An Adverse Benefit Determination after you see the IME doctor
If you’ve been receiving treatment and then, suddenly, you are asked to go see a doctor for the first time, chances are, that examination is a Defense medical examination or an IME. After you see the IME doctor, you typically will receive a letter with the report informing you that, based on the good doctor’s examination, your benefits have been terminated. That letter informing you that your rights have been terminated is an Adverse Benefit Determination. It informs you that you a have a right to appeal the decision, but you have to provide supporting documentation for your appeal.
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Got the ABD letter in the mail. Do I now have the right to file a lawsuit against my employer?
It’s important for you to know that just because you receive an Adverse Benefit Determination (ABD) in the mail does not mean that you do not have a right to file a lawsuit against your employer for failing to provide you with a reasonably safe workplace. You need to understand that the ABD is simply the insurance company’s way of seeing if your claim will just go away so that they won’t have to pay any further. If you’ve received an adverse benefit determination in your case, you need to make sure that you don’t wait to speak with a work injury attorney about continuing to get treatment for your work-related injuries. It’s crucial that you don’t wait too long before you seek help so that you don’t delay the ability for you to get well and healthy again!
If you’ve been injured working for a non-subscriber, don’t contribute to the delay you’re already experiencing in your case any further, speak with an experienced Texas work injury lawyer and make sure your case is moving swiftly through the process. This will ensure that you make a swift recovery and get well sooner. The more you allow them to delay, the harder it will be on you and your family down the road.