General Medicine Workers' Comp Doctors

Frequently asked questions

What does a general medicine provider do in a workers' compensation case?

A general medicine provider evaluates work-related injuries within their specialty, manages treatment under the WC fee schedule, documents progress for the claims adjuster, and provides written reports the insurer uses to authorize ongoing care or settle the claim.

Do I get to choose my own general medicine provider?

It depends on your state and whether your employer uses a Medical Provider Network (MPN). In states with MPNs, your first treating physician is usually chosen from the MPN list. After a waiting period (often 30 days), you may be able to switch to a provider of your choice, subject to MPN rules.

What should I bring to my first appointment?

Bring a government-issued ID, your claim number, the claims adjuster's contact info, the employer's incident report, a list of current medications, and any prior medical records related to the injury. Many providers also accept faxed or emailed records in advance.

How is the provider paid?

In workers' compensation cases, the insurance carrier (or self-insured employer) pays the provider directly under the state's WC fee schedule. You should not be billed for covered treatment. If you receive a bill, contact the claims adjuster immediately.