Irvine, CA asked in Workers' Compensation for California

Q: I was denied wage loss pymt for the 2wks I missed work but they are paying for medical does that mean they denied my WC

I hurt my knee at work

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1 Lawyer Answer

A: DO YOU HAVE an Off Work Order or a Work Status Report from a physician in the comp insurer's network? The adjuster will NOT pay Temporary Disability payments unless and until a physician in the MPN (medical provider network) writes that you cannot work at all OR that you are released to modified work and then you can prove the employer refused to provide you any modified work. When the Workers Compensation Claim Form is submitted to the employer, the insurer has 90 days after that to issue a written Denial of Claim notice. During that 90-day time, the insurer must pay for 'reasonable' medical treatment. So maybe the adjuster is still investigating and is paying for treatment while he is making a decision on accepting the claim. OR MAYBE the claim is already accepted but the 2 weeks you took off was not documented in writing by a physician in the MPN. THIS MESS is exactly why you should have an attorney, and the sooner you get an experienced attorney, the more benefits and better care the attorney can secure for you.

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