The workers’ compensation system in Florida can be complicated and if claimants are not aware of their rights or how the process works, they could jeopardize their ability to obtain benefits. One of the most important things for workers who are injured while on the job to understand is that in the vast majority of cases, medical care must come by way of approved providers by their employer's workers’ compensation insurance coverage. If you are treated by a medical provider or have a procedure done that was not approved, you will have a hard time having the costs taken care of through your workers’ compensation insurer.

There are times that require immediate medical treatment and your employer’s workers’ compensation insurer will pay for those costs. Unless you are in this position it is best to speak with a Florida workers compensation attorney to have all of your questions answered. Stephen M. Andrews is a Tallahassee workers’ compensation attorney with more than 35 years of experience helping individuals with their workers’ compensation and social security disability claims in Florida. It is important to secure the maximum amount of benefits and Stephen M. Andrews knows how the Florida workers’ compensation system works and how to achieve optimal results.

When is PreAutorhization Necessary for Workers’ Comp Benefits in Florida?

All individuals who are injured while performing their job-related duties are entitled to having their medical treatment paid for by their employer’s workers’ compensation insurance provider. Workers’ compensation insurance companies in Florida choose their own network of providers. After a workplace injury takes place, the victim must inform their employer of the incident and then be advised on who they can see to obtain the medical care that they need. 

If there is a legitimate reason why you need to see a provider outside of the established network, then you have to follow the procedure for preauthorization. Without pre-authorization, you will be responsible for paying for the costs of your medical care. Also, even if you are with an in-network provider, there may be a procedure ordered that is not covered by your employer’s Florida workers’ compensation coverage. Here again, you would have to work with your doctor and follow the guidelines to try and obtain pre-authorization. 

Seeking preauthorization does not always mean that you will be approved. The insurance company may legitimately deny your claim for a different doctor or a specific procedure, or they may be treating you unfairly when the care you need is genuine. A Florida workers’ compensation attorney will be able to handle this situation and any other improper issue that arises during the worker’s compensation claim process.

Speak with a Tallahassee Workers’ Compensation Attorney Today

If your work injuries are so severe that they require quick emergency medical treatment, Florida workers’ compensation will pay for these costs. Otherwise, it is necessary to use the approved providers and obtain pre-authorization for certain procedures or out-of-network doctors. To obtain help with your Florida workers’ compensation claim, please call Stephen M. Andrews to schedule a free consultation at (850) 906-9599.