Treatment for workers' compensation injuries immediately follows first-time visit to this medical provider. Medical services that involve the patient being in the provider's office for more than one hour at a time, especially on a frequent basis over a long period of time. Frequent dates of service. The claimant submits no transportation bills or the patient is elsewhere on the same day that medical treatment is billed. The claimant gets authorization after the first treatment or through an attorney.
Medical providers steer claimants to attorneys.
The medical provider bills through an attorney. The medical provider is reluctant to communicate with the carrier but initiates calls to a claimant attorney. The insurer receives a demand from an attorney for referral to a specific medical provider. A single medical provider with a high percentage of claimants with attorneys, especially if the same attorney. Medical records consist of pre-fab reports.