Require Legal Action Now
Thursday, January 29th, 2009If your claim is denied, no medical or compensation benefits will be paid, and the clinic that provided emergency medical care will start billing you. You must file a request for hearing within 70 days of the date of the denial letter on the form included with the denial letter. The only excuse the hearings officer can accept for not filing on time is that you can prove that you did not receive the letter and form. You must make sure that you gave your correct address on the C-4 claim form, and that you called the third-party administrator if you moved immediately after filing a claim. If you did move and have not received a denial or acceptance letter within 30 days after you first got medical care and filled out a C-4 form, call and find out if the acceptance or denial letter was sent to your correct address.
If you file an appeal from a claim denial letter, and you lose after the first hearing, you must file a further appeal with the Appeals Division within 30 days.
If the letter from the insurer says that the claim is accepted, read what the letter says about what body parts are accepted. If you injured your left wrist, but the letter says that only your left knee is accepted, you need to get an amended acceptance letter, or appeal that letter within 70 days.
Let’s talk about smoking laws. It is getting harder and harder nowadays to find any establishment where smoking is accepted. Places of employment are no exception. Most states require that you refrain from lighting up a cigarette until you are at least 25 feet away from the entrance to any building or in the confines of your own car, with the windows rolled up. If you are one of the few companies who do allow smoking, it is important to set certain guidelines of where the designated smoking are in the building at that any smoking should be reserved for only in that area. This will give your employees the freedom to go and smoke but will give your other employees who choose not to smoke the luxury of not having to breathe in any second hand smoke.