The employer or insurance carrier is responsible for all medically necessary treatment to the claimant, and payment of same, when a claim has been accepted or established by the Board as compensable. See NYCRR Section 325-1.25. When treatment is not medically necessary, the carrier can object to same using the Board-C-8.1 forms. However, if the objection is improper, the carrier will likely be found liable for significant unnecessary medical costs, and therefore face increased expenses.
The C-8.1 forms are straightforward. However, they are often resolved in favor of the medical providers because they are not properly completed or timely filed. Continue reading C-8.1s: Effective Denials of Treatment and Bills For Treatment