G
greg hines
Guest
What is the name of your state? Texas.
Today Workers Compensation denied my claim for benefits.
1) CHF, (Chronic Heart Failure) "Is not covered". "It is a sickness".
2) "The thirty day rule applies" I first saught treatment in Sept. 23, 2002. I had an artificial heart valve implanted in November.
3) I used my group insurance to pay for my medical expenses and payed the co-pay out of pocket. He said I could have used "one or the other", but since I chose my group carrier I could not use W/C.
1) It wasn't until I read the medical records and it said, The heart is significantly enlarged from the prior X-Ray and I did some research did I realize it was work related.
2) I did notify my employer within thirty day after my research.
3) In Sept. I went to the Dr. because I had a problem. I continued to work until I was admitted. My last visit was to the Emergency room. From there I went to intensive care for two weeks, I was supposed to call my employer and file a claim for W/C?
The one thing that I don't understand, the adjuster denied my claim before he had any medical information!? Before he ask the Doctors if it related to my employment. How can a decision be made without all reasonable information?
Can I pursue this claim or am I beating a dead horse.
Thanks for your advice.
Today Workers Compensation denied my claim for benefits.
1) CHF, (Chronic Heart Failure) "Is not covered". "It is a sickness".
2) "The thirty day rule applies" I first saught treatment in Sept. 23, 2002. I had an artificial heart valve implanted in November.
3) I used my group insurance to pay for my medical expenses and payed the co-pay out of pocket. He said I could have used "one or the other", but since I chose my group carrier I could not use W/C.
1) It wasn't until I read the medical records and it said, The heart is significantly enlarged from the prior X-Ray and I did some research did I realize it was work related.
2) I did notify my employer within thirty day after my research.
3) In Sept. I went to the Dr. because I had a problem. I continued to work until I was admitted. My last visit was to the Emergency room. From there I went to intensive care for two weeks, I was supposed to call my employer and file a claim for W/C?
The one thing that I don't understand, the adjuster denied my claim before he had any medical information!? Before he ask the Doctors if it related to my employment. How can a decision be made without all reasonable information?
Can I pursue this claim or am I beating a dead horse.
Thanks for your advice.