[kp121]

Hi again,

I'm getting ready to see my first doctor about my WC injury. I know he accepts workers comp insurance, so I'm not too worried about this specific appointment, but I want to make sure I'm asking all the right questions.

Specifically, I know my adjuster gets to decide what treatment is approved/denied. Let's say my doctor says I need surgery. How is my adjuster gonna decide to approve/deny that treatment? What information does she need to make that decision? is any of it information I can get from my doctor at this appointment?

Thanks,


I'm in Massachusetts

[1171]

You’ve made an incorrect assumption: the adjuster cannot make a medical determination on the appropriateness of your treatment.
Massachusetts, like many other states, controls treatment thru a utilization review process.
More From the link I posted for the Massachusetts DIA
https://www.mass.gov/health-care-services-board-hcsb

[1171]

Hope that helped.

[kp121]

(10-04-2018, 08:45 PM)1171 Wrote: Hope that helped.

This was super helpful! thanks so much :^)

[1171]

Sometimes im not sure the information is understood or that I got the question right.