Obtaining Authorization for Medical Treatment in Workers' Comp Cases
Employers and insurance carriers routinely and wrongfully deny and dispute legitimate workers' compensation claims. One of the common techniques used is to stall and delay the claim as long as possible, preventing the injured worker from getting appropriate medical treatment.
This is especially challenging when injured workers need specific medical care or treatment, a specific medical procedure or a specific diagnostic test but run into cost containment techniques and other significant roadblocks from their insurance companies and employers.
Why do employers and insurance carriers try to prevent an injured worker from seeking medical care?
The employer can seek to delay medical care to frustrate the injured worker from bringing or pursuing a claim.
The stall and delay tactics can be used to prevent the injured worker from obtaining necessary medical care that is causally related to his or her work injury.
The employer and/or its insurance company can hope that, with the delay of time, the injured worker could be involved in an intervening accident or injury which potentially could cut off the liability of the employer and/or its workers' compensation insurance carrier.
If an employee delays or waits for medical care, the employer may turn around and deny authorization for medical care at a later date, citing that the injured worker has simply waited too long.
For all of the above reasons, the lawyers of Strong Law Offices vigorously pursue authorization for medical treatment from the outset of a case. When a client has suffered a workplace injury, we seek medical testing and authorization to see medical specialists on his or her behalf. This involves seeking authorization from the employer or the insurance carrier.
Getting Medical Care After a Work Injury
If there are other measures that can be taken to help clients seek appropriate medical treatment, we take them:
Filing emergency requests for hearings
Obtaining medical records to show the need for ongoing medical care
Making demands to authorize immediate medical care or diagnostic testing
Making demands to authorize referrals to specialists such as orthopaedic surgeons, neurologists, neurosurgeons, physiatrists, physical therapists, chiropractors or other medical professionals
There are procedures within the Illinois Workers' Compensation Act by which Strong Law Offices can petition the Illinois Workers' Compensation Commission for an order of prospective medical care or treatment that is being requested by the injured worker.
What Can You Do? Get Strong. Contact Us.
Whenever a physician or medical health care provider prescribes a certain treatment, surgery, therapy or diagnostic test, you should always ask the physician to provide a written prescription slip so that the medical record or prescription slip can be forwarded to the insurance carrier with a request for authorization.
Our attorneys can then take action to get you the medical help and compensation you need. Strong Law Offices aggressively pursues access to quality medical care for its injured worker clients. We can help you seek medical treatment and workers' comp benefits after suffering a work injury.
Contact an attorney in Peoria, Springfield, Bloomington or Decatur.
When You Have Been Injured, Get Strong — We Are On Your Side