Previously on this blog, we have discussed the rights held by injured workers in Pennsylvania to choose their own medical providers. This is only one area of confusion in the wacky world of medical benefits under the Pennsylvania Workers’ Compensation Act (Act).
A common complaint we get from an injured worker is that, “They are denying my medical treatment.” In this situation, “they” is almost always the workers’ compensation insurance carrier. And the word “denying” may or may not be accurate.
Under the Act, the workers’ comp insurance carrier has 30 days to either pay a medical bill or institute Utilization Review (the tool used to challenge whether medical treatment is reasonable or necessary), provided the bill is properly submitted by the medical provider (including supporting documentation). As you can see, this means the workers’ compensation insurance company need not give an opinion on how they view treatment until it is actually performed.
Pennsylvania Workers' Compensation Lawyer Blog

