Workers' Comp Designated Physician Form 113 скачать в хорошем качестве

Workers' Comp Designated Physician Form 113

Episode 68: In this episode, Calloway County workers’ comp attorney Jeff Roberts discusses 2 important forms you’ll need to complete when filing a workers’ comp claim in Kentucky. The first is the Designated Physician Form and the second is the Expense Reimbursement Form. The Notice of Designated Physician Form This is also referred to as workers’ compensation Form 113. You’ll use this form to specify a certain doctor to as your medical gatekeeper. This physician will oversee your care and may refer you to a specialist, if needed. Your designated physician will play a key role in managing your medical treatment. Your designated physician will coordinate the treatment plan. Be aware that your employer may try to have you treat with a specific doctor or medical clinic. This is not always in your best interest. It’s a way for them to control the cost of your treatment. You typically do not want to specific that doctor as your designated physician. You can voluntarily make your initial designation, with the option of changing it one time. After that change, you would then be required to have the insurance company (that’s being paid by your employer) approve any additional changes. Here’s how the game often plays out. You get injured on the job. Your company refers you to a doctor who has a relationship with your company. You may complete Form 113 designating that doctor has the physician in charge of your treatment. Then, that doctor might decide to refer you to a specialist, who may also have a relationship with your company. The worker might be encouraged to designate the specialist. Basically, at that point, you’ve now used up both authorizations and now the insurance company is in control, not you. The insurance company would not be required to approve another change, regardless of how you feel you are being treated or how you get along with that doctor. It’s a game that gets played. Maintaining Control of Your Treatment You have the right to choose your own doctor. You have the right to decide where you want to receive treatment. You have the right to select your own pharmacy. Even though these decisions are your right, the insurance company will try to make you fight for them. This is an important reason you should hire an experienced workers’ comp attorney to represent you. The judge tends to put more value in the comments/orders of the doctor who’s treating you, rather than another doctor who is simply offering an opinion about what type of care you should be receiving. For this reason, it’s important that you maintain control of the physician managing your treatment. Make sure you designate the doctor you want, by properly completing the Form 113. If your employer has a managed care network, you may be required to use someone in that network. However, you have the right to pick the doctor within that managed care network. Should You Designate Your Family Doctor? A few doctors who prefer not to get involved with workers’ comp cases, because the of the extra paperwork and other considerations. However, as a rule of thumb, using Form 113 to designate your family doctor as your designated physician is a good idea. Your family doctor would have the ability to refer you to trusted specialists. There’s always the chance that you might not get along with a particular specialist. Your family doctor could refer you to a different specialist. If you designate the specialist as your designated physician, and they decide to select a different specialist, he/she might not be as willing to make that referral to a competitor. You Can Get Reimbursed for Expenses You can usually get reimbursed for your expenses related to your medical treatment. The Request for Payment or Reimbursement for Compensable Expenses (Form 114) is a fairly easy form to complete. The 60-Day Requirement for Expenses It’s important to understand you have to submit your expenses within 60 days. If you travel to see a doctor or specialist, don’t wait to submit the expenses. Go ahead and get it done so you don’t risk having the expense denied. Remember, mileage expense can quickly add up. Form 114 is submitted to the insurance carrier. Keep a copy of the expense form for your records. Make sure you note when it was submitted. If the form gets lost, you’ll have proof of having submitted it. Jeff Roberts Represents Injured Clients Throughout Kentucky With offices located in Calloway County and now Christian County. Is It Time to Speak with an Attorney about your Workers’ Compensation Claim? The office phone number is (270) 753-0053. Visit https://www.JeffRobertsLaw.com. Podcast provides information and is not legal advice. Principal office: 509 Main Street, Murray. Jim Ray is a non-attorney spokesperson. This is an advertisement.