The Law Offices of Joseph Romano is here to help you with everything Worker's Compensation. There are a lot of steps and deadlines involved with each case. These articles will give you some of the basics but it's always critical to contact an attorney to make sure everything is handled properly. Your rights will be protected at our firm.
Under the New York Workers' Compensation Law, a claimant has the right to be reimbursed for medical and travel expenses. Round trip mileage for medical treatment and evaluation including trips for medical treatment (hospitals, doctors, physical therapists and chiropractors), trips for medical tests (such as MRis and x-rays) and trips to the insurance company's doctor are eligible for reimbursement. The claimant may also receive reimbursement for hospital parking. The claimant is not eligible for reimbursement for parking at his doctor's office.
A claimant is also entitled to reimbursement for necessary prescription and over the counter medications but must provide receipts.
Please note, claimants are not eligible for reimbursement of expenses incurred traveling to and from VESID locations, hearing points or pharmacies. Claimant may only receive reimbursement for expenses incurred traveling to and from doctors and IME.
Claimants may submit their request to reimbursement at any time. There is no specific time frame in which they must do so.
There is no specific deadline in the law regarding the amount of time the carrier may take to audit and pay requests for M&T reimbursement. The claimant should request reimbursement by completing and submitting a C-257 form.
Typically it takes around 60 days for the carrier to audit and pay M&T requests, however, the response time varies.
If 60 days have passed without response from the carrier, submit an RFA to address M&T Reimbursement with the board. Ask for a proposed decision and not a hearing.
**This information is based on New York State. Each state may be different. This blog post is for informational purposes. Your specific circumstances may vary from the information provided. Every case is different. Prior results do not guarantee future outcomes. The contents contained in this post do not establish an attorney-client relationship. Please contact us before sending confidential or time-sensitive material**