Disclaimer: This article is for informational purposes only and does not constitute legal advice. Consult a qualified attorney for advice specific to your situation.

Detailed Answer

Understanding Your Rights Under Wyoming Law

Under Wyoming workers’ compensation statutes, your employer’s insurer must pay medical providers directly for reasonable and necessary treatment related to your workplace injury. You have a right to confirm that those payments were applied to your medical bills. Key Wyoming statutes include:

• W.S. § 27-14-801: Right to Medical Treatment (link)
• W.S. § 27-14-803: Payment of Medical Providers (link)

Step-by-Step Process to Verify Payments

Follow these steps to ensure your medical bills are correctly credited:

1. Review Your Explanation of Benefits (EOB)

After each treatment, your medical provider should send you an EOB or billing statement. This document shows what was billed, what the insurer paid, and any remaining balance.

2. Request a Payment Ledger from the Insurer

Contact your employer’s workers’ compensation insurer. Ask for a detailed payment ledger or transaction history for your claim. By law, insurers must provide records of payments made on your behalf. (W.S. § 27-14-803)

3. Check with Your Medical Provider

Call the billing department of the clinic or hospital. Confirm the insurer’s payment date and amount. Compare those figures with the EOB and ledger to confirm accuracy.

4. Contact the Wyoming Workers’ Safety and Compensation Division

If you encounter discrepancies, file an inquiry with the Wyoming Department of Workforce Services – Workers’ Safety and Compensation Division. They can review your claim file and help resolve disputes.

5. Keep Detailed Records

Maintain copies of all medical bills, EOBs, correspondence with the insurer, and any notes from phone calls. Organized records help you demonstrate underpayments or billing errors.

When to Seek Legal Assistance

If you still cannot confirm payments or if you believe the insurer underpaid medical providers, consider consulting a workers’ compensation attorney. An attorney can help you file a motion before the Office of Administrative Hearings to compel the insurer to comply with W.S. § 27-14-803.

Helpful Hints

• Keep a dedicated folder (electronic or paper) for all workers’ comp medical documents.
• Request EOBs after every appointment, even if you think the insurer paid.
• Note the date, time, and representative’s name for every call with the insurer.
• Use secure email or certified mail to request payment ledgers in writing.
• If you find errors, submit a written dispute to the insurer and copy the Wyoming Workers’ Safety and Compensation Division.