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I Am On Workers’ Compensation In Pennsylvania But The Insurance Company Isn’t Paying For All My Medical Bills- What Can I Do?

First, you should call an experienced Pennsylvania workers’ compensation lawyer for a free consult. I am happy to provide that to you promptly, and at no charge.

There can be many reasons why the insurer in a Pennsylvania Workers’ Compensation case may not be paying for medical bills. First, what is the controlling document? Usually, it is a Notice of Compensation Payable which describes the accepted injury. This controls until it is amended by Stipulation or Court Order. Many injured workers in Pennsylvania get lulled into a false sense of security thinking that the insurer knows their injury is a low back disc herniation, for example- when in reality, the Notice of Compensation Payable almost always says “low back strain” or “low back contusion”. This can be a technicality on which the insurer hangs it hat in taking the position that it is not obligated to pay for medical bills for treatment relating to a disc herniation. How is this remedied? Your PA Work Comp Attorney can file a Petition to Review to challenge and expand the accepted work-related diagnoses. The Petition gets assigned to a Work Comp Judge and litigation follows.

Another reason a medical bill in a Pennsylvania Work Comp case may be unpaid is because the provider may not have billed the treatment on the proper billing form. They must also send the corresponding treatment note along with the form and it must be within 30 days of the treatment. If any of these elements are not met, the insurer has no obligation to pay. Note that if an insurer pays part of a work-related treatment, the provider may not “balance bill” the injured worker- in other words, it cannot send the balance of the unpaid portion to the injured worker for payment. Its remedy here is called Fee Review.

In addition to a possible Petition to Review, the attorney may consider filing a Penalty Petition if it feels the nonpayment of the medical bill was in violation of the Pennsylvania Workers’ Compensation Act. However, if this issue is one of “causation”-meaning the insurer is claiming the diagnoses on the bills don’t match the accepted injury, then a Review Petition is the proper mechanism to challenge this.

Unpaid medical bills cause major stress and financial damage in many Pennsylvania Work Comp cases. The litigation process is slow but the collection efforts are fast. If you have unpaid medical bills, contact your PA Work Comp Lawyer immediately so he or she can investigate the reason why and take the appropriate steps to ameliorate the situation. If you do not have a PA Work Comp Attorney helping you, it is strongly recommended as 1) You pay nothing out of pocket, 2) Your case will be better positioned for a lump sum settlement, 3) Pennsylvania Workers’ Compensation has become highly complex, and 4) Litigation can be expensive and the attorney will cover the costs.

If you have any questions, call Philadelphia Workers’ Comp Lawyer, Michael W. Cardamone.

Michael W. Cardamone- Certified Specialist in Pennsylvania Workers’ Compensation.

The Cardamone Law Firm, LLC

Comp? Cardamone!

215-206-9068

Michael@CardamoneLaw.com

Awards & Recognitions

Pennsylvania Workmans Comp Attorney
Philadelphia Workmans Comp Lawyer

Cardamone Law Has Negotiated Some of the Largest Workers’ Comp Settlements in Pennsylvania

$2.2 Million
Spinal Injury
$897,000
Lower Back Injury
$650,000
Lower Back Injury
$550,000
Neck Injury
$425,000
Leg Injury
$375,000
Knee Injury
$325,000
Ankle Injury
& Hundreds More Cases
$2.2 Million
Spinal Injury
$897,000
Lower Back Injury
$650,000
Lower Back Injury
$550,000
Neck Injury
$425,000
Leg Injury
$375,000
Knee Injury
$325,000
Ankle Injury
& Hundreds More Cases

Client Testimonials

"Best Law Firm around!"

"Cardomone law is absolutely fantastic! They are very responsive and helpful and they will fight to get you what you deserve. Shirley is also very helpful whenever you have any questions! Best Law Firm around!"

- C. Edwards
Google Reviews
"Michael and Shirley are very dedicated...and getting the maximum amount favorable to my case"

"Cardamone Law Firm were very helpful to me since day one. Michael and Shirley are very dedicated to my case giving me updates, answering my questions, being honest with my case, and getting the maximum amount favorable to my case. Thank you so much for your service and dedication and helping me to achieve not only your case but to guide and refer me in other needs too! You guys are the best law firm friendly and dedicated. I will recommend to anyone."

- A. Ortiz
Google Reviews
"Michael won my workers comp case after my employer insurance denied my claim."

"Exceptional firm. Highly recommend this law firm. Michael won my Workers Comp case after my employer insurance denied my claim. Him and his staff were always at my reach for legal and emotional support. Am so happy I hire them. Thanks Michael and Ms. Shirley."

- Carlos P.
Google Reviews
"[They] did an excellent job in getting me financially compensated in a fairly short amount of time."

"I recently had a work related injury and was receiving Workers' Compensation (medical benefits only). Soon after I was fired, so I contacted Paul Silver at Cardamone Law Firm who did an excellent job in getting me financially compensated in a fairly short amount of time. Paul and his assistant Shirley always responded to any questions I had about the case in a very short amount of time. Thank you for helping me with this difficult case."

- Robin C.
Google Reviews
"Highly recommend."

"Cardamone Law was great with helping my husband with his Workers Comp issues. Mike and Shirley were the best with letting us know what was going on every step of the way. Highly recommend."

- Danielle P.
Google Reviews
"Mike Cardamone is amazing"

"Mike Cardamone is amazing. He is "hands down" one of the best lawyers I've ever had the privilege of knowing. He is very kind, understanding, knowledgeable in his field, always very thorough and helpful. He was extremely professional and someone who truly cares about his clients. I felt completely at ease with him. He was a pleasure to work with, explained everything in detail, as well as answered all my questions with knowledge and care. If you want someone you can trust, who communicates every step of the way, will fight for you and make sure you win your case, he is it! I will refer all my family and friends to him. Thank you so much Mike, for everything. I appreciate all your hard work and dedication in helping me."

- Allie M.
Google Reviews
Without a doubt YOU are the best!!!

"Without a doubt YOU are the best!!! Every person who is in the horrible position of being injured at work should have someone as kind, compassionate and knowledgeable as you on their side. You never once made me feel like I was one of a hundred other clients. I always knew you had my back! You answered calls and emails at all hours. You fought every fight for me so I only had to worry about getting well. Behind your nice, calm face there’s a pit bull ready to take on any employer or judge. I can never thank you enough."

- L. Edall
Google Reviews
"Best Workers' Comp Lawyer!"

"Michael is simply the best! He was there for me from day 1 till the end, and we won the case!! He is always available to help. I had a gazillion questions and he would answer them one by one. He's a great lawyer and I feel lucky to have found him online from reading other outstanding reviews about him. Believe me, they're true!"

- Faith B.
Google Reviews
"Great Attorney"

"Great attorney, handled case quickly and efficiently. I would recommend him and would use him again. He was always available to answer any questions we had. Thank you, Mr. Cardamone."

- H. Anderson
Google Reviews