Santa Ana, CA asked in Workers' Compensation for California

Q: What happens at an expedite court hearing when work comp refuses to pay benefits even after qme doctor's states ttd?

DOI 1/2/17 i slipped and fell landing on my back all impact was to my rt side hitting my head, rt shoulder, and elbow, night manager was called to assist me and said there was water on floor (i did not see) i was in extreme pain they put me in office they took pics of water on floor and of my rt shoulder., manager stated she could not let me leave, after 45 mins cashier drove me to healthworks where i was asked why was i crying? Then stated docter was coming in but to "excuse him he is rude" doc said. if you had that much pain you should have went to er.. At 9 pm i walked out and went to er they were so unprofessional and rude.rt arm splinted xray showed swelling but further test needed, wcomp, sent to hlthpoint doc sent me for mri, mri showed rt thick tear to rotar cuff,given nite splint, i haven't reced therapy or wc benefits, just denials & delays

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1 Lawyer Answer

A: First, you should have an attorney who got you to a doctor on the MPN who declared you TTD so Temporary Disability payments would have started already. The judge will pick between the treating doctor's reports and QME reports and make a finding as to whether you are Temporarily Totally Disabled and in need of treatment.

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