Layoffs, Unemployment and Worker's Compensation For discussion of any topic related to one's employment and unemployment, worker's compensation, and job.


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Old 03-19-2007, 09:30 AM #1
momzpeachy momzpeachy is offline
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Default claim denied of course

WEll I just received the paperwork saying my claim was denied. The insurance company didn't even look at any medical records before denying it..lmao. They said they were working on "time". How nice...they had 21 days and denied it in 14 days! Before obtaining records. Well off to the lawyer I go...the fun now begins.

Oh, and the Dr was just playing things safe and billing my insurance company since nothing had been determined by the wc. He didn't want me to be stuck with high bill or not being treated. I can kinda see his point. So for now I'm stuck paying and dealing with this AWFUL PAIN!

Another painful week ahead
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momz of NE PA:
Right side TOS (Scalenectomy 1-14-08). Spinal problems. Thoracic Spine hernaited discs pressing on spinal cord and small tumor - still being investigated. A very tired mom who feels like giving up!

Wishing I could think more positive and be well again!
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Old 03-19-2007, 09:36 AM #2
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I hope you have better luck with the lawyer.

Hugs...
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Old 03-19-2007, 02:37 PM #3
michael178 michael178 is offline
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There Are Good Work Comp Carriers And There Are Bad Ones. Also There Are Good Reviewers In Each Company And Bad Ones.
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Old 03-20-2007, 09:22 AM #4
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i think this denial game will continue until they are charged interest on the money when they eventually "lose" and have to pay.....remember, they get to keep that money earning interest for them and they get to pay in dollars,that do to inflation, are worth less.....
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Old 03-20-2007, 05:24 PM #5
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If you are to get an attorney and want to punish the insurance company, instruct the attorney that you want to go into a hearing. The company will have to hire legal representation then, just like you had to; either that or accept a settlement only if they pay your attorney's expenses and fees in full.
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Old 03-21-2007, 05:58 PM #6
caudaequinasyndrome caudaequinasyndrome is offline
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the insurance company always has attorneys to go hearings.
that is what they do. your first and most important action is to get the claim accepted by the wc system. it is a great think that your getting treatment for it and don't have to wait for the claim to be accepted, that is a big plus.
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