Ombudsman

Rassie and I met with the Ombudsman this past Thursday. We talked about the benefits review hearing. I am praying things go in our favor.

Our main concern is that the insurance company made false claims stating that Rassie had surgery pertaining to his accident. When in reality he had his tonsils out and that had nothing to do with the accident. The ombudsman said we will ask that the findings from the new designated doctor about Maximum Medical Improvement (MMI) and his % of disability be thrown out. Then we will ask that Rassie see the original designated doctor. Based on what the original doctor says, will determine what benifits Rassie will be eligble for.
The insurance company has also been denying physical therpay treatment based on what was said. Their claim is that if he is permanently disabled he no longer neads treatment!

Next Thursday, February 17th, we have the benefits review hearing. I will update everyone then.