It is extremely important that you are aware that the workcover agent (i.e. your case manager/injury adviser) will only send very selective material in support for your injury(ies) to independent medical doctors, the medical panel, your rehab provider and even your own treating doctor.
Workcover insurers fail to disclose vital medical reports
Failure to disclose of vital psychiatric reports by Allianz to treating Doctors
A couple of days ago we received a copy of an email sent to AMS Consulting (a- ahum- leading provider of consultancy and occupational rehabilitation services) from the aggrieved father of an injured worker. The email was also cc’d to WorkSafe Vic and several people in the Vivtorian Parliament.
Mr [AMS] it has come to my son’s attention,and his treating Dr A that vital Psychiatric reports have not been disclosed from [my son] treating Dr and Lawyer for proper treatment and assessment .The numerous reports warranted by Allianz to be assessed by (IME) in particular his long term case manager [name] have not been shown to the above mentioned people.
A recent questionnaire was sent to his treating GP with out the IME reports being forwarded for his viewing and making a proper assessment and future treatment which the IME have clearly stated that he be reviewed in twelve Months time and further more my sons treatment to be closely monitored due to no improvement in he’s mental state of mind.
Mrs [Allianz Case Manager] was asked in a recent letter which was written by [my son] and helped by me [name] his mother on why the reports were not sent to his doctor for referral before the questionnaire was filled out.
She did not respond to why this had not been done only to write another letter stating that she believes that my son has a capacity to return to work on the return to work questionnaire.
Dr clearly stated on my sons recent visit on the [date] that my case manager did not phone or write to him as asked of her and explain why his reports were not sent to him by the case manager before making a decision on the questionnaire of which was answered without viewing the psychiatric report.
Dr [A] did in fact state my sons mental/Psychiatric state should be evaluated by a medical panel which is up coming which in turn will determine his current and future prognosis.Mrs [Alianz case manager] knows of this as well, but has clearly demonstrated to hold back valid psychiatric reports to my sons treating Doctor of treatment/valuations for the purpose of denying my sons rights of a fair and legal medical based assessment governed and passed through work cover legislation.We urge you to review this as other health care advocates within the Victorian state,and federal MP’s have also received this letter for investigation.
Xchanging hides crucial evidence from IME
I was recently sent (yet again) to an independent medical examination for an “objective” (excuse me!) assessment of my physical injury. The IME showed me a list of the material workcover had sent him and guess what? They only submitted a very old report from my treating surgeon dated 2006 and, unbelievably, a copy of a report from my treating psychiatrist!!!
How on earth is this IME supposed to provide an “objective” assessment of a complex orthopedic injury, without a copy of all surgical reports, no MRI or x-ray results, no recent reports or letters from my treating specialist who between brackets requested approval for very major surgery just a few weeks ago, no bone scan test results, just nothing!
The value of a workcover claim is based upon the medical evidence the major part of which consists of the medical report supplied by an ‘independent’ medical assessor who just happens to have been paid for by the insurers who will be responsible for settling your claim and for paying out any financial compensation. It is worth remembering that an insurance company is a commercial business whose first responsibility is to shareholders, who expect to receive profits shared out by way of dividend every year.
The insurers are not doing you any favours and you are not high on their list of priorities when they consider the content of your claim form and genuine medical reports from your own treaters who know you best.
Has your workcover case manager deliberately withheld crucial medical evidence to your rebab service provider, IME, Home Help assessor, Medical Panel, etc… Please share your story and help us expose the real dirty tactics so commonly used by workcover insurers!