How To Avoid Delays And Denials Of Medical Treatment
The workers’ compensation system in Georgia was designed to make sure injured workers received medical treatment quickly. However, injured workers often can find that their treatment is delayed or denied, especially if they need more expensive medical treatment like testing, injections, or surgery.
If you are injured, you want to make sure you receive the treatment you need quickly so you can recover from your injury and move on with your life. If you have already undergone treatment for the work related injury, those expenses should be covered.
The workers’ compensation insurance company sometimes will deny payment of a medical bill . Your remedy in this situation will often be to take the insurance company to court to make them pay the bill.
While you can represent yourself in court in a workers’ compensation case, you can expect that the workers’ compensation insurance company will have an attorney representing them in court. At the very least, you should probably contact an attorney to find out if it makes sense for you to have an attorney who specializes in workers’ compensation represent you.
Delays in approving necessary medical treatment
Workers compensation is a system setup to provide injured workers with the medical treatment they need. When a doctor wants to perform a medical test, procedure or surgery, it is common practice in Georgia for that doctor’s office to contact the insurance company to get assurance that the insurance company will pay for the treatment or testing.
Sometimes though, phone calls aren’t enough to make the insurer respond. This delays your road to recovery.
You have options to get medical treatment approved. There are forms such as the Form WC-205 and the Form WC-PMT.
These forms can be sent to make the insurance company give a timely answer about if it will approve or deny medical treatment. There are deadlines for the insurance company’s response to these forms and legal requirements about what will happen if the forms are not properly completed by the insurance adjuster.
Submitting the right forms at the right time is important. But, it is hard to know everything about the workers’ compensation process on your own.
If the workers’ compensation insurance company is not following through on their obligations, an attorney can help you get the treatment you need for your work injury. Our firm provides free consultations in workers compensation cases so you can learn if we can help you.
This article explains how a free workers compensation consultation works. To set one up, just call our office at (770) 214-8885 or complete and submit the “Need Help” form on this page.