. If Exhibit 5 does not identify the condition to be rated, the CE is to consult with a CMC to determine what medical information is required as outlined in the AMAs Guides. Download the latest guides and resources for telehealth services. (2) MMI Has Not Been Reached. The combined impairment rating according to the Combined Values Chart is 26%, and the potential impairment award is $65,000.00 (26% X $2,500.00 = $65,000.00). (a) If the employee does not respond to Form EE-11A/EN-11A within 60 days, the CE sends a final Form EE-11A/EN-11A marked as a Final Request to the employee. Each month, the Senior Physician Sectionhighlights membersand individualsto showcase their work and current efforts. . This is a specialist calculator for combining permanent impairments using the formula A+B(1-A), for the sole purpose of calculating medical reports based the The American Medical Association's AMA Guides to the Evaluation of Permanent Impairment.WARNING! The most common

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