If you have a workers’ compensation case, there is a new case that has come out which allows you and your doctor to obtain medical treatment under the workers’ compensation system where the Request for Authorization has been submitted by the doctor and denied in Independent Medical Review or denied by the insurance carrier.

This new case indicates that if the doctor notes a material change in circumstances, the doctor can re-request medical treatment for you even though it has previously been denied by the insurance company. This new case also indicates that where there is a change of circumstances in your medical condition as discussed by your treating, you treating physician now has the opportunity to mark that a change of circumstances has taken place and re-request of the insurance company your medical treatment.

Therefore, you can go ahead and talk to your doctor about your medical treatment, and where a change has occurred, your doctor now has the opportunity to request the medical treatment for you. For further information and questions, please contact Metzinger & Associates, Attorneys at Law at our website metzlawonline.com