Proposed Benefit Notice Rules Criticized as Confusing

Representatives for payers, injured workers and providers say regulations that the Division of Workers’ Compensation proposed to implement a bill that requires notification about access to treatment outside the comp system are confusing and need to be clarified before adoption. The DWC in October released a preliminary draft of language it is proposing to add to notices when a claim is denied that would say applicants who have health insurance can use their coverage to obtain treatment, while those who don’t have insurance can still access doctors, clinics ...