Instructions for Handling Medical Bills & Prescription Expenses (Non-accepted Claims)

  1. Maintain an Itemization of Claimant’s Medical Expenses form to keep a record of all medical expenses including medical bills and prescription receipts which you pay and all medical expenses which are paid by your major medical insurance carrier. Medical bills which have not been paid are also to be recorded on this form.
  2. Get a receipt for each medical bill which you pay and attach a copy to the itemization.
  3. Attach copies of any unpaid medical bills to the itemization. If you receive more than one copy of the same bill it is only necessary to attach one copy of the bill.
  4. If collection notices are received for any unpaid medical bill, immediately forward a copy of the notice to this office with a note requesting that a letter of protection be sent.
  5. If your medical insurance has paid any of your work-related medical expenses, record these payments on the itemization form and attach a copy of the major medical statement which indicates what they have paid.
  6. Forward a copy of the Itemization of Claimant’s Medical Expenses to this office approximately one week prior to the first hearing at which you are scheduled to testify.
  7. Following the first hearing and until your claim has been decided, continue to record all medical expenses as described above and forward a copy of the itemization to this office every three (3) months.
  8. Have each doctor complete a Medical Report Form, LIBC-9, to be submitted along with the bills.
  9. Please attach a note to anything which you send to this office and explain what you want us to do with it.
  10. If you need additional copies of either of the above-mentioned forms, please send us a note requesting these copies and we will be happy to send them to you.
  11. Remember, it is unlawful for a medical provider to seek payment from an injured worker for any treating relating to a work injury.
  12. If the workers’ compensation carrier has denied that the injury is work-related, your secondary insurance carrier (i.e. Blue Cross/Blue Shield, etc.) must pay for the treatment until your case is finally decided by the courts, at least to the extent of their coverage.