Detailed Answer
Under Utah law, when you suffer a work-related injury, your employer’s workers’ compensation insurer must pay all reasonable and necessary medical bills without delay. You can confirm that payments were applied by following these steps:
- Obtain Explanation of Benefits (EOB): Ask the medical provider or insurer for an EOB or payment summary. This document shows the billed amount, the insurer’s payment, and any balance due.
- Review Medical Provider Statements: Compare the insurer’s payment on the EOB with the provider’s billing statement. Ensure dates of service and amounts match.
- Contact the Workers’ Compensation Adjuster: Call or email the insurer’s adjuster. Request a written confirmation of payments. Reference your claim number and dates of service.
- Use the Utah Labor Commission Portal: Access the Utah Labor Commission’s claim management site at https://laborcommission.utah.gov/. Log in and check the payment history for medical benefits on your claim docket.
- Request Paid Receipts from Providers: If you still see a balance, ask the medical provider for a “paid-in-full” receipt. This helps verify whether the insurer’s payment covered the charges.
- Refer to Utah Statutes: Under Utah Code Ann. §34A-2-701, insurers must cover medical treatment promptly. If a dispute arises, § 34A-2-702 allows providers to file liens for unpaid services. You can request the insurer to confirm lien resolutions.
Next Steps if You Detect an Error: If payments don’t align, submit a written request to the insurer for correction. If they fail to respond within 30 days, file a complaint with the Utah Labor Commission’s Division of Adjudication.
Disclaimer: This article is for educational purposes and does not constitute legal advice. For guidance tailored to your situation, consult a qualified attorney.
Helpful Hints
- Keep copies of all bills, EOBs, and correspondence in a dedicated folder.
- Note claim numbers, adjuster names, and dates on every document.
- Follow up promptly—delays can affect your right to reimbursement.
- Ask providers to bill the insurer directly to avoid surprise balances.
- Track deadlines: Utah law often sets time limits for disputes.