Health Care

How long does the employer have to decide whether a workers’ compensation claim will be accepted or denied?

How long does the employer have to decide whether a workers’ compensation claim will be accepted or denied?

Workers’ compensation insurance companies are supposed to accept or deny a claim within 30 days of notice of the claim. However, the insurance company can ask for an extension of time up to 90 days to make a decision. More recently, the trend is for insurance companies to place conditions on their acceptances – they accept claims as “medical only” on a Form 63 or only accept some of the body parts that require treatment.