ChironAI™ OM · med-legal reference
Key deadlines Chiron tracks.
Chiron computes each deadline below from the event that starts it, in the kind of days the rule specifies, and alerts your team before it passes. Citations are to the California Labor Code (LC) and Title 8 of the California Code of Regulations (8 CCR).
This is information about how Chiron applies these rules, not legal advice.
24 clocks
Reports, review, payment and evaluation.
Days are calendar days unless the table says business days or hours.
| Rule | Deadline | Citation | What Chiron does |
|---|---|---|---|
| Doctor's First Report (Form 5021) | 5 days from the initial examination | LC §6409(a) (official text, opens in a new tab); 8 CCR §9785(e)(1) (official text, opens in a new tab) | Opens the obligation at sign-off, drafts the report and Form 5021 |
| Pesticide-illness report to the local health officer | 24 hours from the initial examination | LC §6409(a) (official text, opens in a new tab) | Opens the obligation when pesticide poisoning is treated or suspected; counts in hours |
| PR-2 after a triggering event | 20 days from the event | 8 CCR §9785(f) (official text, opens in a new tab) | Opens the obligation on any of the listed triggers and drafts the narrative |
| Periodic PR-2 | No later than 45 days from the last report | 8 CCR §9785(f)(8) (official text, opens in a new tab) | Daily sweep opens the obligation when 45 days pass with no report |
| Permanent and stationary report (PR-4) | 20 days from the examination | 8 CCR §9785(i) (official text, opens in a new tab) | Opens the obligation when MMI is attested; generates the PR-4 |
| Utilization review — prospective or concurrent | 5 business days from receipt | LC §4610 (official text, opens in a new tab) | Computes the clock on each RFA, skipping weekends and state holidays |
| Utilization review — retrospective | 30 days from receipt | LC §4610 (official text, opens in a new tab) | Same, retrospective branch |
| Utilization review — expedited | 72 hours | LC §4610(i)(3) (official text, opens in a new tab) | Counts in hours, including weekends and holidays |
| IMR application — formulary drugs | 10 days after service of the UR decision | LC §4610.5(h)(1)(A) (official text, opens in a new tab) | Applies the shorter window when a requested drug is on the MTUS formulary |
| IMR application — other treatment | 30 days after service of the UR decision | LC §4610.5(h)(1)(B) (official text, opens in a new tab) | Default window, with alerts at 25, 20, 15, 10, 5, 2 and 1 days |
| Extension for service by mail | +5 days in California, +10 elsewhere in the US, +20 outside the US | 8 CCR §10605(a) (official text, opens in a new tab) | Adds the extension by service method; marks it "assumed" when the method is unknown |
| Treatment bill payment | 45 days from receipt; 60 days for a governmental payer | LC §4603.2(b) (official text, opens in a new tab) | Tracks the window; on late payment computes the 15% penalty plus interest at the civil judgment rate |
| Medical-legal bill payment | 60 days from receipt | LC §4622 (official text, opens in a new tab) | Tracks the window; on late payment computes the 10% penalty plus 7% annual interest from receipt |
| Medical-legal second review | 90 days from service of the EOR | LC §4622(b) (official text, opens in a new tab) | Flags eligible bills and prepares the SBR-1 equivalent |
| Independent bill review | 30 days from service of the second-review decision | LC §4603.6(a) (official text, opens in a new tab) | Computes the window and prepares the IBR-1 equivalent |
| QME or AME report | 30 days from the evaluation, extendable by 30 days (missing results) or 15 days (good cause) | 8 CCR §38(a), (c) (official text, opens in a new tab) | Deadline chip, extension chain and late-report banner |
| QME extension notice | At least 5 days before the 30-day period ends | 8 CCR §38(d) (official text, opens in a new tab) | Prompts the extension request in time |
| Records served before going to the evaluator | At least 20 days before the information is provided to the evaluator | LC §4062.3(b) (official text, opens in a new tab); 8 CCR §35(c) (official text, opens in a new tab) | A duty of the serving party; Chiron records who sent each record, when it arrived and its proof of service |
| Objection to nonmedical records | 10 days | 8 CCR §35(c) (official text, opens in a new tab) | Records the objection; an unresolved objection keeps a nonmedical record out of the evaluator's record set, and a medical-record objection is marked disputed |
| Records arriving after the evaluation | 10 or more days after the examination | 8 CCR §35(i) (official text, opens in a new tab) | Opens a supplemental report when new records arrive |
| Deposition availability | Within 120 days of the deposition notice | 8 CCR §35.5(f) (official text, opens in a new tab) | Computes the date from the notice |
| Factual correction of a served report (Form 37) | 30 days | LC §4061(d) (official text, opens in a new tab); 8 CCR §37 (official text, opens in a new tab) | Counts from receipt of the report; refuses a request only when it is certainly late |
| DEU rating clocks | 20 days to calculate the rating; 30 days to request reconsideration | LC §4061 (official text, opens in a new tab) | Tracks both clocks on unrepresented evaluations |
| Reopening a closed case | 5 years from the date of injury | LC §5410 (official text, opens in a new tab) | Alerts at 180, 90 and 30 days before the window closes |
QME panels
Panel selection, strike and scheduling windows, as Chiron tracks them.
These are the windows Chiron is set to count on a QME panel request, taken from the product itself. They describe how Chiron tracks each window; the parties and their counsel decide what a lapse means in a given case.
| Rule | Deadline | Citation | What Chiron does |
|---|---|---|---|
| QME panel — worker’s selection (unrepresented worker) | 15 calendar days from the panel’s issue: 10 days plus 5 for mailing | Labor Code §4062.1 (official text, opens in a new tab) | Tracks the worker’s window and alerts 3 days before it closes |
| QME panel — defendant’s selection (unrepresented worker) | 15 calendar days (10 plus 5 for mailing) from the end of the worker’s window | Labor Code §4062.1 (official text, opens in a new tab) | Opens the defendant’s window only when the worker’s has lapsed, then alerts before it closes |
| QME panel — strikes (represented worker) | 10 calendar days from the panel’s assignment; one strike per party | Labor Code §4062.2(c) (official text, opens in a new tab) | Tracks one combined strike window and refuses a second strike by the same party; when it lapses with one evaluator left, records that evaluator, otherwise alerts the coordinator |
| QME panel — scheduling the evaluation | 90 calendar days from the evaluator’s selection; extendable once, to 120 days | — | Tracks the window, alerts 14 days before it closes, flags replacement risk once it is exceeded, and summarizes the scheduling history against the Vázquez good-cause factors |
Related
The law behind each clock.
Laws and regulations Chiron works with → · Try the deadline calculator → · Glossary →
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