Your Workers' Compensation Claim Was Denied: Now What?

When you're injured at work, you should generally expect to be able to collect workers' compensation for financial support until you're recovered and able to return to work. Unfortunately, the process of applying and getting approved for workers' compensation can be drawn out and complex. Furthermore, it's not uncommon for claims to be initially denied. If you've recently received a denial notice for a workers' compensation claim, you may be wondering what to do next.

Find out the Reason for the Denial

First and foremost, try not to panic. Yes, it is stressful that your claim was denied—especially if you're in need of financial assistance in the meantime. However, denials are common and they can most likely be successfully appealed. The first thing you'll want to do upon finding out about your claim denial is to find out the reasoning for it. By law, this should be outlined to you in your rejection letter. One of the most common causes for claim denial, for example, is missing paperwork or documentation.

Research the Formal Appeals Process

Next, become familiar with the formal process you'll need to go through in order to file an appeal. This can vary from one state to the next but will typically involve submitting additional paperwork along with attending a hearing upon request to have your case individually reviewed.

Gather All Your Documentation

Before you file a formal appeal for a workers' compensation claim, you'll also want to go through and make sure you have all your necessary documentation lined up. This includes any and all pertinent hospital bills and other medical bills that are related to your workplace injury or illness, along with doctor's notes and the like.

Consult With an Experienced Attorney

One of the best decisions you can make when considering a formal appeal is to consult with an experienced and knowledgeable workers' compensation attorney. He or she will be able to review your case individually, provide you with guidance for filing your appeal, and even attend your appeal hearing if needed. You shouldn't try to go through the complex appeals process alone.

Having your claim for workers' compensation denied can be scary, but the good news is that you can likely have the denial overturned by simply going through the appeals process. From there, you can hopefully get approval for the compensation you need for your medical bills, lost wages, and other related expenses.

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