of your care. Ifyou or your employer disagrees with your doctor’s report on your condition, you or your employer can dispute it.See the complete transfer of care policy for more details on the dispute resolution process.For a copy of the entire transfer of care policy, ask your MPN Contact.What if I am being treated by a MPN doctor who decides to leave the MPN?Your employer or insurer has a written “Continuity of Care” policy that will determine whether you cantemporarily continue treatment for an existing work injury with your doctor if your doctor is no longerparticipating in the MPN.If your employer decides that you do not qualify to continuing your care with the non-MPN provider, you and yourprimary treating physician must receive a letter of notification.If you meet certain conditions, you may qualify to continue treating with this doctor for up to a year before youmust switch to MPN physicians. These conditions are set forth below:Qualifying Conditions (Acute) The treatment for your injury or illness will be completed in less than 90 days.(Serious or chronic) Your injury or illness is one that is serious and continues for at least 90 days withoutfull cure or worsens and requires ongoing treatment. You may be allowed to be treated by your currenttreating doctor for up to one year, until a safe transfer of care can be made.(Terminal) You have an incurable illness or irreversible condition that is likely to cause death within oneProprietary and ConfidentialPage 13
Meadowbrook-Harbor MPN Program11/1/2011 year or less.(Pending Surgery) You already have a surgery or other procedure that has been authorized by youremployer or insurer that will occur within 180 days of the termination of contract date between the MPNand your doctor.You can disagree with your employer’s decision to deny you Continuity of Care with the terminated MPN provider.If you want to continue treating with the terminated doctor, ask your primary treating physician for a medicalreport on whether you have one of the four conditions stated in the box above to see if you qualify to continuetreating with your current doctor temporarily.Your primary treating physician has 20 days from the date of your request to give you a copy of his/her medicalreport on your condition. If your primary treating physician does not give you the report within 20 days of yourrequest, the employer can transfer your care into the MPN and you will be required to use a MPN physician.You will need to give a copy of the report to your employer if you wish to postpone the transfer of your care intothe MPN. If you or your employer disagrees with your doctor’s report on your condition, you or your employer candispute it. See the complete Continuity of Care policy for more details on the dispute resolution process.For a copy of the entire Continuity of Care policy, ask your MPN Contact.What if I have questions or need help?MPN Contact: You may always contact the MPN Contact if you need help or an explanation about your medicaltreatment for your work-related injury or illness.Title:Address:Telephone Number:FaxEmail address:Employer’s MPN website:MPN ContactMPN ContactMCMC LLCMeadowbrook Insurance Group10750 7th St. #1011707 Village Center Circle #100Rancho Cucamonga, CA 91730Las Vegas, NV 89134-0515877.707.5633702.360.4292; owbrookinsgrp.com/MPN/search.aspDivision of Workers’ Compensation (DWC): If you have concerns, complaints or questions regarding the MPN, thenotification process, or your medical treatment after a work-related injury or illness, you can call DWC’sInformation and Assistance at 1-800-736-7401. You can also go to DWC’s website at www.dir.ca.gov/dwc and clickon “medical provider networks” for more information about MPNs.Independent Medical Review: If you have questions about the Independent Medical Review process contact theDivision of Workers’ Compensation’s Medical Unit at:DWC Medical UnitP.O. Box 71010Oakland, CA 94612(510) 286-3700 or (800) 794-6900Keep this information in case you have a work-related injury or illness.Proprietary and ConfidentialPage 14
Meadowbrook-Harbor MPN Program11/1/2011Información Importante Sobre la Atención Médica si Padeceuna Enfermedad o Lesión Relacionada con el TrabajoNotificación inicial del empleado por escrito Re: Red de proveedores médicos(Título 8, Código de reglamentos de California, sección 9767.12)La ley de California exige que los empleadores proporcionen y paguen por el tratamiento médico si usted selesiona en el trabajo. Su empleador ofrece esta atención médica a través de una red de Médicos de CompensaciónLaboral llamada Red de Proveedores Médicos (MPN). Esta MPN es administrada por Harbor Health Systems. Estanotificación le dice lo que usted necesita saber acerca de la MPN y describe sus derechos en la elección deatención médica para enfermedades y lesiones relacionadas con el trabajo.