What happens if a condition is not allowed?

When the claim investigation determines that the condition could not or did not happen as a result of the work related injuy, the Customer Service Specialist (CSS) will deny the condition.

When a claim has several conditions reported and the medical documentation does not support all of the conditions, the CSS will issue an order allowing the documented condition(s) and will advise the injured worker that the other conditions will be addressed upon receipt of additional medical documentation.