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And The Fight Begins.... NY
#1
The Insurance Carrier is really ticking me off....   Contacted my lawyer and told him I haven't heard anything from Comp for a hearing and asked if he got the papers I sent to him from my new surgeon...

Well, he says Comp will NOT do a hearing because the MG-2 papers are being sent to the wrong place..  

HOW????   

I have copies of the ones from 2 different surgeon's offices and from pain management... all sent to the exact same place since this all started in 2012.. all using my Claim Number and WCB number..  All being signed by the Carrier's Adjuster/Examiner that is handling my case and is putting them NOT MEDICALLY NECESSARY... and their UR doctor is signing and dating them too... As they put it, they will not approve a MRI just for pain...  It's not just pain.. they want to see how much worse those disc have gotten.. Yes, both legs have been going numb, but the right leg, hip and the entire lower back is about gone...

There has never been a problem sending any request for a procedure until we settled the work part of it.

I sent my new surgeon a message to see if he can send in a third request to the exact same fax we were all given and to send a copy if it to my lawyer...   I just don't know what else to do but nail them good for a medical settlement...

And they wonder why injured workers suffer with stress and depression...
 
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#2
The system does not do well with serious longstanding medical conditions.
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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#3
The carrier in my case moved from NY to NJ changed their phone number and fax number and never notified workers comp or anyone else. It took months for me to get an approval for a procedure. Good luck hopefully everything works out for you
 
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#4
Surgeon's office faxed request #3 yesterday and got the denial today... so all that was faxed to my lawyer... Comp tries to tell us it's being sent to the wrong place again, I don't know what else to do but demand a hearing....
 
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#5
Try certified mail or priority mail express....
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
Try certified mail or priority mail express....
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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