How long will my employers workers compensation insurance company be required to continue to pay for my medical bills?
A. The insurance company is responsible for the payment of all work injury related medical treatment which is reasonable and necessary until it is legally established that you have fully and completely recovered from your work injury. As indicated above, the medical billings for your medical treatment must be properly submitted by your healthcare provider to the insurance company for the treatment to be considered compensable. Following proper submission of the medical billings to the insurance company, the insurance company must pay for the treatment within thirty (30) days of submission. During this thirty (30) day period, the insurance company may contest the reasonableness and necessity [and not causality] by filing a Request for Utilization Review with the Bureau of Workers’ Compensation. If the insurance company fails to file the Utilization Review Request during this thirty (30) day period, the insurance company waives its right to contest the reasonableness and necessity of the
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