Changing PTP"s (California)

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Changing PTP"s (California)

Postby Luckyazkd9 on Thu Sep 26, 2019 8:02 am

My PTP of 18 years has stopped doing W/C. I had to select a Doctor from the companies selected doctors. A letter notifying the third party admin. of my selection and a request an appointment with my new PTP was mailed on August 20, 2019. To this date I have not heard from anyone. What is the time period by law by which they must notify me? I read LC 4600 and it primarily covers the selection of the first PTP. I am aware many changes have occurred since the date of my injury in the year 2000. Any input would be most welcomed. Ageing affects one's ability to understand new concepts especially W/C law.
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Re: Changing PTP"s (California)

Postby vampireinthenight on Wed Oct 02, 2019 7:35 am

Try calling the doctor and setting an appointment. Maybe authorization was faxed to him/her.
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Re: Changing PTP"s (California)

Postby Luckyazkd9 on Wed Oct 02, 2019 9:18 am

Thank You for your response. I shall call today and make the inquiry. Does Ca. Rules of Practice and Procedures 9767.5(G) apply in this situation? I appreciate you taking the time to assist me. My now deceased AA was a member of a two AA's firm. When he passed the other AA took over all the cases the firm had in play. Remaining AA is up to his neck with work and I can understand how limited his time is. Too top it off my former AA"s Legal aide fell and was seriously injured and unable to return to work. I would seek new representation however after eighteen years an other firm may not be receptive.
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Re: Changing PTP"s (California)

Postby vampireinthenight on Fri Oct 04, 2019 8:13 am

Sort of. That's more about how the MPNs meet their obligations. At this point, I wouldn't get too bogged down in specific regs. Your situation is pretty straight forward. You picked a doc from the MPN, now you should get an appointment authorized. Call the MD and if they have not received authorization then you call/write/nag the new TPA to fax them the auth. If you still can't get anywhere, then you'll have to get your bust attorney to write or call.
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