If a workers' compensation insurer denies liability or delays payment for specific medical bills, the injured worker or healthcare provider can formally dispute the decision through the state's dispute resolution framework or regulatory body. During an active dispute, treating medical providers may seek payment from the patient directly or ask them to utilize private health insurance or Medicare temporarily, though providers often wait for claim determinations. Workers can request an internal review from the insurer or escalate the matter to external dispute resolution directorates to challenge the non-payment of authorized medical treatments.
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