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occ lung disease in ca - Printable Version

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RE: occ lung disease in ca - 1171 - 01-22-2020

On the 25th you posted that you were seen by an AME and had a follow up.
are you posting now that this was not an AME?


RE: occ lung disease in ca - christofear - 01-22-2020

correct,,I thought it was but apparently it was not.I got a notice in the mail (from the defense) to inform me that the parties have come to an agreement and scheduled a panel QME.


RE: occ lung disease in ca - 1171 - 01-22-2020

The delay might put you in a tough spot. How will you get treatment after a 90 day denial?


RE: occ lung disease in ca - christofear - 01-22-2020

i have no idea. the panel QME is way after the 90 day mark. i am praying that i will get treatment.


RE: occ lung disease in ca - 1171 - 01-22-2020

Talk to your lawyer; he might be able to persuade your doctor to treat under lien.


RE: occ lung disease in ca - christofear - 02-04-2020

so on my delay notice it says they will make a decision on or before todays date. so here i am at 90 days and havent heard anything. i did recieve a benefits pharmacy card yesterday but that was it. what happens from here?? thanks again


RE: occ lung disease in ca - 1171 - 02-04-2020

Nothing until you Get your evidence to the judge.


RE: occ lung disease in ca - christofear - 02-15-2020

you were right 1171. they denied me. Apparently they dont agree with my PTP. I have a upcoming QME/AME next month. from what i gather from the site the QME has the say so. is that correct??


RE: occ lung disease in ca - 1171 - 02-15-2020

Yup. With the QME already Scheduled there was little risk in denying and waiting for the deciding medical. The QME opinion is presumed to be correct.
Its difficult to beat the 90 day clock when QME apts are so far out.


RE: occ lung disease in ca - christofear - 03-05-2020

heres an update---So my claim was denied due to no medical evidence to support my claim of industrial injury and statue of limitations expired. So now my agreed upon PQME is coming up soon. my PTP has me off of work and agrees that my condition was caused by or contributed to (lit up) by my years and type of work. my PTP ran alot of test. my question is what should i expect or what is gonna happen during and after my PQME? are they going to run the same test? does the PQME get to see my PTP records? i was reading that most comp claims dont actually make it to the hearing stage is that true?