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Medical Care When Your Claim Is Denied

Get the Medical Care You Deserve

Denied Medical Treatment After a Work Injury?

If your workers’ compensation claim has been denied — or if you’re not receiving the medical treatment you need — Kenton Koszdin Law Office can help. Many injured workers are shocked to discover that their claim approval doesn’t guarantee proper care. Whether your treatment is delayed, restricted, or outright denied, we fight back to restore your right to medical attention and protect your recovery.

Why Is Medical Care Denied in Workers’ Comp Cases?

The insurer claiming your injury is not work-related
Failure to meet a deadline or file a specific form
Lack of documentation from an approved provider
A dispute over the severity of your condition
Utilization Review (UR) rejecting recommended treatment

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What We Do

How We Work

Free Consultation

We review the details of your injury, treatment plan, and any denial letters to determine the next steps.

Appeal Preparation

We gather supporting medical evidence, doctor recommendations, and procedural documentation to appeal your denial.

Filing & Communication

We handle all contact with the insurer, IMR reviewers, and the Division of Workers' Compensation.

Hearings & Legal Action

If needed, we represent you at hearings and file petitions to restore your medical rights and compel care.

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Frequently Asked Questions (FAQs)

1. Why would my medical treatment be denied?

Common reasons include disputes over the cause of injury, treatment being deemed "not medically necessary," or delays from Utilization Review.

2. Can I get care while waiting for appeal?

Possibly — we’ll help you explore options like treating through your own insurance or requesting expedited care if your health is at risk.

3. Is there a deadline to appeal a denial?

Yes. You must file an objection to a UR denial within 20 days. Timing is critical, so act fast.

4. What happens if the insurance company still won’t approve treatment?

We can escalate the issue to the Workers’ Compensation Appeals Board and fight for your care in court if necessary.

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