10-09-2008, 09:48 PM
In California, if a claim is denied because a patient fails to submit the DWC form or fails to attend the QME, who is responsible for payment of the bills?
10-09-2008, 09:48 PM
10-10-2008, 01:25 PM
it depends.
if service is within the first 90 days while claim is being investigated then the carrier is still obligated.
If benefits are being denied and there's litigation then a lien can be filed.
If there's no appeal to the denial then regular health or injured should pay for non-industrial treatment.
if service is within the first 90 days while claim is being investigated then the carrier is still obligated.
If benefits are being denied and there's litigation then a lien can be filed.
If there's no appeal to the denial then regular health or injured should pay for non-industrial treatment.
10-16-2008, 06:42 PM
Do you have this in writing?
1171 Wrote:
it depends.
if service is within the first 90 days while claim is being investigated then the carrier is still obligated.
If benefits are being denied and there's litigation then a lien can be filed.
If there's no appeal to the denial then regular health or injured should pay for non-industrial treatment.
if service is within the first 90 days while claim is being investigated then the carrier is still obligated.
If benefits are being denied and there's litigation then a lien can be filed.
If there's no appeal to the denial then regular health or injured should pay for non-industrial treatment.
10-16-2008, 07:04 PM
this only applies to california workers compensation:
Labor code 5402 ©
http://www.leginfo.ca.gov/cgi-bin/displa...=5400-5413
Labor code 5402 ©
http://www.leginfo.ca.gov/cgi-bin/displa...=5400-5413