Denied Claim

Denied Workers’ Comp claims are medical claims that have been received and processed by the payer, but have been marked as unpayable. These “unpayable” claims typically contain some sort of error or lack of prior authorization that became flagged after the claim was processed. Denied Workers’ Comp are claims that were received and processed by the payer and deemed unpayable. These claims may violate the terms of the payer-patient contract, or they may just contain some sort of vital error that was only caught after processing. A denied claim cannot simply be resubmitted. Sometimes the reasons are valid, such as not submitting the required documents on time or not having medical evidence of your injury. Employers and insurance companies, on the other hand, will sometimes invent reasons to dismiss work injury claims. Our qualified, committed, and enthusiastic work comp Denied Claim Lawyer will assist you in appealing the judgement if your job injury claim was refused. There are deadlines for filing the proper papers to appeal the denial of your claim, so don’t wait.contact Denied Workers’ Comp.

Every state has its own workers’ compensation laws, which are contained in statutes, and vary somewhat from state to state. Under workers’ compensation, employees are entitled to financial benefits if they are injured while performing their job duties. There are many reasons why a workers’ compensation claim may be denied. Reasons include : Insufficient evidence or documentation, Failure to report the injury promptly or at all, Failure to seek treatment from an employer-approved physician, Pre-existing conditions.

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Denied Workers' Comp Lawyer

Each state employees their version of a Worker’s Compensation system. Sometimes the reasons are legitimate such as failing to submit the proper forms in time, or failing to have medical evidence of your injury. However, sometimes employers or insurance companies will make up excuses for denying work injury claims. If your work injury claim was denied our qualified, dedicated, and zealous Denied Workers’ Comp Lawyer will help you to challenge the decision. Don’t delay, because there are deadlines for filing the necessary papers to contest the denial of your claim.

When an insurance claim is denied, the responding insurance company is refusing to pay for the requested damages at that time. With some convincing or further investigation, an insurance company can reverse its denial and pay some or all of the damages noted in the claim.
Rejected claims are sent back because of errors, not because the insurer concluded they were unpayable. For example, if your medical billing software provides incorrect information that your billing staff doesn’t catch, the claim will be rejected.
Whether by accident or intentionally, medical billing and coding errors are common reasons that claims are rejected or denied. Information may be incorrect, incomplete or missing. You will need to check your billing statement and EOB very carefully.
If your claim has already been rejected or denied because of a data entry mistake, you can always call the insurer and ask for a reconsideration. Claim denials can often be resolved over the phone, but you can also submit an appeal in writing.

We can assist you in your workers' compensation case.

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Practice Areas

Guiding you through your
workers’ comp claim

Work Injury

Workplace injuries are injuries or illnesses that occur in relation to employee's job or workplace.
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Construction Accident

Construction accidents are result of injuries sustained as a result of endeavors to construct place.
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Hearing Loss

Hearing loss is the loss of hearing in one or both ears, that can range from mild to profound.
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Stress Claim

A worker can make a claim for stress if it has caused a psychological injury, which needs a medical diagnosis.
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Back & Neck Injury

Injuries to various parts of the body can ruin your quality of life and impair your ability to work.
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Hand Injury

It is very common to experience pain in your hands when your job duties require repetitive motions.
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Leg Injury

Hip, knee, ankle, and foot ailments can make it difficult to walk around and do tasks at work.
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Denied Claim

Denied claims are claims that were received and processed by the payer and deemed unpayable.
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Spine Injury

Spinal cord injuries can result from damage to the vertebrae, ligaments or disks of the spinal column.
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Practice Areas

We take care of all legal matters
in the following practice areas.

Work Injury

Workplace injuries are injuries or illnesses that occur in relation to employee's job or workplace.
Learn More

Hearing Loss

Hearing loss is the loss of hearing in one or both ears, that can range from mild to profound.
Learn More

Stress Claim

A worker can make a claim for stress if it has caused a psychological injury, which needs a medical diagnosis.
Learn More

Hand Injury

It is very common to experience pain in your hands when your job duties require continuous repetitive motions.
Learn More

Denied Claim

Denied claims are claims that were received and processed by the payer and deemed unpayable.
Learn More

Spine Injury

Spinal cord injuries can result from damage to the vertebrae, ligaments or disks of the spinal column.
Learn More

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