Austin Workers’ Compensation Lawyers
The Texas Workers Compensation Act provides a system of benefits to injured employees which is not based upon fault for causing the employees injuries. In order to receive benefits under the Texas Workers Compensation system an injured employee must be in the course and scope of employment at the time of injury.
Workers’ Compensation Denials
An insurance carrier can deny a workers’ compensation claim on the basis that the injured person was not in the course and scope of their employment at the time of the injury. A good example of this denial is when someone has pre-existing medical conditions and the insurance carrier denies the claim saying the pre-existing conditions are the cause of the person’s injuries, not anything that occurred in the course and scope of employment. Certain medical conditions, like heart attacks, can also be denied as not occurring in the course and scope of employment. The attorneys at Allison & Ward have been working together representing injured workers whose claims were denied on the basis that the injury or medical condition did not occur in the course and scope of employment in Austin since 1995. Contact the workers comp lawyers at Allison & Ward and speak with a lawyer about the specific facts of your case.
A compensability denial may occur when the claim has been accepted but the insurance carrier is only accepting a portion of the injuries. For example, the workers compensation insurance carrier accepts a back sprain but denies a herniated disc saying the herniated disc is not part of the compensable injury. This type of denial is referred to as an extent denial. The insurance carrier is arguing the compensable injury does not extend to include a certain medical diagnosis. The attorneys at Allison & Ward have a combined forty years experience in handling compensability and extent denials in Texas Workers compensation cases. Contact one of our Austin workers compensation attorneys today to speak about the specific facts of your case.