if a patient is off work in discomfort for example due to a medical condition but wants to try to go back to work and has yet to submit the forms can they approve for the period the pt has been off (say 4 months)
also any suggestions on what to do if the pt does not agree with what is on the form?
for example if the form says “needs up to date psyc assessment” but it is due to a secondary medical condition. can you request that the doctor take all psyc stuff off the form ?
the pt is totally against going to a psychiatrist but has another medical condition that is causing inability to work (harassed constantly about it / trying to go various doctor about it to get treated / in discomfort / embarrassed , etc)
what would you do
Do you mean you’ve been off work for 4 months but haven’t filled out the forms to apply for STD yet?
The STD forms ask for a psych assessment but that is not relevant to you?
The doctor can just fill out relevant parts.
I don’t know how to deal with a situation where the doctor’s diagnosis differs with the patient’s opinion.
Have them give it to you for review before submission.
I strongly advise against tying to get the doctors to change the forms and their medical diagnosis. The more a patient disagrees with a diagnosis the more the insurance company will focus on it. Trying to get the doctor to remove conditions is a mistake. If the person does not want to do recommended treatment (like seeing a psychiatrist), then the insurance claim is almost certain to be denied for that reason.
David Brannen
Disability Lawyer with Resolute Legal
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