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Accepted Case,everything denied! - Printable Version

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Accepted Case,everything denied! - sontaysyw - 10-21-2009 11:52 AM

I am really confused this morning,how can your case be accepted and still the I/C can deny almost all treatments except pt,dr visits,and some meds,no ttd payments.My attorney seems to think that no issue over if i got hurt at work,there is a video.So what could be the issue,saving money?Just would like some clarification or other opinions.Thanks.Btw i'm in California


RE: Accepted Case,everything denied! - 1171 - 10-21-2009 01:25 PM

only treatment that meets Utilization Review standards will be approved.
your treating physician has appeal rights for any denials.
you can find out more about UR here
http://www.dir.ca.gov/dwc/UR_Main.htm
you can file a complaint with the Division of Workers Compensation
http://www.dir.ca.gov/dwc/FORMS/UtilizationReviewcomplaintform.pdf
P.S. you can go to your user profile and update your location with your state so it doesn't have to be posted each time.