Quote:
Originally Posted by spine95
This why some physicians refused to take WC. That sounds disgraceful to the patient but the bottom line is WC is a terrible pain in the butt for everyone who deals with them in one form or another. They are difficult to get a precert from for a med, test or procedure as they don't return calls. Once you get a precert, they are notorious for no pay/slow pay. There are other ins. companies that pull the same thing. It is sad to tell a potential new patient that their ins. isn't worth the paper it is printed on and they will need to pay cash, up front, or find another physician who is part of a large group that is willing to chase the companies for their money or absorb the loss.
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At least in CA, a doc may not treat a WC injury and have them pay out of pocket. It does force patients to choose a doc from a small pool. There are also rules about switching your primary treating physician, which makes things all the more complicated.
For the OP, I forgot you had an attorney. Once you retain one, they generally instruct you to have no direct contact with the insurance company. (Even for routine and trivial matters.)
Has your attorney given you contact info for his/her paralegal and/or assistant? 99% of my contact with my attorney's office is with his assistant. She is most definitely overworked, but she is always dependable for the important matters. Not receiving TTD is an URGENT matter. If they can't resolve this matter within a few days (from whatever source is the most convenient) then your attorney should schedule a conference, hearing, etc.