Hello There, Guest! Login Register
Index    |     Search    |     Members    |     Help

Thread Rating:
  • 0 Vote(s) - 0 Average
  • 1
  • 2
  • 3
  • 4
  • 5
Should I dispute peer reviews done by the IC?
#1
My case is in Texas.

First of all, I don't trust the doctors that do the peer reviews for the insurance company. They always seem to say the opposite of what my treating doctors and the designated doctor says.

I am basically in the process of getting a BRC set up because the word surgery popped up and now the insurance company is denying my ruptured disc and radiculopathy, and limiting my injury to a sprain after 8 months of paying for 2 ESI's and 24 sessions of physical therapy. The state designated doctor deemed all of my injuries compensable, but they are doing it anyway.

My concern is this. The peer review doctors differing opinions probably hurt my case, so if I appeal them and it gets sent to another one of the "non-biased" doctors and they write more rouge reviews, does that hurt my case more or build contrary evidence?

I got hit by a semi while driving a semi, surely I don't need more evidence to prove the injuries are not preexisting, right?
 
Reply
#2
while this site can provide information and resources for workers compensation issues, it is not in a position to offer legal advice.
As far as determining the best strategy for winning your issue, I suggest you contact the Office Injured Employee Counsel for additional information relevant to the details of your case. http://www.oiec.texas.gov
In the alternative you can retain the representation of a specialist in workers compensation law
https://www.wilg.org/index.cfm?pg=publicdirectory
https://www.texasbar.com/AM/Template.cfm...vice_LRIS_
https://www.avvo.com/workers-compensation-lawyer.html
Signature/Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information.........
 
Reply
  


Possibly Related Threads...
Thread Author Replies Views Last Post
  New to all this but being forced to dispute - Texas revanwright 1 847 10-17-2016, 11:59 AM
Last Post: 1171
  Time limit to dispute report injured man 8 12,052 02-08-2016, 08:30 PM
Last Post: 1171
  Database of reviews on Surgeons 1171 2 1,432 08-07-2015, 09:11 PM
Last Post: 1171
Rolleyes are psychological reviews required for surgery fireman 1 1,943 04-06-2012, 12:58 PM
Last Post: 1171
  what can the insurance company do to dispute a supplemental QME REPORT?. chicky 3 8,384 07-30-2011, 01:54 AM
Last Post: Sr.CE
  dispute dr unhappy 13 9,572 04-26-2011, 03:45 PM
Last Post: 1171
  Claim Dispute. What to do? Fishhawk 7 7,155 01-28-2011, 09:43 AM
Last Post: Fishhawk
  Dispute ljackson6195 3 3,111 11-13-2009, 03:49 AM
Last Post: 1171
  Settlement Dispute?? fencer11 1 2,709 03-07-2009, 12:10 PM
Last Post: jayne
  How do you dispute MMI Rating? CynLyn 2 5,461 02-25-2009, 01:21 AM
Last Post: hardluck

Forum Jump:


Browsing: 1 Guest(s)