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What about California TTD?
#3
(02-26-2017, 01:37 PM)Babybadback Wrote:
Good afternoon friends. I pray you all are doing well, and i want to thank you in advance for reading my post and giving me feed back. Today I would like to ask you all about wc ttd payments. I was injured April 6th 2015, and i am now... as of February 2, 2017 set up with a PTP. The PTP has sent in a work status report taking me off of work completely (as did the doctor who saw me for a few months in 2016). The thing is i did not recieve TTD in 2016. Im in fear that the same thing will happen. I immediately called my attorney (new one) and let them know i was faxing over the Work status report directly from the doctors office to them and the opposing side, i then advised them to demand TTD payments on my behalf. I was told the request was sent in same day. Here is my question, Can they deny TTD payments even though they accepted my claim? How long would it take to get a payment? I have a QME in one month, can or will they try to stall payments due to that appointment? Also i have proof that the erratic care of two other doctors that treated me on a lien bases in the past two years also had me under a (no work) work status. will they be required to pay me for those months? If so will the judge have to demand it, or will they pay on their own? Let me know if you need any more information. Again thanks for the help!

There is  1O4 weeks max on ttd. It sounds like you have not received any. Also, if your employer has a MPN (medical provider network) you have to be seen by one of those doctors to be taken off of work on TTD. Also, your claim has be accepted. If any of your doctors or a QME wrote you are permanent and stationary that is also a reason why they can stop/deny TTD. Some psych claims after 1/1/2013 may not be eligible for TTD.

If you were paid state disability you are also not eligible for TTD during same time period.

It sounds like you have a new attorney. You need to ask him to request all back payment of TTD owed to you and they should include a 10% self imposed penalty. He mat have to file for a hearing over this. If you have not done so already asking your doctors for copies of their reports may be helpful to you, so you know what they have been writing as far as your work status. To continue to receive TTD you need to send in a off work note at least every 4- 6 weeks to maintain TTD payments. Once a doctor writes you are permanent and stationary TTD stops. One of the questions the insurance company may ask in the letter to your QME is if you are permanent and stationary and at what date you were. This is to stop TTD. It is important you discuss all of your TTD payment questions with your attorney.

I do not understand why you were at two doctors who treated you on a lien. If your claim was accepted you should have been seen by a doctor within the insurance carriers MPN (if they had one) and not on a lien. To maintain TTD status you have to get off work documents regularly and turn them in to your claims adjuster. If you are owed back payment of TTD, ask your new attorney to file an expedited hearing if they refuse. I do not know the riles on if they have to pay you TTD for doctors that are not within their MPN (ask your attorney).
I am not an attorney.Anything I write should not be considered legal advice.I am writing from my own personal experiences,which is not from any sort of legal background. You should consult with an attorney over legal issues. In California, if you cannot get an attorney you can consult with an I&A officer.
 
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Messages In This Thread
What about California TTD? - Babybadback - 02-26-2017, 01:37 PM
RE: What about California TTD? - 1171 - 02-26-2017, 02:59 PM
RE: What about California TTD? - California_Help - 02-26-2017, 11:44 PM
RE: What about California TTD? - 1171 - 03-29-2017, 05:42 PM
RE: What about California TTD? - tbear6410 - 03-29-2017, 07:22 PM

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