{"id":13,"date":"2023-07-27T16:09:52","date_gmt":"2023-07-27T23:09:52","guid":{"rendered":"https:\/\/forensicpsychca.com\/?page_id=13"},"modified":"2023-07-31T15:38:59","modified_gmt":"2023-07-31T22:38:59","slug":"insurer-and-claims","status":"publish","type":"page","link":"https:\/\/forensicpsychca.com\/workers-compensation\/insurer-and-claims\/","title":{"rendered":"Insurer and Claims"},"content":{"rendered":"<style>.kb-row-layout-id_5eace1-29 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id_5eace1-29 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id_5eace1-29 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-5xl, 10rem);padding-bottom:var(--global-kb-spacing-5xl, 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kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column_e8cd8d-5a > .kt-inside-inner-col{display:flex;}.kadence-column_e8cd8d-5a, .kt-inside-inner-col > .kadence-column_e8cd8d-5a:not(.specificity){margin-bottom:0px;}.kadence-column_e8cd8d-5a > .kt-inside-inner-col{padding-bottom:0px;}.kadence-column_e8cd8d-5a > .kt-inside-inner-col,.kadence-column_e8cd8d-5a > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_e8cd8d-5a > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_e8cd8d-5a > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}.kadence-column_e8cd8d-5a > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column_e8cd8d-5a{align-self:flex-start;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column_e8cd8d-5a{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column_e8cd8d-5a > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}.kadence-column_e8cd8d-5a > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_e8cd8d-5a{position:relative;}@media all and (max-width: 1024px){.kadence-column_e8cd8d-5a > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_e8cd8d-5a > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column_e8cd8d-5a kb-section-dir-vertical inner-column-2\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-spacer.kt-block-spacer-_56af32-e2 .kt-block-spacer{height:6px;}.wp-block-kadence-spacer.kt-block-spacer-_56af32-e2 .kt-divider{border-top-width:6px;border-top-color:#e3b962;width:80px;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-_56af32-e2\"><div class=\"kt-block-spacer kt-block-spacer-halign-left\"><hr class=\"kt-divider\"\/><\/div><\/div>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading_4dd903-2b, .wp-block-kadence-advancedheading.kt-adv-heading_4dd903-2b[data-kb-block=\"kb-adv-heading_4dd903-2b\"]{padding-top:var(--global-kb-spacing-lg, 3rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);margin-top:0px;margin-bottom:0px;line-height:1em;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading_4dd903-2b mark, .wp-block-kadence-advancedheading.kt-adv-heading_4dd903-2b[data-kb-block=\"kb-adv-heading_4dd903-2b\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading_4dd903-2b, .wp-block-kadence-advancedheading.kt-adv-heading_4dd903-2b[data-kb-block=\"kb-adv-heading_4dd903-2b\"]{padding-bottom:0px;font-size:var(--global-kb-font-size-xl, 3rem);line-height:1.4em;}}<\/style>\n<h1 class=\"kt-adv-heading_4dd903-2b wp-block-kadence-advancedheading has-theme-palette-9-color has-text-color\" data-kb-block=\"kb-adv-heading_4dd903-2b\">Workers Comp Insurance in California<\/h1>\n\n\n\n<p class=\"has--font-size has-theme-palette-9-color has-text-color\">Worker, Employer, Attorney, Insurer.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id_5a74ef-80 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id_5a74ef-80 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id_5a74ef-80 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1290px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-3xl, 6.5rem);padding-bottom:var(--global-kb-spacing-3xl, 6.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id_5a74ef-80 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id_5a74ef-80 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id_5a74ef-80 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id_5a74ef-80 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column_883dd6-5d > .kt-inside-inner-col,.kadence-column_883dd6-5d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_883dd6-5d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_883dd6-5d > .kt-inside-inner-col{flex-direction:column;}.kadence-column_883dd6-5d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_883dd6-5d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_883dd6-5d{position:relative;}@media all and (max-width: 1024px){.kadence-column_883dd6-5d > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column_883dd6-5d > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column_883dd6-5d\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-spacer.kt-block-spacer-_f0c093-48 .kt-block-spacer{height:6px;}.wp-block-kadence-spacer.kt-block-spacer-_f0c093-48 .kt-divider{border-top-width:6px;border-top-color:#e3b962;width:80px;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-_f0c093-48\"><div class=\"kt-block-spacer kt-block-spacer-halign-left\"><hr class=\"kt-divider\"\/><\/div><\/div>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading_78801d-83, .wp-block-kadence-advancedheading.kt-adv-heading_78801d-83[data-kb-block=\"kb-adv-heading_78801d-83\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading_78801d-83 mark, .wp-block-kadence-advancedheading.kt-adv-heading_78801d-83[data-kb-block=\"kb-adv-heading_78801d-83\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading_78801d-83 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading_78801d-83\"><span class=\"kb-inline-dynamic\">Insurer and Claims<\/span><\/h2>\n\n\n\n<p>Workers Comp insurance in California is mandatory for all employers who usually buy policies through insurance brokers. When a claim is submitted the insurance carrier usually provides a Medical Provider Network (MPN) for examination and treatment of the employee at an approved and convenient location. Most cases will end there and the employee will return to work. However, a dispute regarding the diagnosis and\/or treatment may arise between the employer and employee, and the insurer, as well as attorneys may become involved in adjudicating the case.<\/p>\n\n\n\n<p>An insurer might&nbsp;contest a workers\u2019 compensation claim over issues such as whether the injury was sustained on-the-job or how much in benefits should be paid, a dispute may require the assistance of an attorney specializing in this area.<\/p>\n\n\n\n<p>When the insurer and\/or claim administrator for the employer disagree with the physician report the employee\u2019s injury or treatment, the next step is to contact a&nbsp;Qualified Medical Evaluator (QME). The QME is a physician who meets additional educational and licensing requirements, and is able to evaluate the recommended treatment and adjudicate the compensation issues. If the claimant\u2019s attorney and the employer\u2019s claims administrator agree on a qualified doctor to resolve medical disputes, this doctor is called an Agreed Medical evaluator (AME).<\/p>\n\n\n<style>.wp-block-kadence-advancedbtn.kb-btns_dbab8d-03{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:flex-start;align-items:center;}.kt-btns_dbab8d-03 .kt-button{font-weight:normal;font-style:normal;}.kt-btns_dbab8d-03 .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns_dbab8d-03 .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns_dbab8d-03 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns_dbab8d-03 .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns_dbab8d-03 .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns_dbab8d-03 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns_dbab8d-03 .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns_dbab8d-03\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn_303842-74.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn_303842-74.kb-button{margin-top:var(--global-kb-spacing-lg, 3rem);}@media all and (max-width: 1024px){.kb-btn_303842-74.kb-button .kb-svg-icon-wrap{display:block;}}<\/style><a class=\"kb-button kt-button button kb-btn_303842-74 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-inherit kt-btn-has-text-true kt-btn-has-svg-false wp-block-button__link wp-block-kadence-singlebtn\" href=\"\/contact\"><span class=\"kt-btn-inner-text\">Tell Us Your Case<\/span><\/a><\/div>\n<\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Workers Comp Insurance in California Worker, Employer, Attorney, Insurer. Insurer and Claims Workers Comp insurance in California is mandatory for all employers who usually buy policies through insurance brokers. When a claim is submitted the insurance carrier usually provides a Medical Provider Network (MPN) for examination and treatment of the employee at an approved and&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":11,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"taxonomy_info":[],"featured_image_src_large":false,"author_info":{"display_name":"Neo","author_link":"https:\/\/forensicpsychca.com\/author\/trifco\/"},"comment_info":0,"_links":{"self":[{"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/pages\/13"}],"collection":[{"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/comments?post=13"}],"version-history":[{"count":0,"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/pages\/13\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/pages\/11"}],"wp:attachment":[{"href":"https:\/\/forensicpsychca.com\/wp-json\/wp\/v2\/media?parent=13"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}