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The Role of a Nurse Case Manager in Your Workers’ Compensation Case: Is It in Your Best Interests?

When you’re navigating a Workers’ Compensation case, you might come across the term “nurse case manager.” But what exactly is a nurse case manager, and how does their involvement impact your case? In this blog post, we’ll shed some light on the role of a nurse case manager and discuss why it may not always …

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The Vital Role of Medical Records in Workers’ Compensation Cases

  When you’ve been injured at work, it’s natural to feel overwhelmed and uncertain about the steps you should take. One of the most crucial aspects of safeguarding your rights in a Workers’ Compensation case is the accurate documentation of your medical records. In this blog post, we’ll explore the significance of medical records in …

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What is a FORM 104 Notification of Denial and What should I do?

DEPARTMENT OF INDUSTRIAL ACCIDENTS FORM 104 INSURER’S NOTIFICATION OF DENIAL 1. What does this form mean: THE WORKERS’ COMPENSATION INSURANCE COMPANY IS DENYING YOUR CLAIM AND WILL NOT PAY YOU ANY BENEFITS VOLUNTARILY.  2. How long does a workers’ compensation insurance company have to notify me that my claim is being denied? The workers’ compensation …

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Can a Workers’ Compensation Insurance Company Stop Paying Benefits Without Going to Court or Obtaining Your Consent?

DEPARTMENT OF INDUSTRIAL ACCIDENTS FORM 106 INSURER’S NOTIFICATION OF TERMINATION OR MODIFCATION OF BENEFITS DURING THE PAY WITHOUT PREJUDICE PERIOD CAN A WORKERS’ COMPENSATION INSURANCE COMPANY STOP PAYING BENEFITS WITHOUT GOING TO COURT OR OBTAINING YOUR CONSENT?  Yes, if the following are true: 1. The workers’ compensation insurance company began paying you benefits within 14 …

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What Is PWOP and Should I Sign Form 105?

Pay Without Prejudice Period (PWOP): IF YOU RECEIVE A LETTER CONTACT A LAWYER BEFORE SIGNING IT! When you report an injury to your employer one of two things can happen: (1) the workers’ compensation insurance company (WC) will either deny benefits or (2) they will pay them. When the WC immediately agrees to pay benefits, its …

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THE MOST IMPORTANT NUMBER IN WORKERS’ COMPENSATION

The primary purpose of the Workers’ Compensation system is to provide workers’ with an income while they are recovering from an injury.  The amount of the payments a worker receives will be based upon his/her Average Weekly Wage (AWW).  The most important number in Workers’ Compensation is the employee’s average weekly wage. How to Calculate …

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Wright’s Case – Injured Worker Denied Reimbursement for Medical Marijuana

A workers’ compensation insurer was not required to pay for medical marijuana pursuant to M.G.L. c. 152 §13 and 30, which otherwise require payment for adequate and reasonable medical expenses. The case arose from a claim by an injured worker, Daniel Wright, for reimbursement in the amount of $24,267.86, for the cost of medical marijuana …

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