What are the most common types of petitions that are filed with the Pennsylvania Workers' Compensation Office of Adjudication?

•    Claim:  A claim petition is filed by an injured worker to prove that he is entitled to benefits for a work injury.

•    Termination:  The insurance company or employer files this petition if it claims that the injured worker is fully recovered from a work-related injury and is no longer entitled to receive any benefits.

•    Suspension:  This petition is filed where an injured worker is not fully recovered, but has returned to work or is capable of returning to available work without a loss of earnings.

•    Modification:  The insurance company or the employer files this petition when an injured worker is not fully recovered, but has returned to work or is capable of returning to available work with a loss of pay.

•    Review:  This petition is filed by any party to correct mistakes in workers' compensation documents.

•    Review Medical Treatment:  This petition is filed to determine whether specific healthcare is related to an on-the-job injury.

•    Utilization Review:  This is a petition filed to figure out whether medical treatment an injured worker is receiving for a work injury is reasonable and necessary.

•    Seek approval of a Compromise and Release:  This petition is filed by a party to seek approval of a settlement by a Workers' Compensation Judge.  

•    Employee challenge:  If you return to work, you may receive a Notice of Suspension of your wage loss benefits that claims you returned to work at no loss of wage or at reduced wages.  If you believe that notice of suspension is incorrect, you can file an appeal and it will be assigned to a Workers' Compensation Judge.

Greg Boles
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