What happens if I get a bill from a doctor or hospital?

Answer

If you get a bill from a doctor or a hospital for treatment that relates to your work-related injury, you should not be paying it. The workers’ compensation insurance company is responsible for that. What I tell clients when that happens—and it does happen fairly often—is take that bill, call your lawyer, send it to them, and say, “Hey, I got this bill in the mail.” The lawyer should then handle it from there. Sometimes, the bill you receive isn’t in the correct format that the workers’ comp insurance company uses to process payment. So your lawyer will request a copy of the treatment records for the services that led to the bill, and also ask for the bill itself in the proper form with procedure codes and all required information. Then your lawyer will send those documents to the workers’ comp insurance company with a demand stating, “My client received this bill for treatment related to a work injury. Enclosed are the records and the bill. Please pay it in accordance with the Workers’ Compensation Act or the fee schedule.” That schedule defines the standard rates doctors can charge for workers’ comp cases. Once the demand is sent, the insurance company has 21 days to pay. If they don’t, your lawyer can file a petition in Workers’ Compensation Court to get that bill paid.

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