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having issues finding a doctor in NW Arkansas
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04-23-2012, 08:28 PM
Post: #1
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having issues finding a doctor in NW Arkansas
I have a California WC claim and just have medical now for my back.. I have moved to Arkansas about 2 1/2 years and was dealing with a pain management doctor in Fayetteville AR. My Doctor decided to drop me and he is really a pain and very rude doctor and I had been looking for a new doctor beforehand who will treat me with dignity but now I cannot find a doctor who will take WC from Calif. Plus with the type of medication that I take no pain management doc. will not take me in NW Arkansas unless somehow I missed something. I have called my adjuster in Fresno and she states she can't do anything because I am out of state. If I happen to find a doctor just let her know and we will go from there but other than that I am really stuck and don't know what to do. Can anyone give me a idea of what I can do to find a new doc. or how to find one. I go thru constant pain in my lower back and I had 3 back surgeries and had my lower back fused and my back is getting worse.
Thanks a million for any suggestions . Shelley |
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04-23-2012, 08:58 PM
(This post was last modified: 04-23-2012 09:03 PM by 1171.)
Post: #2
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RE: having issues finding a doctor in NW Arkansas
you are in a difficult spot.
i don't believe california can demand an out-of-state doctor accept their fee schedule but you may have to go to court to get it enforced. you can request a copy of the carrier's MPN rules and see how they address out-of-state treatment. you can also contact the medical bureau of the DWC and see what advice they give http://www.dir.ca.gov/dwc/MedicalUnit/imchp.html you could also pay the difference and file for re-imbursement. the court would have a difficult time denying you in light of their refusal to provide treatment. but of course all this is very difficult from out-of-state without legal representation. all the leverage is theirs. another option is to get them to offer a reasonable buy-out of your future medical treatment. but again, if they want to be butts about the whole thing, it could be a struggle. after all that and still no solution I would start badgering California legislators and the Insurance commissioners office. also try writing to the claims manager and ask them for help & suggestions, who knows you may hit a sympathetic nerve. |
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