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  1. #1
    Join Date
    Jun 2014
    Posts
    1

    Default Florida Orthopedics Not Accepting Massachusetts Worker's Compensation Claims

    I have been trying to help my mother locate an orthopedic doctor in Florida that will accept Massachusetts worker's compensation.
    The majority of the orthopedic doctors will not accept the claim due to fee schedule. Has anyone run into this problem
    as well?

    Would appreciate any advice.

    Thank you.

  2. #2
    Join Date
    Feb 2007
    Location
    831 East Morehead St., Ste 355, Charlotte, NC 28202
    Posts
    3,749

    Default Re: Florida Orthopedics Not Accepting Massachusetts Worker's Compensation Claims

    Doctors have no incentive to accept out of state work comp fee schedule fees. The doctor is not required to accept the injured worker as a patient. The out of state comp agency has no jurisdiction over them, so accepting the out of state fees would be purely voluntary by the doctor.

    What normally happens is that the insurance company has to pay the fees charged by the doctor, or some discounted fee that the doctor will agree to take. Most state work comp laws allow for this in the out of state doctor situation. But some adjusters either don't know this or pretend not to know it.
    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

  3. #3
    Join Date
    Nov 2016
    Posts
    2

    Default Re: Florida Orthopedics Not Accepting Massachusetts Worker's Compensation Claims

    I recently had a test performed by a place that doesn't take worker's comp insurance. The lady at the testing center said at first that I could pay out of pocket and try to get reimbursed. I couldn't have done that even if it wasn't a horrible idea, but I was able to get my WC to prepay for services.
    It's a long shot, but it's something I didn't even know was possible a month ago.

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