Q: In Illinois, saw doc for 3 weeks before being told he won’t bill WC. Now wants payment in full for services. Options?
Was rear ended while working, saw a chiropractor & advised him it was a WC injury. 3 weeks into treatments he said he refused to file the bills through WC and I should find a new chiropractor. I just got a nearly $1k bill for the services he rendered with the knowledge of WC status. Am I liable for those charges since he knew it was WC, continued treatments, then weeks later decided he didn’t want to do WC paperwork? Who does the onus fall on? My regular health insurance does not cover chiropractor care.
A:
Ultimately, YOU are responsible. Hire an experienced Workers' Compensation (WC) attorney. He will get it paid.
WHENEVER you sustain an orthopaedic injury, always go to an orthopaedic doctor to have him make a diagnosis and coordinate your care. Their opinion will be far more credible than that of a chiropractor.
There is no "paperwork" involved with WC. The provider simply needs to send the same coded billing to WC that he needs to send to any health insurance. He would probably have to agree to accept MORE money than he would get from most insurance.
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