The process of evaluating medical records to resolve treatment disputes is known as what?

The process of evaluating medical records to resolve treatment disputes is known as reviewing medical evidence. This involves examining the documentation provided by healthcare providers, which includes a patient’s medical history, treatment plans, and any imaging studies or reports. This thorough review helps determine the appropriateness of the treatment in relation to the worker's injury and can provide insights into whether the care aligns with established medical guidelines and the specifics of the worker’s compensation claim.

In cases where there are disagreements regarding treatment, especially when a treatment is deemed unnecessary or excessive, reviewing medical evidence becomes vital. It allows adjusters and other stakeholders to make informed decisions based on objective data, leading to fair outcomes aligned with medical standards and regulations set forth in the workers' compensation system.

The other options pertain to separate aspects of the workers' compensation process. Claim details disclosure refers to sharing claim information but not specifically to resolving treatment disputes through medical records. Hearings and rulings involve a more formal legal process rather than just the evaluation of medical records. Impartiality and confidentiality relate to the principles governing the handling of claims and data but do not specifically define the process of resolving treatment disputes.