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Choosing A Treating Doctor For Your Texas Workers’ Comp Claim

 

One of the most important decisions you will make after a work injury is the choice of a treating doctor.  The treating doctor is in charge of your treatment plan, your work status, and whether or not you have reached maximum medical improvement.  It’s important to pick a doctor that tries to heal and help injured workers, and avoid the doctors who work for your employer or for insurance companies.

If your company sent you to the doctor, then that is not the doctor to choose.  They usually have a contract with that doctor and they picked that doctor or clinic for a reason.  Same goes for the adjuster – don’t let the adjuster pick your doctor.

You want a doctor to stand up for you and fight for the approval of any recommended treatment.  You want a doctor who will tell insurance companies and nurse case managers NO when necessary.  You want a doctor who will properly diagnose you and write any reports needed to help you get all of your injuries covered under your claim, and all benefits paid.

If you have a network claim and have to pick a doctor off of a list, you need to make sure you have the full list and not just the list the adjuster wants you to see.  You need to know something about the reputation of the doctor you are going to choose.  Most lawyers know the doctors that help patients get treatment and prove their injuries.  If you don’t know who to choose, ask a local lawyer that deals with them every day.  At our office, we help people figure that out every day over the phone for no charge.

You need to know that there are company doctors, insurance doctors and patient advocate doctors.  Picking the wrong one can be devastating – both physically and financially.

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    So, I was forced to see a company treating doctor at a local urgent care… While I chose my own surgeon, I am now being told by those treating physicians, who truely acted as Pt Advocates that i will get an IR eval with a doctor within their system, simply in another town… is this proper?

    It’s not improper. Usually, these types of impairment ratings are premature, and sometimes actually wrong. If you still need treatment, then it is not time for an impairment rating yet. I would be happy to review the impairment rating for you so you can know whether to dispute it or not. And remember, you only have 90 days to dispute it or it becomes final.

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