08-09-2010, 04:16 PM
Its been awhile since my last post...I hope everyones "Journies" in Workers Comp World are going well. I am located in PA and things in my case are progressing well, with the Insurance Carrier approaching my lawyer and I about settling...Thats the good..
The judge ruled in my favor for the Supersedeas continuing my comp & benefits..Thats good...
Now the bad and the rant......My utlization review came in....I sent my testimony in to the "Independent Review Panel" which clearly stated what was performed and when. I am so glad that these review groups are so proficient in the english language that they clearly misread my letter leaving out key points and even changing the facts. Not too mention that when this review process began they gave a drop dead date for the all materials to be submitted...Well my doctor which comes from a giant practice and is run like our federal bureacracy did not submit the forms as stated in the letter in a timely manner, but within the time frame stated overall.
This supposed independent panel used only materials benefical to the insurance companies...leaving out various other opinions, taking only those that were of favor of the insurance company...Its good to see they ruled that my treatment was viewed as not reasonable or ncessary.
I can not wait till I am free and clear of this Workers Comp nonsense!
The judge ruled in my favor for the Supersedeas continuing my comp & benefits..Thats good...
Now the bad and the rant......My utlization review came in....I sent my testimony in to the "Independent Review Panel" which clearly stated what was performed and when. I am so glad that these review groups are so proficient in the english language that they clearly misread my letter leaving out key points and even changing the facts. Not too mention that when this review process began they gave a drop dead date for the all materials to be submitted...Well my doctor which comes from a giant practice and is run like our federal bureacracy did not submit the forms as stated in the letter in a timely manner, but within the time frame stated overall.
This supposed independent panel used only materials benefical to the insurance companies...leaving out various other opinions, taking only those that were of favor of the insurance company...Its good to see they ruled that my treatment was viewed as not reasonable or ncessary.
I can not wait till I am free and clear of this Workers Comp nonsense!