Medical providers do not need to take the loss when a Maryland workers compensation insurer refuses to pay medical bills!
Whether you are an orthopedic specialist, pain management specialist, therapist, chiropractor, psychologist or any other medical provider who has not been paid by a Maryland workers compensation insurer Mr. Rodabaugh is able to help get you paid for your services.
Before making the call to Mr. Rodabaugh please see this prior write up for explanation on filing a claim for medical services. This should be done by the provider and only if payment for medical services is not issued and received should Mr. Rodabaugh’s representation be sought. If the patient was represented by an attorney then contact with the attorney should be made before contacting Mr. Rodabaugh.
Fees are determined on a case by case basis depending on the services provided and the complexity of the case. Mr. Rodabaugh is willing to provide estimates.
In some cases there may be little to no chance in getting bills paid by the workers comp insurer. These circumstances arise when there has been a prior order indicating that the services provided were not reasonable, not necessary, or not causally related to the date of injury. Under Maryland workers compensation law services provided must be reasonable, necessary, and causally related to the date of injury in order to be covered. Workers Compensation insurers regularly argue that one of the three qualifiers was not met and if they are successful then the insurer will not be liable to pay the bills. Payment should then be sought from a health insurance policy if one exists.
Medical providers should also be cognizant if the Maryland Workers Compensation Commission finds the injured worker at Maximum Medical Improvement. Treatment sought and performed immediately after the Commission has ruled the patient at MMI is less likely to be paid. After a finding of MMI, and once the patient has worsening of conditions they are legally able to reopen their case and seek further treatment which may be covered under Maryland workers compensation law.
Ordinarily, workers compensation insurers are more reluctant to provide authorization and payment for treatment on a reopening. If the injured worker has an attorney they may be able to assist with getting medical bills paid upon a reopening of the case.
If you are a medical provider and have not received payment for medical services provided Mr. Rodabaugh is available to help
call +1 (410) 937-1659 OR Email