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  1. #1
    Join Date
    May 2012
    Posts
    4

    Default Partial Thumb Amputation at Work

    Hello all I have a problem that I hope I can get some advice on, I was hurt last year I cut the end of my thumb off at work, now I went to the doctor and had the my thumb sewn up and my last doctors visit was march of this year. now the problem is the doctor told me back when I first starting visiting him that I would get am inpairment rating at the end of my visits. well the problem is that on my last visit my docoter had a sub come in to c me. well i didnt mention the impairment rating I just figured my reguler doctor would send the info in to the insurance office. well he didnt. now im going on week 3 with the claims adjuster and the doctors office trying to get them together on this. the claims adjuster said she got the last message from the doctor saying my visits are over but the doctor didnt sent a impairment rating so I want get a check until he does. well I talk to the doctors office and say they have sent the insurance adjuster all the papers she need. so now I feel like I am just getting the runnaround here because they act like they cant get a hold of each other and resolve this. I dont have a problem getting them on the phone myself. I thinking about getting a lawyer involved and c If I can get it dont that way. but dont know for sure I dont want to spend money on a lawyer if I can get it resolved without one. I just feel frustrated bacause I think this could have be done in one day and now 2 weeks later still no check. the last time I talked to the insurance lady she said she would call the doctors office that day and get them to send her an impairment rating and she would send me a check when the rating came in that was on monday and now its saturday and nothing so im stuck. I ran out or unemployment two week ago and I did talk to a lawyer at first and he said I should get around $18000 and that money would change my life right now. but I dont have a thing right now and in need of the money. so any advice is welcome and thanks.

  2. #2
    Join Date
    Oct 2006
    Posts
    9,078

    Default Re: or Advice

    i doubt your insurance lady promised you a check in 2-3 days or even a week.
    you made an assumption about when it would happen.
    payment of impairment benefits takes a lot longer.
    usually many months and lots of paperwork--even with an atty.
    legal documents have to be prepared signed and sent to the court for approval.
    the process is not fast.

  3. #3
    Join Date
    Feb 2007
    Location
    831 East Morehead St., Ste 355, Charlotte, NC 28202
    Posts
    3,754

    Default Re: or Advice

    You can get a copy of the office notes from the doctor's office and see if the rating paperwork is in there like he says. If so, share it with the adjuster. If not, call his nurse and ask him to "re-do it." Try not to anger the doctor by accusing him of not taking care of it up to now.
    The North Carolina Court of Appeals has held that "In contested Workers' Compensation cases today, access to competent legal counsel is a virtual necessity." Church v. Baxter Travenol Labs, Inc., and American Motorists Insurance Company, 104 N.C. App. 411, 416 (1991).

    Bob Bollinger, Attorney and Board Certified Specialist in NC Workers' Compensation Law

  4. #4
    Join Date
    May 2012
    Posts
    4

    Default Re: or Advice

    Quote Quoting complwyr View Post
    You can get a copy of the office notes from the doctor's office and see if the rating paperwork is in there like he says. If so, share it with the adjuster. If not, call his nurse and ask him to "re-do it." Try not to anger the doctor by accusing him of not taking care of it up to now.
    Thanks I will try that but I dont trust the docoter hes a company doctor not my doctor, and the reason why I exspected the money so soon and not several month from now is just because I received my other money very shortly, they payed my gas for driveing to the doctors office and I sent them the paper saying how many miles I drove per visit and I got the check from them a week later. so I just assumed that I wouldnt have to wait a month to get the last check. and I also think that its a pretty cut and dry case the docotor didnt send a impairment rateing with the final notes on the doctors visit, they know it because I told them so 2 weeks ago, it was varified through my employers office worker and by the claim adjuster. dont know if I will higher a lawyer but I dont know my rights in this case. and tired of playing medeature and calling both parties when I think they can call each other or the claims adjuster can call the office and get the doctor to send her this imformation because all Im getting is a sempathy rube off they sound nice on the phone and want to help but they cant seam to get together and fix this. I mean I think this should have been done in one day not 2 week and going just to get a number or rateing. I woulnt care if it took a couple of month for my check to arrive all the claime adjuster has to say is that she has all the information and it is being processed but she dosnt have it and cant move forward until she does. so to me the doctors office is draging their feet on this issue and I dont know why. if im not going to get a impairment rating of I dont deserve one for my peice of severed thumb then they could have just told me that and I would move on. but that isnt the case either the doctor told me I would be getting one and then at the end that was sorta forgotten.

    ---------- Post added at 10:22 AM ---------- Previous post was at 10:17 AM ----------

    p.s. on the reply down below I tried to get in to c the doctor so that he may c my thumb and give me an impairment rating but the office worker told me that I couldnt make an anpointment that my claim adjuster has to aprove it. I didnt tell my claims adjuster that the office worker told me she would call and c if it would be approved but I never got a call back on that. that was the first conversation in week one. I will call in the morning and c if she called the office like she said she would and c if she got the report.

  5. #5
    Join Date
    Feb 2007
    Location
    831 East Morehead St., Ste 355, Charlotte, NC 28202
    Posts
    3,754

    Default Re: or Advice

    My guess based on the facts you are giving is that you will need to go back to see the doctor for the purpose of getting him to assign the impairment rating. You will need the insurance adjuster to authorize that visit before the doctor's office will set it up for you. If you are sure the doctor has not rated you up to now, and if you are at MMI, then the first call should probably by to the adjuster--please authorize a doctor's visit so I can go in and get rated. Once that happens it will take a couple weeks at a minimum to get all the paperwork done and get yourself a check. It may take months even to get it all done.
    The North Carolina Court of Appeals has held that "In contested Workers' Compensation cases today, access to competent legal counsel is a virtual necessity." Church v. Baxter Travenol Labs, Inc., and American Motorists Insurance Company, 104 N.C. App. 411, 416 (1991).

    Bob Bollinger, Attorney and Board Certified Specialist in NC Workers' Compensation Law

  6. #6
    Join Date
    May 2012
    Posts
    4

    Default Re: or Advice

    Thanks complwyr I will do that on monday, I just could use the money right now and if I have to borrow money until I get a check I will. but thanks for the advice to all of you that responded.

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