What If MPN is NOT EQUIPT ?

[Woodlawn]

(01-10-2012 07:47 PM)inquiringMIND Wrote:  UPDATE.

After making a request in writing to switch my PTP to an Ortho within the MPN, my adjuster gave his consent after much discussion and apparent reluctance on his part..smh.

1171~ The adjuster agreed with the Nurse Case Manager (see earlier post) on the specialists (ortho, neuro company doctors) not knowing workers comp laws, benefits, paperwork etc. and that yes, I was better off having an OCC MED COMPANY DOC as my PTP.

I declined.

Now I'm waitng for my adjuster to send all my doctors reports to the new orthopedic doctor I've chosen within the MPN but is NOT A COMPANY DOCTOR.

Question: Is it best to have ONE PTP for two separate claims? What are the pros and cons?

As always, thank you so much for your feedback.

There are plenty of orthopedists who are familiar with work comp laws. After all, most work comp injuries are orthopedic in nature. I believe the NCM mistaken at best. Assuming your employer is not self insured, you do not need the adjuster's consent to switch doctors in the MPN. If you are not represented, a decent working relationship with the adjuster usually helps.

It is generally better for the patient to have 2 PTP. Depending on the injuries though, it may not be the case. There are joint orthos, spine orthos, hand orthos, etc. While they may generally be qualified, most will punt to the appropriate subspecialty.