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Many injured workers are denied medical benefits, which makes it too difficult to recover and get back on the job. Denial of medical treatment is very common in Los Angeles. If you have been injured on the job, you may be entitled to receive medical care for your injuries through your employer’s workers compensation insurance. While workers’ comp is supposed to provide benefits for most workers, these benefits are funded by insurance companies, which means they have the authority either to approve or deny your claim.

Why are these claims denied?

In order to be eligible for these benefits, you will have to comply with some specific deadlines. In California, you have up to 30 days to report your injury. Also, you must file your workers’ comp claim within one year if the insurance company hasn’t provided any benefits, and up to five years if they provided some of the benefits. Unfortunately, many insurance companies become suspicious when the claim is filed too long after the alleged accident occurred and they may think the claimant is lying. In order to avoid confusion or your claim being denied, it is best you file your claim in a timely manner and hire an experienced Los Angeles Medical Benefits Attorney to protect your interests.

Off-site and pre-existing injuries

Claims are sometimes denied because the employer believes that the injuries didn’t happen at work or if you had a preexisting condition. To qualify for medical benefits, workers must be injured while working. If you were injured while off the time clock, you may not qualify for medical benefits. Also, if you are injured while commuting, unless you were conducting work-related business, your claim may also be denied.

The same rule applies to pre-existing injuries. If you have a condition due to a previous accident and the condition is made worse due to a recent accident at work, the insurance company may claim that your injuries were caused by your pre-existing condition and they will try to minimize your benefits.

Minor injuries

Some injuries are not serious enough to require medical intervention or time off from work. If you take too long to file your claim, the insurance company may feel your injuries aren’t that severe. This is why it is important you get treatment for your injuries as soon as possible. You are entitled to receive medical benefits only while you are recovering from work-related injuries.

What to do if your claim is denied

It is common for insurers to deny claims in order to maximize profit. If you believe your claim was wrongly denied, it is important you hire a Los Angeles Medical Benefits Attorney immediately and file within the time limits required in California. For more information about your potential case and to help you determine whether you are entitled to receive medical benefits and disability benefits for your injuries, contact us today and schedule your initial case assessment with one of our Medical Benefits Attorneys in Los Angeles.