Compensability

September 25, 2021

Knee Replacement Surgery – Wrongfully Denied Based on Pre-Existing Conditions

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Knee Replacement Surgery – Care Initially Authorized, Then Wrongfully Denied Based on Pre-Existing Conditions In this 2017 case, the Workers’ Compensation Judge found that since the Insurance Company had already treated the pre-existing conditions (osteoarthritis) without denying the condition/care within 120 days, then they cannot now deny further care due to the pre-exiting condition. However, […]

August 23, 2021

Tractor Trailer Accident – Care Initially Authorized, Then Wrongfully Denied

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Tractor Trailer Accident – Care Initially Authorized, Then Wrongfully Denied In this 2015 case, the First District Court of Appeals determined that once an insurance company has accepted compensability, then “an employer/carrier cannot challenge the causal connection between the work accident and the injury, but only the causal connection between the injury and the requested […]

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