Miami, FL—Workers who seek medical attention for their injuries following a work-related accident should inform the medical professional rendering aid that they were harmed at work. This way, they shouldn’t have to pay for the care but instead, get their employer’s workers’ comp insurer to cover the care. When an employee suffers a work-related injury, their employer’s insurer is generally required to pay for their care so as long as the employee is covered by workers’ compensation.
So, what happens when the insurer doesn’t want to pay for the medical treatment an injured worker had rendered? What should they do in a situation like this?
If an injured worker has received bills from the medical provider from which they sought care from, they will either need to speak with their employer about it or contact their employer’s insurer. Most employees in the State of Florida are covered by workers’ comp with the exception of a few which means the insurer should pay for their care.
In the event an injured worker is unsuccessful at getting the insurer to correct the mistake, their next step should be to consult with a Miami, FL workers’ compensation attorney. A workers’ comp lawyer can help an employee understand what their rights are and what they can do to get the insurer to comply. After the employee has exhausted all options, they may need to retain a workers’ comp attorney for help.
Common Reasons Why Workers’ Comp Insurers Deny Medical Coverage
Workers’ compensation claims can be denied for a number of different reasons some of which include:
- The employee failed to notify their employer of the incident in a timely manner. The Florida Division of Workers’ Compensation says that workers should report their work-related accident to their employers no later than 30 days from the date the incident occurred. Those who fail to notify their employer within this timeframe risk having their claim denied.
- A lack of information. If the insurer doesn’t have enough information to support paying the claim, it will likely deny it.
- It was done in error. Those assigned to process claims sometimes make mistakes. If an employee finds that an error was made, they should notify the insurer so that it can be corrected. If the insurer refuses to correct the mistake and process the claim, a Miami workers’ compensation attorney may need to be contacted.
Mario Trespalacios P.A. is a workers’ compensation law firm that provides legal services to those seeking workers’ comp benefits or are unable to obtain them. The workers’ comp lawyers at this firm are here to help those who are unclear of how to file a workers’ comp claim or have had their claim denied. To connect with a legal expert who can answer questions or address workers’ comp-related concerns, simply call 305-261-5800.
Mario Trespalacios P.A. can be contacted at:
9495 SW 72 Street, Suite B-275
Miami, FL 33173