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Workers Compensation Attorney FAQ
Serving all of Pennsylvania
The insurance company stopped paying my bills. What should I do?
Payment to health providers for treatment rendered must be paid within thirty days of receipt of bills and records unless the employer/carrier disputes the reasonableness and necessity of the treatment. If the whole bill is not disputed, then the parts of the bill that are undisputed must be paid within thirty days of receipt of the bill.
If the insurance company disputes the bills, it is up to the medical provider to challenge the non-payment by filing an application for fee review (Fee Petition) with the department. This must be filed within thirty days following notification of a disputed treatment, or, within ninety days from the date that the original bill was sent.
If the employer/carrier refuses to pay the bills based on the allegation that there was a lack of causation, then a workers compensation Judge (WCJ) has jurisdiction. The WCJ can then determine whether the bills are casually related to the work injury.
The WCJ may award up to 50% of the amount of the unpaid bills as a penalty if the WCJ finds that the employer is in violation of the Pennsylvania Workers' Compensation Act for failure to make payment.
Note: If the insurance company refuses payment of medical bills, you should immediately consult with a workers compensation attorney at Michael J. O'Connor & Associates.
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The workers compensation attorney team at Michael J. O'Connor & Associates is ready to begin tackling your legal problem today. Email or Call our toll free number at 1.800.518.4LAW for a free initial consultation and review of your case.
