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having issues finding a doctor in NW Arkansas
#2
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.
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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RE: having issues finding a doctor in NW Arkansas - 1171 - 04-23-2012, 08:58 PM

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