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Scheduling a Workers Compensation Doctors Appointment

You would think that scheduling a workers compensation doctors appointment would be pretty easy.  After all, you just call and schedule an appointment to see the doctor when you get sick.

Unfortunately, the Georgia workers compensation system makes it a little harder than just using your health insurance.  Before we talk about that further, I want to provide a little background on medical treatment covered by workers compensation in Georgia.

What medical treatment does workers compensation cover?

Doctor reading spinal x rayWorkers compensation pays for the medical treatment you need for your work injury.  You do not have to pay any co-pay or deductible for that medical treatment.

Georgia workers compensation law limits your choice of doctors.  But, those doctors can provide you pretty much any medical treatment or testing you need for your injury.

While that is a simple summary of workers compensation medical treatment, there are many details that are important.  You can find a number of articles discussing specific details about your medical treatment rights on this page.

If workers compensation covers my medical treatment, why is it difficult to schedule a workers compensation doctors appointment?

That is a good question.  The problem with scheduling a doctors appointment originates from payment for that medical treatment.

Like everyone else, doctors work for a living.  They need to receive payment for the services they provide.  So, they often want to know how you will make payment when you schedule a workers compensation doctors appointment.

Most people use some form of insurance when they go to the doctor.  After a work injury, you will use the workers compensation insurance to cover your medical treatment.

When you try to schedule an appointment, the doctor’s office will probably want to know the name of the workers compensation adjuster or case manager.  They will try to get approval from the insurance adjuster.


Unfortunately, many doctor’s offices will even require that they receive approval from the adjuster before scheduling the appointment.  Often, the insurance company does not provide that approval.

When you try to schedule an appointment, the doctor’s office may tell you that they have to have a form filled out by your employer.  The doctor’s office might schedule you an appointment but tell you they will cancel that appointment if they do not receive approval from the insurance company beforehand.

As a result of all this, you often do not receive the medical treatment you need promptly.

Does Georgia law require the insurance company to give approval to the doctor’s office?

Unfortunately, Georgia law does not currently require the insurance company to give the doctor any answer when the doctor calls and asks for approval.  Some insurance companies use this in their favor to delay and deny your medical treatment.

What can I do to get a workers compensation doctors appointment scheduled?

First, just try to call the doctor’s office and schedule an appointment.  This may work fine.  The doctor’s office may just schedule the appointment.

But, what if that does not work? Hopefully, the doctor’s office will contact the insurance company and get approval.  Even though this may happen, you probably need to try to help out.

Case manager with doctor

You can call the insurance company.   Try to talk to the insurance adjuster or case manager.  Tell them that they need to call the doctor’s office and provide approval for your appointment.

When you do this, you probably want to document your efforts.  Sometimes, the adjuster will not answer the phone or respond to emails.  Making notes about your efforts to get approval can help you later.

What if I need help getting my medical treatment?

I wish I could say that it was easy for you to get the medical treatment you need after a workers compensation injury.  Unfortunately, many people find it difficult.

Even those people who do not have difficult getting an appointment scheduled often run into a problem when the doctor wants to perform an expensive test or surgery.  If you have difficulty getting treatment, you may also find it helpful to read this article about how to beat medical treatment delay and denial.

I would also suggest that you reach out to me or another attorney that specializes in Georgia workers compensation for a free consultation about your case.  A free consultation will provide you with information tailored to the specific facts of your case.

What if I have other questions about workers compensation?

Georgia’s workers compensation system can be very confusing.  You have to worry about getting the treatment you need and paying your bills while also worrying about not missing any deadlines that could cause you to lose your right to receive workers compensation benefits.

If you have questions, I would recommend that you try to get answers.  To find out more about how to schedule a time to talk to me about your workers compensation questions, just read this short article.

Jason Perkins is an attorney who specializes in representing injured workers.  He regularly publishes videos and write blog articles about Georgia’s workers compensation system and issues that are important to injured workers and their families.

To be notified of Jason’s new workers compensation videos, subscribe to his Georgia Workers Compensation Video Series channel on YouTube by clicking the subscribe button below.

Brittney-lee orourkeBrittney-lee orourke
05:23 18 Feb 22
Amazing! Jason and his team were very helpful and had the best communication by far. Walked me though every step with great detail and had answers for any question I had. They handled my case better then I could imagine, it was a weird case and they stayed on top of it and kept me updated every step of the way! Highly recommend this Team! Thanks so much to Jason and his Awesome team!-Brittney
China JonesChina Jones
18:58 08 Feb 22
I absolutely love this group of attorneys, when I was at my lowest they did everything they could to help me get justice for my injury. I believe if I were to have never picked my phone up and called the amazing group that helped me I definitely would not have received my idea of rights. If you have an issue and are just not sure please understand that they will help you, stay in contact, answer any question you have, and for sure get you the justice you deserve I thank them from the bottom of my heart and I will definitely refer them to anyone who has been hurt because they most definitely care about their work and clients.
Luv LocsLuv Locs
16:08 15 Jan 22
The entire law office was attentive and responsive to all of my concerns dealing with my workers compensation case.
moombimoombi
21:14 02 Jan 22
If you must get a lawyer involved, you’d do well to work with Jason Perkins and his team at Perkins Studdard Law.They were thorough in gathering information and in sharing all the steps in the workers comp process specific to my case. Jason and the team were responsive to my bevy of questions and concerns.I appreciated the informative videos and consultations provided by Jason over video meetings and multiple phone calls.I hope I’m never injured on the job again. However, if I am and if my employer responds as my previous employer did, I’ll contact Perkins Studdard Law immediately to handle the case.
Dana BessDana Bess
23:57 10 Dec 21
Everyone at Perkins Studdard was kind and professional. They were always extremely responsive and answered all questions that I had and followed up to make sure I had an understanding of what was going on along with emailing videos to explain every step of my case so I would know what to expect and be prepared. Jason is a very genuine person and I trusted him with my case. He answered so many questions for me even before I retained him as my WC lawyer. I highly recommend him and his associates at Perkins Studdard.
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