Failure to timely Deny Authorization for Surgery Forfeited Carrier's Ability to Challenge Necessity

Florida's 1st District Court of Appeal ruled that a carrier's failure to promptly respond to a worker's request for authorization for surgery cost it the ability to challenge the medical necessity of the procedure. Case: Pearson v. BH Transfer, No. 1D14-4560, 05/27/2015, published. Facts: Terry Pearson injured his back while working for BH Transfer in 2012. His doctor recommended spinal surgery, and Pearson filed a request with Chartis Claims seeking authorization for the procedure. More than 10 days elapsed before Chartis responded with a denial, taking the position th...