Getting a workers’ compensation claim denied can feel frustrating, especially when you’re dealing with medical bills and lost wages. The good news is that in Maryland, you have the right to appeal the decision. Understanding how the process works helps you take the right steps to challenge the denial.
Review the denial letter
When your claim is denied, you’ll receive a denial letter from the Maryland Workers’ Compensation Commission (WCC). This letter outlines why your claim was rejected. Common reasons include missed deadlines, lack of medical evidence, or questions about whether the injury was work-related. Review this letter carefully so you know what to address in your appeal.
File an appeal with the commission
If you believe the denial was wrong, you can file a Request for Hearing with the WCC. You must do this within 30 days of receiving the denial notice. This step allows you to present your case before a workers’ compensation commissioner. During the hearing, you can submit new evidence, such as medical records or witness statements, to support your claim. Make sure all forms and documentation are complete before submission to avoid delays.
Prepare for the hearing
At the hearing, both you and your employer (or their insurer) can present evidence. The commissioner will review the facts and determine whether your injury qualifies for benefits. Bring organized documentation, including medical evaluations, time-off records, and any correspondence related to your claim. The hearing is your chance to explain why the initial decision should be overturned.
Appeal further if needed
If you disagree with the commissioner’s ruling, you can appeal to the Circuit Court within 30 days. This appeal gives you another opportunity to challenge the decision, but the process becomes more formal. You may need additional evidence or testimony to strengthen your case. The goal is to show that your injury was indeed work-related and that you meet all requirements for benefits.
Taking control of your next steps
Appealing a workers’ compensation denial takes time and preparation, but it can result in the benefits you deserve. Stay organized, meet all deadlines, and keep detailed records throughout the process. Even if your first appeal isn’t successful, persistence and thorough documentation can make a difference in the final outcome.
