ADDRESS

685 Portland Ave,
Gladstone, OR. 97027

What you should know

Low-Back-Pain

A Guide for Workers Recently Hurt on the Job*

How do I file a claim?

Notify your employer and a health care provider of your choice about your job-related injury or illness as soon as possible.  Your employer cannot choose your health care provider for you.
Ask your employer the name of its workers’ compensation insurer.
Complete Form 801, “Report of Job Injury or Illness,” available from your employer.
Complete Form 827, “Worker’s and Health Care Provider’s Report for Workers’ Compensation Claims,” available from your health care provider.

How do I get medical treatment?

You may receive medical treatment from the health care provider of your choice, which include chiropractors.
The insurance company may enroll you in a managed care organization (MCO) at any time.  If it does, you will receive more information about your medical treatment options.

Are there limitations to my medical treatment?

Health care providers may be limited in how long they may treat you and whether they may authorize payments for time off work.  Check with your health care provider about any limitations that may apply.
If I can’t work, will I receive payments for lost wages?

You may be unable to work due to your job-related injury or illness.  In order for you to receive payments for time off work, your health care provider must send written authorization to the insurer.
Generally, you will not be paid for the first three calendar days for time off work.
You may be paid for lost wages for the first three calendar days if you are off work for 14 consecutive days or hospitalized overnight.

If your claim is denied within the first 14 days, you will not be paid for any lost wages.
Keep your employer informed about what is going on and cooperate with efforts to return to a modified- light-duty job.

What if I have questions about my claim?

The insurance company or your employer should be able to answer your questions.
Dr. Brad Vollmer
Gladstone Chiropractor | Keystone Chiropractic, LLC | 503-908-1001

685 Portland Avenue
Gladstone, Oregon 97027

 

* All information for “A Guide for Workers Recently Hurt on the Job” was obtained from the Oregon  Department of Consumer Business & Services Workers’ Compensation Division 827 form.

 

 

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