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Work comp in CA California

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  • Work comp in CA California

    question: I'm new to work comp:

    If I have an injury but he doesn't want to go to the company doctor and he didn't predesignate a doctor can he wait 30 days and then go to his Dr without ever going to ours ?

    What if I he waited to tell me 30 days after it happened?


  • #2
    From the website

    The Primary Treating Physician (PTP) is the doctor with the
    overall responsibility for treatment of your injury or illness.
    Generally your employer selects the PTP you will see for the first 30
    days, however, in specified conditions, you may be treated by your
    predesignated doctor. If a doctor says you still need treatment after
    30 days, you may be able to switch to the doctor of your choice.
    Special rules apply if your employer offers a Health Care
    Organization (HCO) or after 1/1/05, has a medical provider network.
    Contact your employer for more information. If your employer has
    not put up a poster describing your rights to workers’ compensation,
    you may choose your own doctor immediately.
    Within one working day after an employee files a claim form, the
    employer shall authorize the provision of all treatment, consistent
    with the applicable treating guidelines, for the alleged injury and
    shall continue to provide treatment until the date that liability for the
    claim is accepted or rejected. Until the date the claim is accepted or
    rejected, liability for medical treatment shall be limited to ten
    thousand dollars ($10,000).

    If the employee didn't treat for more than 30 days, I'd be giving my carrier a big heads up on that one. If it didn't require treatment until a month after the fact and the employee didn't report it for more than a month, then that's a huge red flag in general.
    I post with the full knowledge and support of my employer, though the opinions rendered are my own and not necessarily representative of their position. In other words, I'm a free agent.


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