¿En qué consiste una MPN?Una Red de Proveedores Médicos (MPN) es un grupo de proveedores de atención médica (médicos y otrosproveedores de cuidado de la salud) utilizados para tratar a los trabajadores lesionados en el trabajo. Cada MPNdebe incluir una combinación de médicos especializados en lesiones relacionadas con el trabajo y médicos conexperiencia en áreas generales de la medicina. Las MPNs deben permitir que los empleados tengan la opción deproveedor (es).¿Cómo puedo saber qué médicos están en mi MPN?El contacto de la MPN que aparece al final de esta notificación podrá responder a las preguntas acerca de la MPN yle ayudará a obtener una lista regional de todos los médicos de la MPN en su área. Como mínimo, la lista regionaldebe incluir una lista de todos los proveedores de la MPN en un radio de 15 millas de su lugar de trabajo y / o deresidencia, o una lista de todos los proveedores de la MPN dentro del condado donde usted vive y / o trabaja.Puede obtener la lista de proveedores de la MPN llamando al contacto de la MPN, o dirigiéndose al sitio debúsqueda en red que aparece al final de este aviso. Además tiene derecho a una lista completa de todos losproveedores de la MPN a petición.¿Qué pasa si me lesiono en el trabajo?En el caso de una emergencia, debe llamar al 911 o dirigirse a la sala de emergencias más cercana.Si se lesiona en el trabajo, notifíqueselo a su empleador tan pronto como sea posible. Su empleador leproporcionará un formulario de reclamo Al notificar a su empleador de que ha tenido un accidente laboral, éste obien la compañía de seguros hará una cita inicial con un médico en la MPN.¿Cómo elijo un proveedor?Después de la primera visita médica, puede continuar siendo tratado por este médico, o puede optar por otromédico de la MPN. Puede seguir eligiendo médicos de la MPN para toda la atención médica que requiere para estalesión. En su caso, usted puede elegir a un especialista o preguntarle a su médico tratante para que lo remita a unespecialista. Si necesita ayuda para elegir un médico puede llamar al contacto de la MPN que aparece en la últimapágina de este aviso.¿Puedo cambiar de proveedor?Sí. Usted puede cambiar de proveedor dentro de la MPN por cualquier razón, pero los proveedores que usted elijadeben ser los adecuados para tratar su lesión.Proprietary and ConfidentialPage 15
Meadowbrook-Harbor MPN Program11/1/2011¿Qué normas tiene que cumplir la MPN?La MPN
MCMC LLC provides Managed Care Services for Meadowbrook Insurance Group and their policyholders. Harbor Health Systems (Harbor) is their MPN administrator. MPN CONTACTS MCMC LLC 10750 7 th St. #101 Rancho Cucamonga, CA 91730 Voice: 877.707.5633 Fax: 909.949.6313 E-mail: MPNcontact@mcmcllc.com .
MPN: FLUKE 179/EDA2 7244193 60 C MPN: FLUKE-971 3317402 Magnetic Meter Hanger MPN: TPAK 1115341 CAT III 1000 V, CAT IV 600 V MPN: FLUKE-279FC/IFLEX 336328 CAT IV 600 V MPN: LVD2 7414358 CAT III 1000 V, CAT IV 600 V MPN: TL175 6161460 10A ac 600V ac 10A dc 600V dc
MPN.37,38 Mutant IDH was documented in the presence or ab-sence of JAK2, MPL, and TET2 mutations. IDH mutations are MPN AML MDS MDS/MPN 2008 WHO classification of myeloid malignancies CML PV ET PMF BCR-ABL JAK2 V617F KIT D816V JAK2 Exon 12 MPL W515 Classic Non-classic MPN-eos FGFR1 rearranged PDGFR rearranged CNL CEL-NOS SM MPN-U CMML JMML aCML .
Itzykson R et al, J Clin Oncol. 2013;31:2428-36 . Epigenetic mutations in MPN and MDS/MPN
Nov 12, 2013 · Call BJ Douglas – 804.275.7865 Bring your family to Meadowbrook and let obby’s crew do the dishes! Join us! Thursday, November 28th Dinner served 11:30 A.M. to 2:00 P.M. Adults 27.50 Children 5 to 12 years old 13.75 Meadowbrook and Chesdin Connection Connection Meadowbrook and Ches
of five specimens each, of apparently healthy Pacific white shrimp (Litopenaeus vannamei) were isolated, identified and quantified. Results. The vibrio density ranged from 430 to 2,400 MPN g-1 (r s MPN cm-1 -0.114; r s MPN g 0.211). Thirty isolations were obtained, most of which belonged to the species V. cholerae (n 11) and V .
THE HARBOR Paradise Bay, sometimes known as Beaver Harbor, St. James Harbor or simply "The Harbor," is a remarkable example of a natural, sheltered harbor. It is extremely popular with boaters, as is evidenced by the many public and private docks that dot its shores, as well as the many boats that pepper its waters throughout the summer months.
Apra Inner Harbor and an area just W of the entrance to the Inner Harbor are included in a restricted area . (See 33 CFR 334.1 through 334.6 and 334.1430, chapter 2, for limits and regulations.) A harbor security barrier gate , marked by two uncharted buoys, has been installed across the entrance to Apra Inner Harbor between the
ner, Gladys Thomas, Charles McKinney, Mary Pelfrey, Christine Qualls, Dora Turner, David Petry, Cleone Gor don, Dorothy Scruggs, Phyllis Rice, Jacquelyn White, Rowena Napier, William Smith, Annie Smith, Ruth Ann Workman, Barbara Johnson and Letha Esque. The awards were presented by MU President Robert B. Hayes on March 4. Faculty meet Tuesday A general faculty meeting has been scheduled for .
