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Surgery Claim Denied. Next Steps?
#2
no it's not standard. each carrier, injury, and claim are different. thousands of claims every day are paid.
most states require that the denial be in writing and include the reason and directions for appeal.
each state has different comp laws.
most states require that such determinations be supported by medical evidence.
if you have medical evidence that supports that the aggravation is causing the need for treatment, you should appeal to your state's work comp board.
in the meantime your group health should pickup treatment until a coverage decision is made.
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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Messages In This Thread
Surgery Claim Denied. Next Steps? - Clchew - 07-24-2013, 08:13 AM
RE: Surgery Claim Denied. Next Steps? - 1171 - 07-24-2013, 10:40 AM

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