Workers Compensation Claims
Your initial appointment must be scheduled by the worker’s compensation insurance case manager assigned to your work–related injury claim. The case manager will provide our orthopedic surgeons with the required authorization for reimbursement for services rendered as well as other information related to the status of the injury.
If your claim has been denied and/or is being litigated, we cannot schedule an appointment unless the case manager requests and authorizes a second opinion.
If you have received a PPI rating or the case is closed or denied, you must provide a letter from the worker’s compensation carrier that states the status of the claim before an appointment can be scheduled.
We can’t schedule appointments for patients where the claims must be filed to a third-party payer (e.g., homeowners insurance) for reimbursement.
Private healthcare insurances will not accept liability claims when another payer is responsible for reimbursement.
Failure to fully disclose information relating to your injury at the time of scheduling an appointment could result in cancellation of your appointment or non-payment of the claim. If this happens, you will be responsible for your bill.