What happens when my workers’ comp claim is accepted? What are the benefits? What if I disagree?

You should find out the outcome of your claim within 90 days from when the claim form is delivered to your employer – if you do not hear back, the injury is likely covered.

There are five primary benefits from workers’ comp insurance:

1. Medical care
2. Temporary disability benefits
3. Permanent disability benefits
4. Supplemental job displacement (SJDB) benefits
5. Death benefits

If there is disagreement surrounding your injury/the benefits, you may be evaluated by a QME (qualified medical evaluator). A QME is a physician that has met additional educational and licensing standards. An attorney can also be very helpful. In some cases, and with help of an attorney, all parties may agree on a certain doctor to work out any medical disagreements. This kind of doctor is known as an AME (agreed medical evaluator).

*The materials provided on this website are for informational purposes only. The materials are not for the purpose of providing legal advice. Please contact your legal counsel to obtain official advice regarding legal matters.

About Desiree Mohazab

Desiree Mohazab, founder of Doc411 (formerly known as California MPN Providers, Inc.) has been in the industry for 22 years. Desiree has a diverse background of experience and has worked with hundreds of doctors and lawyers throughout her career. In 1996, Desiree founded Doc411 from her home - during this time she spent many years going to court hearings and negotiating with attorneys to settle cases, all while managing billing collections. As an entrepreneur with the passion to transform the workers’ compensation and personal injury processes for everyone, she built a network of medical providers for attorneys and their clients. Over its 22 years in business, Doc411 has continued to grow, expanding its services to marketing for all medical providers, pharmacy, and laboratory services. Inspired by her father, a general surgeon and founder of Soraya Hospital in Shiraz, Iran who exhibited great compassion and dedication towards patients, Desiree continues to develop services that provide a better patient and professional experience.