When a claim is denied, it means the claims administrator believes your injury is not covered by workers' compensation. If the claims administrator sends you a letter denying your claim, you have a right to challenge the decision. Don't delay, because there are deadlines for filing the necessary papers.
What happens to medical bills when workers comp is denied California?
If your claim is denied, you will not receive reimbursement until the case is determined to be compensable. If 55 days have not passed since the reimbursement request, the payment is not late.
How much does workers comp pay in California 2022?
What is the Workers' Compensation 90-Day Rule? In California, workers' compensation insurance companies must respond to all workers' comp claims within 90 days. If your claim isn't denied within 90 days, it will be presumed accepted.
How long does workers comp have to accept or deny a claim in California?
A common estimate is that around 5 percent of workers' compensation claims go all the way to trial.