Can a medical provider ever bill a workers compensation claimant for medical services?
N.C. Gen. Stat. 97-90 (e): A health care provider shall not pursue a private claim against an employee for all or part of the costs of medical treatment provided to the employee by the provider unless the employees claim or the treatment is finally adjudicated not to be compensable or the employee fails to request a hearing after denial of liability by the employer. (Note 1: Employers/carriers are responsible for paying for authorized services up and to the point of the denial. Note 2: If a claim is denied by the workers compensation payer and the injured worker appeals to the Commission, the provider must wait until a decision is reached.
