On the Road to Injury Recovery: Getting Treatment Authorized

By: Admin

injury recovery

You’re injured at work. Looking to take your first steps on the road to injury recovery, you seek medical treatment to assist you to get back to health and happiness; however, you hit a major roadblock before receiving the benefits you are owed by your employer’s insurance company.

When your workers compensation insurance company refuses to authorize the treatment ordered by the authorized treating doctor, there are only a couple of ways to try to force them to allow care.

  • Call the Employee Assistance Office in Tallahassee at 1-800-342-1741 and ask them for assistance. One downside of this effort is that they rarely resolve such issues and going this route may delay your claim.
  • You may need to get a Judge of Compensation Claims to order the insurance to authorize the treatment for your injury recovery. To get an order from a judge, you must first file a Petition for Benefits. You can do so by yourself, but the law is so complicated that we recommend hiring a lawyer who specializes in workers compensation to file it for you.
  • Once your Petition for Benefits is completed, your attorney can then set the deposition of the adjuster, which can lead to the insurance company agreeing to authorize the care even before it goes to a judge.

If you go to a doctor for care that is not authorized by the insurance company, the chances of you forcing the insurance company to reimburse you are very limited. If your unauthorized treatment was an emergency, you may have better chances at reimbursement. Furthermore, if you requested care and it was not timely, authorized, or provided at all, you might have grounds for reimbursement. In either case, the insurance company would likely deny the reimbursement and you would need to hire an attorney to request an order from a judge in order to force the insurance company to reimburse you and get you back on the road to injury recovery.

If you, a loved one or a friend  have any questions regarding a workers compensation claims, please do not hesitate to contact Wieland, Hilado & DeLattre at (407) 841-7699. For additional resources, keep checking our blog, LIKE us on Facebook and follow us on Twitter for more helpful hints and to always be informed about best practices in law.

Testimonials

I hired Mr. Al Hilado early February 2015 to pursue helping me apply for Social Security Disability benefits when I became disabled and was unable to continue workng. He has been very personable and professional. He told me how long it could take for the process and provided detailed information on what to expect. He was always available to take my calls or answer my emails. He was very supportive every step of the way and 3 months later in May I was approved for my disability. Without his help I’m sure I would still be fighting for my benefits instead of receiving my disability checks. I highly recommend Alfred Hilado.

– Eddie

I want to say, my world has changed and my family wants to thank you for all of your hard work on my personal injury case. I sometimes wonder, if I just stayed home that day and just went to help volunteer to teach kids play football that I would have my hand at full strength and wound’t be dealing with this personal injury. I can’t look back, but I can say that I  am feeling stronger and healthier each day.

– Luis L.