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The top reasons for denial of worker’ compensation claims

Mississippi work injuries can occur in virtually any industry, from construction sites to office jobs. If your injuries prevent you from working, you may qualify for workers’ compensation. At Wood, Carlton & Hudson, P.C., we often assist clients in filing claims and fight for those with denied coverage.

PayScale reports that workers’ compensation can be complex. Even if you deserve compensation, you may receive notification of denial. There are several reasons this can happen.

You must report the injury to your employer immediately. Failure to do so could make proving the injury occurred on the job difficult.

Injuries that occur at work, but are not related to job duties, are often denied. For example, there is a game of trash can basketball at the office. You go up for a 3-pointer and come down awkwardly, tripping over the leg of a desk, breaking your ankle. The injury likely will not qualify for workers’ comp.

Going to your own doctor after sustaining an injury at work could result in a denied claim. To have medical bills covered by workers’ comp, the health care provider must be part of the employer’s insurance network. If your doctor is outside that system, you may be responsible for the cost.

The doctor must have all the details related to the circumstances surrounding the injury. If you leave information out, some treatment may not have insurance coverage. This can occur when employees do not describe the aches and pains in other areas of the body related to the injury.

The claims process is time-consuming. Filing for coverage requires that you provide detailed documentation and meeting the deadlines can be a challenge. An experienced professional can help you through the process to achieve the best possible outcome. Visit our webpage for more information on this topic.   

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