Tony I just muddle through the system....If a Dr. or Hospital says that Medicare is saying the treatment is part of my workmans comp claim is when I have given them the medical codes and the settlement agreement.....Now I would find it strange that WC has different codes for the same thing? I have no clue? My other 20% is covered by my union as part of my being retired with a disability.
My attorneys pushed hard and said it was in my best interest for me to control it, as they fought me(IC) for over 8 years denying me meds, treatment, you name it.....They also said if the insurance company controlled MSA"my money that was set aside from a 3rd party settlement" expect them to screw with me....I took my team of attorneys word for all of it...Be it right or wrong, it is what it is...Everything was finally settled in 2014.
I am no expert at all, just personal experience from my nightmare that started in 2007!....My mental state is far better not having to deal with WC insurance company.