Q: I had a mri last September. When the results came back, my wc doctor was on a month vacation, so I had to wait for his
return. He read the MRI results and then submitted it to the WC Insurance company to respond, if it was accepted or rejected. I got NO reply/response from the insurance company for SIX more months. It was declined for surgery. It stated on the report that they (insurance co) did NOT receive it until March,,, six months. It seems that it must have gotten lost or whatever and it was declined! How long does or should it take for a reply (yes or no) as to the response?
A: Five (5) business days. Something else is going on. If you can prove the insurance company received the request from your doctor and did not respond within. Five business days you should be able to get the surgery authorization.
A: I suggest you consult with an experienced workers compensation attorney. The whole Calif Workers Comp System is a complete Joke & Sham controlled by the insurance companies and their puppets in Sacramento. You may also contact the Calif Applicant Attorney Association and ask for a list of their members and specialists. I wish you well in this ridiculous industry controlled by Insurance Companies.
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