Again get an appointment scheduled with the Pain Specialist, this time for the discography/discogram and now I get a phone call that we will have to reschedule because it has not been approved. What does it have to be approved for? It has been court ordered through the Department of Industrial Accidents. I called up the utilization review company and they said this time its not us screwing you over, even though they denied the procedure, they said it should not have come to us for approval it should have come to us with the court order that says it has been ordered. OK so you got the Court Order last time and its apparent that you do not do your job to read what these things say in it. No she said that it should have come from the doctors office with every request. Then she says you need to call your doctor's office to have them send the information directly to the claims administrator at CNA. Ya, right like this thing will ever get approved. Every time you try to get a hold of Lisa at CNA either her mailbox is full or she does not know what happened to the fax and asks that it be resent.
So screw it I e-mailed her, the pain clinic, and my lawyer with a copy of the court order say that she will be getting a fax from the doctor's office very shortly and I would appreciate it if should could get though whatever process is necessary with it today so that I could keep my appointment for tomorrow.What the fuck really. The only thing that works in all of the Massachusetts workman's compensation system has been the Judge. She heard my case on a Monday and I received a letter in the mail the next day and guess what it wasn't even sent through next day mail.This whole workman's compensation program sucks for people that are really in pain. I understand that they put processes in place to weed out the people that are committing fraud with the system but how about after you know that they are not committing fraud you put them through a streamlined process.Oh ya, one other thing the Doctor that the utilization review company Coventry used to review the request doesn't even know the guidelines for approving so automatically he rejects it because my doctor was unavailable to talk to him when he called because of course he called with 10 minutes left in the day and the doctor was with a patient and his partner who was covering those phone calls could not call the guy back fast enough before he sent the response to the utilization review. And if that is not bad enough if the doctor who the utilization company hires does not contact your doctor or the utilization company within the allotted time frame it is automatically rejected by the company.
You would think that the doctor who is actually physically reviewing you would have the most responsibility in making sure you receive the best care doesn't. He is at a long end of a crappy process and policy that he or she has no control over.If you are on workman's compensation and do not have a lawyer you should get one because these blood suckers have no responsibility to you or your family they just have responsibility to their share holders for keeping down the amount of expenditures
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