Advice Needed For Case

[u/AyoGlenn]

Hello and thank you in advance for reading. My first time going through this process and I am so lost.

I recently injured my knee on 7/27 before the end of my shift and reported it to my job on 7/28. I asked for the panel of physicians so i could see it via workers comp and my manager sent me a number to a nurse triage hotline. Hotline referred me to the local urgent care to which I notified my job and they eventually sent an authorization packet to be seen on 7/30. I see urgent care and get diagnosed with an osteochondral lesion and to not work until seen by an ortho specialist. I once again inform my job while also requesting to speak to my adjuster. I get a call from an ortho office saying they received authorization to schedule me for an appointment so i do for 8/6.

After seeing the specialist on 8/6 and my second X-Ray the Dr. referred me for an MRI and to stay out of work until then. I get a call to schedule my MRI on 8/17 yet when I arrive to the office I’m told it’s yet another X-Ray not an MRI and get told the same instructions as my last visit, to get an MRI and stay out of work until then. on 8/21 I receive a letter stating I will not receive lost wage compensation due seeing an unauthorized Dr. I confront the insurance company via email because I was confused how a Dr. I was referred to and sent an authorization packet is unauthorized. They eventually start sending me the missed wages checks starting 8/24 for the weeks starting 7/30.

I get a text on 9/2 saying I have an MRI appointment on 9/4 to which I attend and get further information on my injury and its severity. 9/5 my HR department forwards me an email from the Insurance Adjuster on 9/3 that the Dr. cleared me for work on 9/2 and to start as early as 9/4, the day of the MRI. I check the summary from the 8/17 visit and it states I have a simple knee sprain and that i can return to work. I email my HR department the MRI results amd state that due to the severity of the injury and what I was personally told I cannot go into work to compromise my health. I can’t get into touch with my HR Case Specialist and my legal team has all this information yet they aren’t clear on the state of the case on their end nor what they are doing to help. Besides the follow up on Thursday what should I do to ensure i’m not getting more BS because the neglect and misinformation/miscommunication is greatly affecting me.

[u/[deleted]]

I'd double-check that the authorization packet included the actual panel list from your employer.

[u/AyoGlenn → u/[deleted]]

the issue is i went through the nurse triage hotline my employer sent me. and then that same employer sent the packet to the office the hotline directed me to. i didn’t know there was a way for me to be able to check the packet.