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How Medical Bills Are Paid After a Worker Injury

Medical cost concept with calculator and stethoscope

When a workplace injury occurs, one of the immediate concerns for the injured worker is the payment of medical bills. Navigating the workers’ compensation system in California can be complex, but understanding how medical bills are handled is crucial for ensuring that you receive the care you need without undue financial burden. Read on to learn everything you need to know about medical bills after a workplace injury. If you’ve been hurt on the job in Orange County or the Inland Empire and are having trouble getting your workers’ comp benefits, contact Invictus Law, P.C., at our offices in Orange and Ontario to speak with a dedicated California workers’ compensation specialist.

Immediate Medical Treatment and Employer Notification

In the event of a workplace injury, your first priority should be to seek medical attention. Under California law, your employer is required to provide you with a Workers’ Compensation Claim Form (DWC 1) within one working day after learning about your injury. You should complete the employee section of this form and return it to your employer as soon as possible to initiate your workers’ compensation claim.

Medical Provider Networks and Treatment Authorization

Many employers in California have a Medical Provider Network (MPN), which is a group of healthcare providers pre-approved to treat workers’ compensation injuries. If your employer has an MPN, you will need to choose a doctor from this network for your treatment. Once your claim is filed, medical treatment should be authorized within one working day, ensuring that your medical bills are covered by workers’ compensation insurance from the outset.

Payment of Medical Bills

In California, workers’ compensation covers all reasonable and necessary medical treatment for your work-related injury or illness. This includes doctor visits, hospital services, physical therapy, medications, and any other treatments prescribed by your authorized treating physician. The medical provider will bill your employer’s workers’ compensation insurance carrier directly, so you should not receive any bills for your approved treatment.

Disputed Claims and Denials

If your workers’ compensation claim is disputed or denied, you may face challenges in getting your medical bills paid. In such cases, it is important to seek the assistance of an experienced workers’ compensation attorney who can help you navigate the appeals process and fight for your rights to medical treatment and compensation.

Utilization Review and Independent Medical Review

In some instances, the insurance company may question the necessity of certain treatments through a process called utilization review (UR). If your treatment is denied through UR, you have the right to request an Independent Medical Review (IMR) to challenge the decision. An experienced attorney can guide you through these processes to ensure that you receive the appropriate medical care.

Contact Invictus Law, P.C., for Help With Workers’ Compensation Claims in Orange County and the Inland Empire

Dealing with medical bills after a workplace injury is one headache you should never have to worry about. You have the right to receive medical treatment for your work-related injury, and your employer’s workers’ compensation insurance should cover the costs. Healthcare providers bill your employer’s workers’ comp insurance carrier directly, so you should never get a bill or be asked for a co-pay from the doctor’s office.

If you’re facing difficulties with your workers’ compensation claim or have concerns about how your medical bills are being handled, the team at Invictus Law, P.C. is here to help. With offices in Orange and Ontario, we serve injured workers throughout Orange County and the Inland Empire, providing expert legal assistance to ensure that your rights are protected. Call us today at 949-284-5711 or 888-9WORKLAW and let us help you navigate the complexities of the workers’ compensation system.

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