Pre-Authorization of Medical Treatment in GA Workers Compensation Cases
Three Things a WC-205 Does for an Injured Workers Compensation Claimant
Board Rule 205 provides authorized treating physicians the ability to obtain pre-authorization for testing and/or procedures to be performed on injured workers. Board Rule 205(b)(3)(a) provides, “[a]n authorized medical provider may request advance authorization for treatment or testing by completing Sections 1 and 2 of Board Form WC-205 and faxing or emailing same to the insurer/self-insurer, along with supporting medical documentation.
(2) WC-205 Has a Five Day Response Time for Employers/Insurers
The rule goes on to say that the employer/insurer must respond to the WC-205 request within five business days of receipt of the WC-205. Board Rule 205(b)(3). The employer/insurer must fax or email the response back to the injured worker’s authorized treating physician.
(3) Non-response by the Employer to the WC-205 Leads to Authorization of Medical Treatment
This rule is a very powerful tool that greatly assists the injured workers of Georgia in getting appropriate medical treatment.
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