At Kaufman Law, P.C., we believe workers should never foot the bill for job-related injuries or illnesses. The Georgia workers’ compensation system provides a means of financial recovery to injured workers in most situations. If for some reason the state board denies an injured employee medical benefits, we can step in and protect the worker’s rights. Our team works hard for Georgia’s injured workers so that employers and insurance companies never take advantage.
Why Might You Receive a Medical Benefits Denial?
It is an unfortunate reality that many initial medical benefit claims face denial, forcing the applicant to either apply again, request a review, or appeal the decision. The first step in fighting a denial is knowing why it happened in the first place. Your employer, your employer’s workers’ compensation insurance carrier, or the Social Security Administration (SSA) should have issued you a letter explaining why it denied your request for medical benefits, depending on what type of benefits you sought. This letter could state that the agency denied your claim on grounds such as:
- You do not fulfill your employer’s requirements for insurance benefits, as the employee handbook or other official document lays out.
- You are a part-time employee who does not qualify for medical benefits like full-time employees.
- You missed a filing deadline or did not meet some other filing requirement.
- The insurance company believes medical treatment is not necessary for your injury or condition.
- You did not include enough evidence or documentation of your injuries and medical costs.
- You did not visit an approved physician to qualify for workers’ compensation medical benefits.
- Your employer’s health insurance company limits coverage for certain injuries or illnesses.
The Georgia workers’ compensation system has to pay for injured workers’ doctor’s appointments, hospital stays, scans and x-rays, surgeries, medications, physical therapy, and specialist referrals, as long as the employee qualifies for medical benefits. In many cases, an insurance company will deny medical benefits simply because it can. Going up against insurers for unfair or unfounded denials can result not only in payment for the medical treatment, but extra benefits because of the initial denial.
Get an Attorney for Your Best Chance at Fighting a Denial
Medical bills can reach into the hundreds of thousands in worst-case scenarios. You shouldn’t have to pay these costs out-of-pocket if your injury occurred at work. An Atlanta workers’ compensation attorney can make a world of difference in the experience and outcome of your medical benefits claim. Whether you’re applying for workers’ compensation benefits in Atlanta or through the Social Security system and receive a denial, the team at Kaufman Law, P.C. can help you fight for the benefits you deserve.
Our attorneys have represented clients throughout Georgia for more than four decades, with a long history of exceptional case results. With zero up-front costs and attorney’s fees only if we win your case, we’re an option that comes virtually risk-free. We understand medical benefit denials in Georgia inside and out and have years of experience to back us up. With so much on the line after suffering an injury, don’t trust just anyone with your case. Come to Kaufman Law, P.C. for attorneys you can count on. Call (404) 355-4000 to schedule your free case evaluation.