Workers' Compensation Client Assistance
My check or direct deposit didn't arrive on its normal day. What should I do?
Although checks and/or direct deposits may normally arrive on a particular day, there are certain factors that can cause your mail to be delivered late, sometimes as much as 5 or 6 days. If your check or direct deposit doesn't arrive when it usually does, please wait one week. If it still hasn't arrived at that time, reach out to Matt through the Case Status app and/or by text message.
I just received a document in the mail. Did Matt get it?
Matt should receive a copy of (a) all mail that comes from the Department of Insurance, (b) all mail comes from your insurance carrier, and (c) any forms that are submitted by your doctors (including your designated doctor) with the state. Check to see if Matt's name is listed as someone receiving the document. If it is, there is no need to contact us to make sure we got it.
The insurance company refused to approve medical treatment requested by my doctor. What happens next?
Matt can ask for the insurance company to reconsider its decision. If it doesn't change its mind after it is asked to reconsider, he can ask for an independent organization to review the decision. This process usually takes about 30-60 days after Matt makes his initial request for reconsideration.
The insurance company hasn't responded to a request to approve treatment. How can we get it approved?
The insurance company is supposed to respond to requests to approve treatment within a very short time-frame, usually only a few days. If your request has been pending for more than a week, Matt can make a demand on the insurance company to issue a decision as to whether the treatment is approved. However, before Matt can make this demand, you (and/or your provider) will need to send us the written request for the treatment.
I received a letter in the mail stating that I have to attend a medical examination. Why is that? What is the reason for the examination?
Matt will normally receive the same letter about your examination at the same time you do, but it may take a day or two for it to be scanned and processed into our system. Once he receives it, he will provide you with more information regarding the details of the examination. However, generally speaking, there are two types of examinations. The letter that you have received should tell you which type of exam has been scheduled.