Why is the Insurance Company Delaying or Denying my Work Injury Medical Treatment
When you are hurt on the job, Georgia law says that your employer and their insurance company must pay for emergency care as well as treatment with a posted panel doctor. However, the insurance company has the power to authorize or deny the next step in your care - such as diagnostic testing, surgery or physical therapy.
Frequently I get calls from injured workers who are suffering with severe back pain, or folks who can’t walk due to knee injuries, but the posted panel doctor will not order an MRI and ongoing treatment just grinds to a halt.
Why would the insurance company refuse to authorize (pay for) diagnostic tests like an MRI or CT scan to find out what is really going on? Don’t they know that the longer a back, shoulder, neck or knee injury remains untreated, the harder it will be for you to recover? Or do they just want you to suffer?
As I discuss in this video, it appears to me that the overriding concern of your employer and their insurance company is saving money. If they don’t order that MRI, there will be no medical reason to pay for additional care. Since many insurance adjusters assume you are faking or exaggerating your injury they figure that eventually you’ll get frustrated and just give up.
Additionally, the more time that passes after your original injury, the likelihood increases that you may fall at home or have a car accident - then the insurance company can claim that your ongoing pain and limitations arise from some new cause, and not the original work injury.
During these delays, of course, you have to deal with the pain, inconvenience and reduced or no income. This is why you cannot sit back and wait for the insurance company to do the right thing - you may be waiting for a long time.
The insurance company has the leverage of their checkbook to deny and delay treatment, but you leverage too - Georgia workers’ compensation law empowers us with rights to demand an independent medical evaluation with a doctor of our choice, or to ask a judge to order a change in authorized treating physician.
You deserve to know what is wrong with you following a work accident and you deserve medical treatment to put you on the road to recovery. If your medical condition is not improving or if the posted panel company doctor is not helping, please pick up your phone and call me. #workcomp #georgiaworkerscompensation #on-the-job-injury
Free Case Evaluation If you or a loved one would like a case evaluation for your Georgia workers' compensation claim, please call me at 770-351-0801 or email me at https://bit.ly/jodi-help.
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Jodi Brenner Ginsberg Georgia Workers Compensation Attorney https://www.georgia-workers-compensation.com