Anyone know where to find reiumbursment for milage and etc in nj

[AQA]

Mel, all the questions were to help you make up your mind and be at ease with yourself. There is no medical data base that I know of that list every dr. and every pateint. Hence, how would your ic know where to look to see were you went and what treatment was given.

You could go to the hospital and get all the reports and send them to the ic. However, don't you think that would raise a red flag???

Your medical records are protected. No one can see them without your permission. The ic is not going to pay the bill unless they know what happened. I think you should get a copy of your medical reports just for you. But that is another issue.

I will tell you this, I went to the er, spent four days there and had a back surgey before I filed a claim. The ic wanted my medical info. They got it. That was in 05. In 04 I had medical attention for the same thing that put me in the er. In 03 I had medical attention for the same thing that put me in the er. In 03 and 04 I ussed my personal insurance. I don't care if the ic knows about that or not. The fact remains, it is work related.

[mel1980]

ok so what you are saying is wc ins paid for all your bills when you went to the er even though you filed a claim after...I was not even asking them to pay the hospital bill as my ins already paid it and i just have to pay my copay which is 100 which i didnt pay yet....So you think that is the only medical records they are looking for so i should sign the form then

[AQA]

Mel, The insurance carrier payed for all the medical bills including paying me for my copay that I spent while getting my meds. As far as signing the form, I would. But that is just me.

[mel1980]

ok so what you are saying is as long as it is work related they will pay for it? now i have already had am emg done and mri but didnt not tell them that as my employer said not they will want there own they approved the mri havent gotten as far as emg yet

[Pooh]

Mel

The thing is even with you using your own health insurance prior to it going over to WC - it could still be denied on the health insurance side even though it's already been paid - - they do audits all the time. You may have told them at the time, it's not work related because your HR department told you not to report it has a work related injury - well now they have to cover their butts and have to fill out the forms. This also needs to be mentioned that you did tell them way back in September and what they told you. Don't worry about their butts at this time!!! They didn't worry about you and your health until it got to the point where they had to file the claim did they? Why should you cover up for them?

Also your health insurance company will want what it's paid out for a wc claim back from the wc insurance company. Just the same as you would like what you have paid out in co-pays and for meds up to this point.

Trust me if you ever sat down and kept a list of what you have paid in co-pays and what the IC has paid it adds up quickly. I think in a 2 yr period just in doctors and tests alone I spent out $1000 at least - this did not count my medications or cobra insurance. My insurance company paid out roughly another $16,K and that did not count their share of the medications as I did not know their costs just what my co-pay was for that. So your health insurance company can rack up the $$$ quickly for a work related injury that Libery mutal (cough cough) should be paying for. Do you understand what I am saying.

Now I didn't ask for any re-reimbursement of my expenses and neither did my health insurance because of the fact that health and wc were same - self administer by the company - so it was just taking from one putting into another and I guess the company didn't want their rates going higher and didn't mind passing on the higher rates to the employees. But my attorney and the WC IC was well aware of what I have paid out and what my health IC had covered over the years.

As far as the form goes - you can limit the form to the injury at hand - i.e. all records pertaining to the neck, arms, shoulders, hands. I mean why do they need medical records on when you gave child birth for CTS neck injury unless you fell in the hospital and did something to your neck at that time. Now in my case, I let them search for my records as I had 7 yrs of medical records that were overseas - lol hmmmmmm can you say I am not the nicest person to mess with when you make me mad - but all stateside records that I could get, I was more than happy to get copies for my attorney and give to her and then she would forward them to the other side - until we found they were hold back copies from the doctors - so always good to get copies of doctors notes as well from the WC doctors you are seeing as well. You never know when you will find 2 reports for the same treatment date like I did.

However - a good attorney can help you out at this point because your already having problems - first off you were told not to report the injury that is a big flag there. Did the company have insurance at the time of the initial injury? what if they didn't - it could very well be denied if they didn't. This is why you need to be honest. Most likely they did have insurance they just didn't want the report on their record because it may raise their insurance rates.

2ndly an attorney can help you with doctors that may not be listening to you - maybe he can get the adjuster to get you to a doctor that will listen to you and get you the help that you need.

