If you are represented by an attorney, your attorney can object to the denial and request that you be examined by another doctor to determine if the treatment is reasonable. If you are not represented by an attorney, you can object to the denial and request a “panel QME.” Upon your request, your employer or […]
In 2004, the California Legislature passed a law that allows your employer or its insurance carrier to deny medical treatment that it does not think is necessary. The system created is called “Utilization Review” or UR. This system allows your employer to deny treatment that your doctor recommends. Even if your employer sent you to
Why can my doctor say I need treatment, but my employer will not authorize it? Read More »
If medical treatment is needed because you have an on-the-job injury, you can obtain that medical treatment and your employer has to pay for it. Even if you previously injured the same body part in an accident at home or away from work or in a work injury for another employer.
No, not always. However, you must very closely review the notices sent to you to make sure they are right. You should consult an attorney. The rules regarding MPNs are very technical and, generally, you will need an attorney to fight this. In some cases, your doctor can write a letter to the employer, stating
If you are represented by an attorney, your attorney can help you find a doctor. If you are not represented, you can contact your claims adjuster and ask him or her to send you a list of doctors that are in the MPN. You can then choose one of those doctors. However, not every doctor
How do I pick my own doctor within the MPN? Read More »
In most case you should see a doctor the same day. If your employer does not refer you to a doctor, you can go to one and bill your employer. However, if your employer does refer you to a doctor you cannot bill your employer for seeing your own doctor. If your claim is accepted,
How long after I file a claim can I get medical treatment? Read More »
Usually, yes. In some cases, you can pre-designate a treating doctor. Pre-designation must be done before you are injured. In most cases your employer controls your medical treatment for the first 30 days, which means you have to go to the doctor you are assigned for the first 30 days. After the first 30 days
After I file a claim, do I have to go to my employer’s doctor? Read More »
If you’ve been injured on the job or have questions about a workers’ compensation issue, we’re here to support you. Complete the form below to request a free consultation.
