Hello There, Guest! Login Register
Index    |     Search    |     Members    |     Help

Thread Rating:
  • 0 Vote(s) - 0 Average
  • 1
  • 2
  • 3
  • 4
  • 5
Injured worker in NC with questions
#1
I was injured at work loading my truck this month marks one year since it happened. Hurt my upper back/neck got an MRI had two herniation the first doctor they sent me to was a general doctor nice wanting to help but recommend I see a specialist at this point the insurance company sends me to a real jackass I was under his care for about 4 months received spinal injections that was little to no help then he said he didn't think I was a good fit for surgery and nothing else he could do. So he recommend I see another specialist and put me out of work while releasing me as a patient at the same time. So the insurance company decides they want an ime so I go to another doctor of their choosing. He recommends an acdf fusion if c5c6-c6c7 and pain management until the surgery is scheduled. They dis not comply and stopped responding to my attorney so we filed a motion. Now at this point we was ordered to mediate before they would allow a hearing for the motion. My lawyer calls me and informs me of it and says he's spoken with their attorney and he thinks their going to offer between 150 and 175,000 and says if we can't come to an agreement it may be 2 or 3 years before I finally get my surgery. I feel that is a very low amount because out of that my attorney would get about 40k then I'm thinking the surgery will be 50-60k in my area if there is no complications. So that would only leave 75 to cover everything else. Physical therapy pain management lost wages disability rating training for another career because I've been told I will never load trucks again and may not be able to drive all day long either. Is my thinking correct is that a low amount and also after they request an ime aren't they obligated to that doctors recommendations
 
Reply
#2
If you have a different amount in mind then you can make a counter offer.

It depends on why they disagree and what evidence they have to support their opinion.
The issue can be taken to trial if you choose not to settle.
North Carolina would likely Order wage loss payments once you are at MMI.
If your atty can,t convince you as to why the amount is fair, you can switch to one you trust.
Many claimants are looking for $$$ first so the carrier makes an offer early. If you want long term treatment and risky surgery, you need to talk to your atty so you are both looking for the same goal- it could easily be a 4-5 year treatment & litigation process.
If you and your atty are not discussing these questions or you're not getting an understandable explanation, that's another reason to find a different atty.
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.
 
Reply
#3
My top priority is getting the surgery as soon as possible I don't mind settling before surgery and handling paying out the expenses if it would help me get surgery sooner I just want to make sure that there is adequate funds for everything because after living on reduced wages for a year things have gotten tight
 
Reply
#4
I switched attorneys at the beginning because the first one told me whatever their doctor says we should go along with. To be honest I don't think I could find one I would trust because don't know any of them in a personal level and I think they work real close with the insurance companies to the point they're probably excepting money from them
 
Reply
#5
Take your evidence of lawyer unethical behavior to the state bar. File a complaint with them.
https://www.ncbar.gov/lawyer-discipline/
If lawyers are involved with fraud, corruption, & dishonesty, contact your local district attorney with your evidence.
If you can't trust the attys, you should handle the claim yourself. Work comp lets injured workers represent themselves in court.

No one can predict how successful a serious surgery will be or how much treatment you will need. Determining future medical $$$ is always a guess.
Workers comp does use a medical fee schedule for pricing services. It's complex but You can find it here
http://www.ic.nc.gov/medproviders.html.
if you trust your doctor, you might be able to talk to them or the billing clerk about treatment costs.
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.
 
Reply
#6
The doctor they sent me to for the one would be my treating physician I guess. He seems to be a real straight up guy not to friendly but seems honest. He was to the point of yelling at my case manager at the last visit asking them what was they waiting on for me to become paralyzed he told them that he clearly warned them of permanent nerve damage already taking place. I asked him for a price yesterday he gave me some billing codes to take to billing and the hospital but he also said it would just be an estimate that it could very big time
 
Reply
#7
The link I posted should have the codes.
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.
 
Reply
#8
I'll check it out thanks for the help
 
Reply
#9
http://www.ic.nc.gov/medfeeschdisclaimer.html
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.
 
Reply
#10
That 'll work thanks
 
Reply
  


Possibly Related Threads...
Thread Author Replies Views Last Post
Rolleyes Is injured worker paid for time spent filling out all drivergoudie@gmail.com 7 1,602 07-19-2019, 03:35 PM
Last Post: 1171
  Injured Worker has not seen a PTP yet, its 8 months. Any ideas? Billy Miller 6 2,744 04-21-2018, 03:36 PM
Last Post: California_Help
  A good read for an Injured Worker Shadow 8 3,639 02-06-2018, 05:18 AM
Last Post: Shadow
  Texas worker injured question Superman1978 2 1,782 04-21-2017, 11:43 AM
Last Post: 1171
  Settling Attorney liens CA injured worker cainjuredworker15 8 4,711 02-14-2017, 01:21 AM
Last Post: California_Help
  CA injured worker - declared P&S - now what? BB019 41 22,204 07-09-2016, 01:12 AM
Last Post: BB019
  CA Injured Worker - Overturn MMI Report? Daimhin 11 8,952 06-14-2016, 11:17 PM
Last Post: Daimhin
  Injured While on Worker comp darrinb 4 4,786 10-29-2014, 02:57 PM
Last Post: darrinb
  Injured worker TruckinShoulder 3 3,413 07-13-2013, 06:31 PM
Last Post: 1171
  AN INJURED WORKER SOON TO BE HOMELESS PLZ HELP AUTOTRAIN 1 3,030 03-25-2013, 07:20 PM
Last Post: 1171

Forum Jump:


Browsing: 1 Guest(s)