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

Mr. Wieland is an excellent attorney who is compassionate and ethical. He is respected by his clients and his peers. He is an attorney who actually returns his clients’ telephone calls, which if you have been associated with other attorneys, you know this is rare. He answers all my questions no matter how long it takes. He is truly concerned about his clients.

– Kay

On September 29, 2015, a serious auto crash changed our lives forever. Injuries sustained by my husband and I resulted in a long hospital stay and several subsequent surgeries. Two years later, we are both still dealing with injury related issues. Within a few days of the crash, we asked a relative about getting an attorney and they recommended Tom DeLattre (Wieland Hilado & DeLattre). Tom returned my husband’s call that same day and arranged to meet with us at the hospital. He explained the process and assured us that he would handle the auto insurance companies. He explained that our job was to work on our recovery. He was always available for questions and would return calls on weekends and while on vacation. We are very happy with the fair settlement that Tom DeLattre worked out with the insurance companies. I would not hesitate to recommend him to friends or other family members.

– L. Newsome