Workers’ compensation provides benefits to employees who suffer job-related injuries or illnesses. This system ensures injured workers receive medical treatment and compensation for lost wages. However, not all claims get approved, and understanding what to do after a denial is crucial.
Potential reasons for the denial
A denial can happen for various reasons and knowing these can help you take appropriate action. Here are some common reasons why a claim might get denied:
- Reporting the injury late or beyond the statute of limitations
- Lack of evidence proving the injury is work-related
- There are discrepancies in the accident report
- Failure to seek prompt medical attention
- The injury falls under an exclusion in the policy
Understanding these reasons can help you prepare for the next steps and strengthen your case if you appeal the decision.
Can you file for an appeal?
A denied workers’ comp claim doesn’t mean the end of the road as you can always file an appeal. First, carefully review the denial letter to understand the reason for a rejection. This letter will outline the specific reasons for the denial. Next, gather all relevant documents, including medical records and accident reports, to support your case. If the process seems overwhelming, you may want to seek help from a legal professional.
In Maryland, you must file your appeal with the Workers’ Compensation Commission within 30 days of receiving the denial. An attorney can help you meet all deadlines and present a strong case. By staying organized and informed, you can improve your chances of a positive outcome and secure the benefits you deserve.
