Do The Insurance Companies Call The Shots When It Comes To Doctor Visits?
No, but unfortunately, a lot of doctor's offices think so. Here's how it works when you're on DC workers compensation.
Doctors Are Not Required To Get Authorization For Each Visit, But Sometimes They Will Insist On It
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. Adjusters won't call back or fax a form to the doctors office in time for your appointment.
But sometimes the doctor will cancel the appointment if he doesn't get this pre-approval. Doctors don't like to have their bills go unpaid, and like you they go to great lengths to avoid setbacks from the insurance company. They fear if they don't have pre-authorization, they could get their payments denied or delayed.
In reality, 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.
Having Trouble Getting The Medical Treatment You Need?
Call us at (202) 393 - 3320 to get the answers you have been searching for. We make it easy to get started and provide income stability and consistent medical treatment after a serious injury.