In DC workers comp, do I have to get every doctor visit approved by the insurance company?

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No, but unfortunately, a lot of doctor's offices think so.

Here's how it works when you're on DC workers compensation.

First, you can choose your own treating physician - that is your right under the D.C. Workers Compensation Act, so don't let the insurance company tell you otherwise.  Sometimes the adjuster or nurse case manager will tell you that you need to select from a panel or that they have a list of approved doctors to choose from.  Make your own choice - get a referral from friends and relatives or call us to see who our clients like.

Once you choose that doctor, they do not have to get every appointment authorized by the workers comp adjuster - this is a big waste of time, and many adjusters won't even do this.  They won't call back or fax a form to the doctors office in time for your appointment and sometimes the doctor will cancel the appointment if he doesn't get this pre-approval.

All the doctor has to do is send the bill and report to the adjuster for payment after he sees you.

Specific treatment and tests - surgeries, MRI, physical therapy, etc. need to be approved, but this doesn't apply to routine visits with your treating physician.

Questions on workers comp?  Call us at (202) 393 - 3320.

Frank R. Kearney, Attorney-at-Law
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Experienced DC Workers' Comp, Long Term Disability & Accident Lawyer