Legal Question in Workers Comp in California
My sister inlaw has workers comp life time medical from calif but no washington will take it why not
1 Answer from Attorneys
Doctors licensed outside California are not familiar with how to collect from California insurance adjusters. The elected officials in California made collecting for treatment all by impossible: the doctor must be on the insurer's Medical Provider Network, then the doctor must ask for any treatment using TWO forms -- the RFA plus the PR2 -- then the treatment gets denied by hacks out-of-state paid to deny all treatment, then the doctor does not get the okay to treat unless an IMR at Maximus, a nameless, faceless 'physician' (we suspect strongly it's a secretary) authorizes the treatment denied by the out-of-state hack... and 90% of the Maximus 'doctors' denied all treatment requests. SO ANYBODY WHO LEAVES THE STATE WITHOUT GETTING CASH FOR TREATMENT RIGHTS walked away from their treatment for nothing.