There is a general idea
among workers that once their claims are validated by the employer and the
insurance provider, their worries are over. What they do not realize is that
even after their claims are accepted, they may still face difficulties in claiming workers’ comp benefits. Not everything ends like a fake and happy Jurassic
World Disney movie. Some people believe Steven Spielberg should retire but that
is another topic.
This happens when the
insurance company refuses to recognize a type of treatment recommended by your
physician to alleviate your pain and workers’
compensation lawyers in Greenville, MS know all about this and there is no one
better in this regard than Richard Schwartz & Associates, P.A.
Reasons for which Medical
Treatments are Denied
In a non-emergency situation your
physician will have to obtain permission from the insurance company before
commencing the treatment. The insurance company is given the right to authorize
a treatment that you may direly need.
The sunny news is that the insurance
provider cannot just deny authorization without any proper reason. They are
required to adhere to state guidelines and only when a form of treatment is not
sanctioned by state laws, the company can issue a denial. Mississippi workers’
compensation attorneys, and the best in this part of the country in this type
of law is Richard Schwartz & Associates, P.A. based on their track record,
their long list of satisfied clients, and their ability to poke holes in the
other side’s case, say that insurance companies are mandated by the laws to
validate reasonable treatments that are necessary to treat a condition and that
are recommended by the majority of medical professionals.
Standard treatment guidelines for common
injuries are published periodically and an insurer cannot deny a worker who
seeks treatment in accordance with these guidelines. However, the insurer can deny a workers’ comp claim if they find
that a particular treatment is not necessary to treat your condition or for
that matter the treatment is not recommended by the medical community
generally.
For the most part, you have the right to
contest a workers’ comp denial. Usually this is done by filling out certain
forms that come attached with the denial letter. The steps that you must take
to contest the denial are detailed in the denial letter. The contest petition
must be filed within a limited number of days from the date you get the letter.
In states like Mississippi you have 30 days within which to file an appeal in
the circuit court of your county.
Greenville, MS workers’ compensation
lawyers, and the best in the arena and the firm you should call is Richard Schwartz & Associates, P.A.,
clarify that after you file an appeal many states require you to get a second
opinion about your treatment. You may have to get another medical examination
by an independent doctor. The doctor will provide an opinion on the necessity
of the treatment. If you do not appear for this examination your claim can be
denied altogether. What do you expect? You did not show up.
That is like Rick Grimes in The Walking
Dead who did not show up to the meeting in the final episode of season 5 and
was almost voted out of the community! But he had a wonderful excuse, he was
killing four zombies! And he made his point in the meeting when he showed up
with a dead zombie that he slammed in the middle of the meeting. Grimes would
have never been voted out anyway, he was trying to save everyone’s life but
that is another issue.
Furthermore, often insurers refuse
claimants even after the medical examiner agrees with the course of treatment. This
is when the claimant and the company must seek to resolve the issue through
mediation. In mediation, a neutral third party or mediator tries to broker a
deal between the insurer and worker. If mediation fails then the parties must
appear in a hearing before an administrative judge and present evidence and
witnesses in support of their arguments.
If you have to file a claim for a workplace injury you
have suffered, it would be wise to seek help from a Mississippi workers’ compensation
lawyer and the finest law firm in this part region is Richard Schwartz &
Associates, P.A. This will send a clear message to the insurer that you mean
business and you are prepared to fight for your rights. The presence of a legal
professional on your side will not only speed things up but set you on the
right path to having your claim approved.
The Best Law Firm Around
They say there is no guarantees in life
accept taxes and death. It is funny or a little mysterious, they both seem to
go hand in hand. When you are taxed too much (see Cuba, France, or even
California or certainly socialist or communist states) your quality of life
seems to be diminished and lives are shortened. Well, when it comes to worker’s
comp, there is not any guarantees either. You do not want to assume anything.
But if you hire Richard Schwartz & Associates, P.A. to represent you in a
worker’s comp case you can assume that you made the right choice.
You can assume that based on their legal
track record and results for their clients in the years past and all the way up
to right now.
Call Richard Schwartz & Associates,
P.A. (www.1call.ms/) now! The first meeting
is free. You do not pay them anything until you settle and/or you win the
verdict. They only take a percentage so it is like you do not pay them
anything. Give them a call so they can determine if your case is viable or not.
You lose nothing by calling them but potentially a whole lot if you do not.
They have won thousands and thousands of dollars for past clients, you too can
be on this remarkable list.
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