Legal Question in Workers Comp in Maryland

the commission further finds that the employer and insurer shall authorize physical therapy and pay caually related medical expenses in accordance with the medical fee guide of this commission. so after receiving physical they refuse more physical therapy so my doctor give me a procedure order to get mri had appointment scedule and day before my appointment mri called and stated insurer not paying for and received letter same day to see ime 3 weeks later.what does causally medical expenses mean and should the insurer authorized the treatment since i wasn't seeing ime 3 weeks later.


Asked on 2/27/13, 3:02 pm

1 Answer from Attorneys
Robert Sher Wagshal and Sher

Causally related means those medical services needed to treat the injury that you incurred in this accident. The insurer is trying to avoid paying for further such treatment by getting an ime report that will support their position that the treatment you are now seeking is not causally related. If they get such a report, you will have to get your doc to write a counter report and then file for a comp hearing seeking a ruling in your favor. If you don't have an experienced workers comp attorney you really need to get one asap.

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Answered on 2/28/13, 8:33 am


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