If you suffered an injury at work, you know how important it is for you to get the benefits you need for medical care and other losses. In the event that your workers' compensation claim comes back denied, you may feel overwhelmed, frustrated and confused about what you should do next.
Even if you believe that you have a rightful claim to benefits, it is still possible that your claim could come back denied. One of the most important steps in your continued pursuit of workers' comp benefits is to learn why the claim did not receive approval and how you may have grounds to appeal.
The most common reasons for denied claims
Even after a denied claim, you still have options. You may have grounds to move forward with an appeal, but it is important to first understand the reason for the denied claim. Most of the time, this information comes in the letter notifying you of the denial. Some of the most common reasons why an insurance provider denies a claim include the following:
- The claimant waited too long to report the injury.
- The injury is not compensable.
- The employer is denying the claim.
- The claimant waited too long to file the claim.
- There is no evidence that medical treatment was necessary.
- There is not enough evidence that the injury is work-related.
It is also possible that a processing error is the reason there is a delay in obtaining the benefits you deserve. If you have grounds to appeal, you certainly have no time to lose in moving forward with the appeals process.
The recovery you need after a work accident
Whether it involves gathering and including additional medical evidence, seeking letters from doctors or correcting any errors with your initial application, an appeal can be lengthy and complicated. Even when you know exactly why your claim was denied, you may find it difficult to navigate the appeals process. Fortunately, this is not an undertaking you must do on your own. Talk to an Alabama workers' comp lawyer about your options for obtaining the benefits you need and deserve.