medical-legal (ML) evaluation

In workers’ compensation, the independent assessment of an employee that results in the preparation of a narrative medical report prepared and attested to in accordance with the state labor code. It must be performed by either a qualified medical evaluator, agreed medical evaluator, or the primary treating physician for the purpose of proving or disproving a contested workers’ compensation claim.

Medical-legal expense

Any costs and expenses incurred by or on behalf of any party, the administrative director, the board, or a referee for x-rays, laboratory fees, other diagnostic tests, medical reports, medical records, medical testimony, or interpreter’s fees, for the purpose of proving or disproving a contested workers’ compensation claim.

Medically (or psychologically) necessary services

Medical or psychological services that are considered appropriate care; that meet standards of good medical practice; that are generally accepted by qualified professionals to be reasonable and adequate for the diagnosis and treatment of illness, injury, pregnancy, and mental disorders; that are not provided mainly for the convenience of the patient or the physician; or that are reasonable and adequate for well-baby care.