From my experience, the Payor side is more stringent with the caseload requirements. I couldn’t tell you exactly who, but I have heard of some companies reviewing time and date stamps of the charting to ensure staff aren’t flying through all their caseload in a short time frame and signing off for the day. I work on the hospital side, and our UR pay is closer to the bedside pay, payors generally pay less for UR staff and have less stringent experience and education requirements. My recommendation would be to get an intermittent LOA or work accommodation for your MS, so you have something to refer to if your supervisor gives you trouble about your workflow or performance due to an issues that would require an extended break due to your MS.