My workers comp Adjuster hired a independent NURSE CASE MANGER to come with me to my doctors visit. Should i let go in with me.

Asked about 2 years ago - Detroit, MI

I been on workers comp for about 4 months now, I have a broken bone on my knuckle in my right hand and messed up ligaments and a ganglion cyst on my left hand.. The cat scan showed a buldging disc in my back, but the Mri showed it wasnt surgical.. I have numbness in my leg, I have alot of soreness in my back all the time. I am going for a emg test on the 17th and my work comp guy hired a independent nurse case manager to go to the doctors office with me.. Should i let her come in with me in the room? They are also sending me on august 1st for a INDEPENDENT MEDICAL EXAM.. what should i do..please help..this is my first issue with dealing with work comp..

Attorney answers (3)

  1. Robert J. Ehrenberg

    Contributor Level 9

    3

    Lawyers agree

    1

    Answered . It sounds as if the adjuster is setting it up to cut off your benefits. You must show up for the "independent" medical exam. However, it will NOT be independent. It will be bought and paid for by the insurance company. The nurse case manager is also hired by the insurance company. You do not have to allow her be in your EMG appointment with you. You have a right of privacy with your doctor.

    It looks as if you are headed into stormy seas on your workers compensation coverage. I suggest you consult an attorney experienced in workers compensation claims. Michigan has recently made the law much more favorable for employers and their insurers. You need someone on your side. Good luck.

  2. Charles Joseph Michael Candiano

    Pro

    Contributor Level 20

    1

    Lawyer agrees

    Answered . You must permit her to accompany you. You have the right to spend as much time as you need with the doctor, alone, before the nurse case manager comes in. Most state laws prevent your employer from directly communicating with your physician. The nurse case manager will ask her questions of your doctor in front of you and you will know exactly what responses your doctor is providing. This is a good thing. The nurse case manager reports back to the case adjuster to provide insight on your condition.

    You have NOT told us what happened to you. You should discuss your case with an experienced WC attorney ASAP to protect your interests. Good luck.

    If this information has been helpful, please indicate by clicking the up icon. Legal Disclaimer: Mr.... more
  3. Brett A. Borah

    Contributor Level 20

    Answered . 90% of the time, nurse case managers are nothing more than spies for the insurance company. You probably don't have the power to fire her but if you get an attorney, that attorney can fire the ncm or find you one of the 10% good ones. Get an attorneey.

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