Q: My Workers Comp doctor wants my personal doctor to sign off on surgery. She refuses and says its a Workers Comp issue
When I took it back Workers Comp surgery was scheduled only to be cancelled later that day citing it wouldn't be scheduled until my doctor signed off on it. Now what do I do?
A: Based on your complicated situation, you need to speak to a Workers Compensation Attorney as quickly as possible. Workers Comp is a very tricky and complicated system. Doing it alone without an experienced attorney will give you more problems.
A:
Personal health insurance (generally) excludes Work Injury evaluations, tests and treatment... SO your 'workers' comp' physician should never, ever tell you to get any tests or exams from a personal physician on your own insurance or at your own personal expense.
Your attorney should fax your 'workers comp' physician and tell him/her to issue a Request For Authorization RFA form requesting the pre-surgery evauation and testing and studies and bloodwork...further, this 'workers comp' physician should to an RFA for all the medications and care-giving you will require the minute you leave the hospital...all those need to be in place BEFORE any surgery is authorized and scheduled.
And if you have a 'workers comp' physician who refuses to do this or is too inexperienced or uninvolved to perform this, your attorney needs to select a REAL treating physician from the insurer's MPN who WILL do these things, preferably without being told.
Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.
The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.
Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.
