20 I am injured. Now What? FAQ’s regarding Workers’ Compensation ______________________________________ How long do I have to report a claim to my employer? All injured workers must contact their supervisor/employer immediately to notify them of any on-the-job injury. Claims reported after 30 days could be denied. Which forms do I need to complete? All injured workers should complete a First Report of Injury form, NSU Employee Statement Regarding Cause of Accident, CCMSI. NSU/CCMSI Workers’ Compensation Treatment Authorization form, CCMSI False and Fraudulent Claim Warning form and CCMSI Authorization for Medical Records and Communication Release form, NSU Workers’ Compensation Witness Report form when filing. It is important that all injured workers complete the fraud statement. Benefits might become suspended if said injured workers refuse to provide the requested signature. What doctor can I go to? Your Workers’ Compensation Risk Management Specialist (employer) or insurance company (CCMSI), upon becoming aware of your injury will direct you to a health care provider for such period as the nature of the injury or the process of recovery may require. Medical care must be authorized by the Workers’ Compensation Risk Management Specialist or insurance company. Why can’t I go to the doctor of my choice? Per Florida Statute 440.13(2) (a), the law requires that the employer/insurance company provide the appropriate medical care. Can I go to my own personal physician? No. You must go to an authorized physician provided by FICURMA or the insurance company (CCMSI). The doctor is not helping me. Can I request a different doctor for my treatment? Yes. Per Florida Statute 440.13(2) (f), you are entitled to a one time change per accident. The request for a change in physician must be in writing and provided to the insurance company (CCMSI). Upon receipt of the request, the insurance company will select and authorize an alternative physician within five days of receipt of the written request. The injured worker or insurance company (CCMSI) may also select a one-time Independent Medical Examination (IME), per accident. Please note, if your accident occurred on or after 10/1/03, the party requesting the IME is responsible for payment. Will I have to pay any medical bills? No, all authorized medical bills should be submitted by the medical provider to CCMSI for payment until you reach maximum medical improvement. Once you reach Maximum Medical Improvement you will be required to pay $10.00 co-pay per visit.
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