Yes you will lose 20% of any settlement when it gets to that point- however, let me tell you it's well worth it to avoid all the stress that you can go through on your own.

Also as some have found that have major pain to begin with - there is more wrong with them than just CTS - some have TOS (thoracic outlet syndrome) which is hard to treat - some end up with RDS - another very very bad nerve disorder that is very painful that can happen after surgery or even an injury - and others need multiple surgeries to fix the problem. It's great to have that person that will fight with the IC for your rights.

I am one of the few that have not had surgery of any kind because of what I have going on - doctors have always just said wait until I lose range of motion in my shoulders because if I have surgery at this point it will make matters worse. (I have tos from my injury with muscles that no longer work properly because of PT that was not for the right type of injury). So I am a wait and see case - but it will be done under my health insurance no matter what and with my choice of doctors because I loss that part of my case in court which is fine with me - I don't have to see their crappy doctors.

But at the same time if I had not had an attorney I wouldn't have gotten any treatment after the first 3 months of the initial injury to my shoulders either.

[sparkey]

okay Mel here we go. I am going to tell you what happened to me and all you have to do is be up front and truthful. You can choose to get a lawyer if you want like the rest suggested but it is almost a year after my injury and i chose to do this sofar on my own. I luckily have not had a reason to contact a lawyer at this point.

About 5 yrs ago my hand started tingling and going numb causing me to drop things. My type of job i have to hold a needle with that hand. I could not work anymore one day due to not being able to open packages of needles and drawing blood. I was told to fill out a wc form. I had gone to about 5 doctors over the 5 yrs and had many tests. EMG , MRI etc for my hand while working elsewhere and not claiming it as wc.

I had the carpal surgery on that hand in 98. Nothing was done when it reaccured just recently. It would go away over the years and then come back to the point where this year at this NEW job i had to go on wc because of it. So you see i had many test for this injury before while working another job.

When i got hurt this year in Jan. i had to tell all the doctors my symptoms and i told them all i had a EMG and MRI years ago for that same problem. It does not matter what happened years ago as long as you had that happen on THIS job and had to leave due to it.

Be up front and honest with your test of the past. They will repeat the EMG now even though it was 2 months ago. Maybe have to fight for another MRI as it is much more expensive. They will NOT say anything about your past history of this injury. They are going by what happened NOW at work when you had to leave. They have NEVER brought up my past with this injury except that i had carpal surgery already on it in 98.

Carpal tunnel surgery can be repaired like others have stated there may be complications. The worse that could happen to you is that you need surgery for it and then therapy and then if all goes okay they will send you back to work. You will not possibly get any settlement if you return back to work with your same position unless you are considered permanent injury and maybe have to go to rehab for a new type of job etc.

It is way to early to tell what is wrong with you, and if someone is willing to preform that surgery. They will try EVERYTHING as far as meds, braces, therapy before they do it. Do not think of settlement , just think of how you are going to get well and get back to work.

Settlement is a long way down the road for you right now if any at all. Be honest is # 1. If you feel the need for a lawyer by all means get one. I wish you luck in your injury.

[rholmes]

Mel,

When I first injured my back and shoulder I didn't even know what w/c was so I went to my own doctor. He told me it was work related and I should tell my employer. I never had a problem until about 5 years ago when I had a back flare up and I decided since I was off with my back I would get my knee taken care of. Well they refused the knee because they said they didn't know anything about it. It took 2 years before they excepted it by then I had already had the surgery and was back at work my ortho did it on a lien. 16 years later I still have not settle. But right now they are refusing to let me work because their doctor said I was to injured to work. I got copies of his report, they had everything!!! my first child to my last every surgery i ever had. when my mother died EVERYTHING .. I didn't care because I had nothing to hide. I am not going to tell you to get an attorney, because you have been told by others at least 30 times. What I will say is you decide, sit yourself down and think about this nightmare you have found yourself in and if you are confused call someone and get advice. I would hate to advise you of something so important and it turns out to be wrong and blows up in your face. So you decide what is best for you and your family no one else can do that for you. If you have nothing to hide i don't see a problem. It matters not that you seeked medical attention somewhere else before you knew it was work related.,What matters is you got hurt while doing your job.