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Home - BizTech - Denied Medical Claim -What To Do Next?
BizTech

Denied Medical Claim -What To Do Next?

Joe CalvinBy Joe CalvinNovember 29, 2021No Comments3 Mins Read
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Filing for workers’ compensation is not as easy as it may appear. As with any conventional insurance claim, several aspects determine whether you are bound to get that insurance claim or not.

There may be several reasons why your Insurance claim must have been canceled. Suppose you are sure that the injury that happened to you was caused entirely by you at the workplace. In that case, you must consult a workers’ compensation lawyer in Virginia to get professional advice.

Reasons why your worker compensation claim can be denied:

  • Missed timelines: To receive your compensation, you must ensure that you file a claim within the provided time itself. In certain states, some laws state that you should file your Insurance claim within a specified time from the date of the injury. If not done, your Insurance claim can be rejected by the insurance company. Your lawyer can help keep up-to-date with the timelines and ensure that you file the claim within the asked time.
  • Not sure if the injury is work-related: Your employer or the insurance companies may state that you were involved in misconduct when you encountered that injury, or they may claim that the injury that you got is not work-related. So to prove that your injury is work-related, you will need witnesses that will account for the incident that took place and you were injured due to it.
  •  Your injury or illness has not met the guidelines: Every state has different criteria that count your injury under work-related injury. Workers’ compensation claims are not feasible for injuries influenced by long-term mental work-related stress in certain jurisdictions. In some particular conditions, your injury might not have been that severe to meet the guidelines mentioned by the state. 
  • Filed the claim after resigning: Insurance companies generally reject the claims post the employee was terminated or has resigned. There may have been a situation where you reported the injury, but no one responded to it, or you were terminated because you were flagging the injury caused at work. Some states have laws for worker compensation claims after leaving the job. You must consult your lawyer to learn more about these laws.
See also  The Top No-Contact Internet Providers

What should you do if your worker compensation claim was denied?

If your claim gets rejected after your appeal, do not give up that easily. You must go through the rejection letter and draw key inferences from them as to why your claim got denied. If it was dismissed because of some paperwork mistake, you could get that figured out through an application. However, even after discovering that your claim is still being rejected, you must seek some professional help from an experienced Worker Compensation Lawyer.

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Joe Calvin
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Joe Calvin is a seasoned tech writer who brings clarity to apps, software, gadgets, business, and future innovation. With over a decade of experience, he blends expertise with storytelling to deliver content that keeps readers informed, inspired, and ahead in the fast-moving world of technology.

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