Nobody wants to get hurt at work. However, if you are injured on the job, you should always be able to count on workers’ compensation insurance to cover your expenses. If your case is being pulled in for a review, you may need to seek help from a Santa Ana independent medical review lawyer. At JML Law, we are ready to be your advocate. Let our knowledgeable and experienced team get to work on your case so we can ensure you continue receiving your benefits.
Chances are, you have never heard of an independent medical review unless your case is being put before one. An IMR is a process used in California to resolve disputes over workplace injuries and their treatment. These disputes will arise when a utilization review (UR) from the insurance carrier or your employer is denied the medical care recommended by the doctor in your case.
The IMR process is fairly recent. It was created in 2013 and applies to all injured California workers, regardless of when they were injured.
If your workers’ comp insurance provider or employer denies coverage, you will receive an “Application for Independent Medical Review” that must be filled out and sent back within 30 days of receipt.
You are not responsible for the costs of an independent medical review. This will be paid for by your employer or insurance provider.
For the latest reporting year in California, there were 184,733 denials or modifications of care letters sent to injured California workers, and this number has been increasing each year. Each year, the IMR will uphold the denial of coverage around 90% of the time. That is why it is so vital that you seek assistance from a Santa Ana independent medical review lawyer as soon as you receive notice.
There were approximately 2.8 million nonfatal workplace injuries or illnesses in the United States during the latest reporting year, according to the Bureau of Labor Statistics. Many of these require extensive care that could be challenged by employers.
If you or a loved one have suffered from a work injury, you should never have to fight to receive the compensation you deserve. However, there may be a time when your case is set to be seen by an independent medical review because your employer or the insurer is disputing your claim. At JML Law, we are going to do everything possible to keep your benefits coming. This includes:
Every case is unique and needs to be evaluated by our experienced lawyers. If you have been injured in a work-related accident.