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Keisha Johnson

Out-of-state doctor signing EDD SDI continuation paperwork - any issues?

I'm currently in the middle of my SDI claim period but have temporarily relocated to Nevada to stay with family during my recovery (spinal surgery complications). My follow-up appointment is with a specialist here in Nevada who's monitoring my recovery, and I need them to complete my continuation certification for California SDI benefits. Has anyone dealt with getting an out-of-state doctor to sign EDD paperwork? Are there any special requirements or forms? My California doctor who initially certified my claim isn't available for appointments until after my benefits would expire, so I'm really stressing about this. The EDD website is completely unhelpful about this scenario!

ya i had this issue when i went to oregon last yr, my sister lives there and i stayed w/ her during recovery. the out of state dr can sign but they need to include their medical license # and make sure to write the state its from. my dr almost sent it without that and it wouldve been a problem

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Thank you! Did the EDD contact you about the out-of-state doctor or did it just process normally? I'm worried they'll automatically reject it just seeing a Nevada address for the doctor.

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You can absolutely have an out-of-state doctor certify your ongoing disability. The important things are: 1. The doctor must be licensed (any state is fine) 2. They need to provide their license number and state of licensure 3. They need to properly document your ongoing medical condition 4. They should reference your original diagnosis if possible 5. They should clearly indicate the continued disability period I went through this when I had emergency surgery while visiting family in Arizona. When I called EDD, they told me that the medical provider's location doesn't matter as long as they're licensed and provide proper documentation of your medical condition.

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This is SO helpful! I've been trying to get through to EDD for days with no luck. Do you know if the Nevada doctor needs any records from my original California doctor, or can they just evaluate my current condition?

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I tried using an out-of-state doctor last year and it was NIGHTMARE!!! EDD kept sending me these confusing letters asking for more verification. The problem wasn't that the doctor was out-of-state but that they didn't fill out some section completely on the form. Make sure your Nevada doctor completes EVERY SINGLE FIELD on the form and signs/dates it correctly. And get a copy before you submit it!!! Trust me on this.

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Oh no, that sounds stressful! Did you eventually get it resolved? I'm going to make a checklist for my doctor so nothing gets missed.

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If you're having trouble reaching someone at EDD to confirm this, try using Claimyr (claimyr.com). I was in a similar situation with an out-of-state provider issue and couldn't get through to EDD for weeks. Claimyr got me connected to an actual EDD rep in about 20 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd The rep confirmed that out-of-state doctors can certify disability continuation as long as they're licensed physicians and complete all the required fields. They said it happens all the time with people who relocate during recovery.

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Does that service actually work?? I've been calling EDD for 2 weeks straight with no luck!

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Yes, it worked for me. I was skeptical too but was desperate after trying for days. Got connected to a rep who actually knew what they were talking about within about 25 minutes.

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I think the most important thing is making sure your doctor includes detailed notes on the form about WHY you're still disabled. My cousin had her claim denied because her out-of-state doctor just checked boxes without adding supporting details. Make sure they write about your specific limitations, treatments, and expected recovery time. The more details, the better!

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That's a great point! I'll ask my doctor to be really thorough about my current limitations and ongoing treatment plan. I'm still doing PT 3x a week and have significant mobility restrictions.

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my sister works for medical office that fills these forms all the time and she says out of state is fine but MAKE SURE they use a real medical diagnosis code (ICD-10) on the form!!!! thats the #1 reason they get rejected she says

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Thank you! I'll definitely make sure they use the proper diagnosis codes. Do you know if they need to use the exact same code as my original claim, or just something that accurately describes my current condition?

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she says better if its same diagnosis code as original but if thats not possible make sure they explain why the new code relates to original reason for disability

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One other tip - if you haven't already, you might want to call your original California doctor's office and ask them to send your medical records to your Nevada doctor before your appointment. This creates a clear connection between your original disability certification and the continuation. Having that documentation trail can help prevent questions from EDD.

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That's a really smart idea. I'll call my California doctor tomorrow and get those records sent over. Thank you so much for all your help!

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ALSO!!!! don't forget to update your mailing address with EDD if you're staying in Nevada for a while! I didn't do this and missed important paperwork that got sent to my California address while I was out of state. You can update your address in your SDI Online account under 'Profile Settings' I think.

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I'm actually having my mail forwarded, but updating the address directly with EDD would probably be more reliable. Thanks for the reminder!

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Just wanted to add that I went through something similar when I had to relocate to Arizona for family care during my recovery from knee surgery. My Nevada doctor was able to complete the continuation forms without any issues. The key things that helped me were: 1) Making sure the doctor had all my previous medical records from California, 2) Having them write detailed notes about my ongoing limitations and treatment plan, and 3) Double-checking that they included their license number and state. EDD processed it normally - no additional questions or delays. Don't stress too much about it, the system is designed to handle these situations since people move around during recovery all the time. Just make sure all the paperwork is complete and detailed!

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