Clovis, CA asked in Workers' Compensation for California

Q: Can an accepted workers comp claim get denied after the qme reports says my injury arose from the course of employment?

My workers comp claim was denied entirely a few weeks after my injury. I’ve seen 2 ptp and 2 qme, all of them has said industrial related and the most recent one says arose during the course of employment.

My claims has been accepted for medical and all doctors reports with ttd dates. The carrier is disputing any owed ttd because I was terminated.

When I was terminated, I was told I didn’t follow procedure and they gave me a change of relationship letter.

It’s been two years and I’m going to trial. I had 3 hearings for ttd and the judge has done everything he can to ignore my evidence. He told me that if I go to trial and lose then my medical can be denied again.

Is this possible? Why did I need to see all these doctors if the employer and IC feels that I was terminated legally? Who can investigate the judge besides filing an anonymous complaint at wcab? He’s claiming I was aware that I had to go to trial for ttd. If it’s that was true, why did I go to 3 hearings?

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1 Lawyer Answer

Ronald Mahurin

Answered
  • Workers' Compensation Lawyer
  • Point Arena, CA
  • Licensed in California

A: this question cannot be reasonably answered without someone seeing the medical reports. While the reports find injury, if they are based upon an incorrect or wrong history they are not substantial evidence and therefore worthless. In sum, your question cannot be answered.

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