Your Workers' Comp Claim Was Accepted: What's Next?

by James M. Hoffmann on Mar. 27, 2023

Employment Workers' Compensation 

Summary: After your workers' compensation claim is accepted, there are several crucial steps to ensure you receive the full benefits. These include filing a claim form, getting treatment from an approved doctor, obtaining pre-approval for treatment/testing, and staying vigilant to prevent your claim from being denied. While you may not receive a settlement, consulting with an experienced attorney can help you understand your rights and options.


The acceptance of your workers' comp claim is a significant achievement that will pave the way toward receiving the essential financial support and medical attention you require to recuperate from your workplace injury. Nonetheless, it is crucial to remember that this is only the initial phase of a lengthy process. There are several additional steps to ensure you receive the full benefits you are entitled to.


To guarantee that you obtain the benefits you deserve, here are six essential things that you must know and do:


File a Claim Form with the Missouri Division of Workers' Compensation

After your claim is accepted, you still need to file a Claim Form with the Missouri Division of Workers' Compensation to make your benefits officially recognized by the Commission. This form will include important information about your injury, including the date of the injury, the nature of the injury, and the names of any witnesses. Be sure to provide accurate and complete information as it will be used to determine the amount of benefits you are entitled to receive.


Get Treatment from an Approved Workers' Comp Doctor

As your workers' compensation claim has been accepted, you are entitled to receive medical treatment for your injury. However, it's crucial to ensure the treatment is received from an approved workers' comp doctor. Get a list of approved doctors from your employer and choose one to ensure that workers' compensation covers your treatment and that the insurance company pays your medical bills.


Obtain Pre-Approval for Treatment and Testing

To ensure that your workers' compensation benefits cover any medical treatment or testing, obtaining pre-approval from the insurance company before proceeding with it is crucial. Failure to do so may result in the treatment or testing not being covered. It's important to discuss this matter with both your doctor and a workers' compensation lawyer to ensure that you receive the necessary care and that your benefits cover it.


Obtain a Work Status Slip from Your Doctor

Make sure to get a work status slip at every doctor's visit. This slip will show your doctor's recommendations for your ability to return to work. If your doctor determines that you are unable to work, this slip will be used to determine if you are eligible for temporary total disability benefits.


Claims Can Change from Accepted to Denied

It's important to understand that just because your workers' compensation claim has been accepted, it doesn't guarantee it will remain that way. A claim can change from being accepted to being denied at any moment, so it's crucial to stay vigilant and keep up with your responsibilities under the workers' compensation system. Work with an experienced attorney to provide the insurance company with the necessary information and follow the doctor's recommendations to ensure your claim remains accepted.


 Receiving a Settlement is Not Guaranteed

While you can receive benefits through the workers' compensation system, you may or may not receive a settlement. This will depend on the specifics of your case, including the extent of your injury, the amount of time you have been off work, and other factors. It's always a good idea to consult with an experienced workers' compensation attorney to understand your rights and options under the law.


Navigating the workers' compensation system can be a daunting task, with its complexity and confusion. Thus, having the right guidance and support is paramount. The Law Office of James. M. Hoffman offers precisely that, backed by a team of seasoned workers' compensation lawyers with extensive knowledge of the Missouri system. Whether you need clarification on your benefits or seek comprehensive information on the process, we stand ready to assist. Get in touch with us today for a free case evaluation, and let us help you navigate your way through the system with confidence. Give us a call 24/7 at (314) 361-4300

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