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Giovanni Marino

Will EDD SDI backdate payments to injury date or doctor certification date?

I slipped on some water at work and tore a ligament in my knee about 3 weeks ago (March 3rd). I've been off work since then, but I just finally got in to see a specialist today who agreed I can't work and is submitting the SDI paperwork. My question is - will EDD backdate my disability payments to when I actually got injured (minus the waiting period), or will they only start paying from today when the doctor submitted the paperwork? I've been without income for almost a month now and really need to know if I'll get backpay for these weeks. My HR department was useless and just told me to ask EDD directly but I can't get through on the phone. Anyone know how this works?

Yes, EDD will backdate your payments to your actual disability start date, as long as your doctor certifies that date correctly on your medical certification form. Just make sure your doctor puts March 3rd as your disability start date on the form. Your waiting period would be the first 7 days after that date. So payments would start from around March 11th, assuming your claim gets approved. That's why it's crucial your doctor puts the correct start date on the form - not today's date.

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Thank you so much! That's a huge relief. The doctor did confirm he's putting March 3rd as the start date. Do you know if there's any way I can check that he submitted everything correctly? I'm really anxious about this.

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Dylan Hughes

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when i broke my ankle last yr they backdated it to my injury day but my dr submitted paperwork like 2 days after it happened not 3 wks later, might be different 4 u

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That's concerning. Did you have any issues with them questioning the gap between injury and paperwork filing?

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NightOwl42

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The key here is what date your doctor puts as your "date of disability" on the DE 2501 form. As long as he certifies that your disability began on March 3rd, you should be fine. The claims examiner will review this and determine if it's medically appropriate. One word of warning though - since there's a 3-week gap between your injury and seeing the specialist, make sure you can document that you were seeking treatment during this time (like if you went to urgent care or your regular doctor first). Sometimes EDD will question large gaps between injury date and medical certification.

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That's helpful information. I did go to urgent care right after it happened and they referred me to the specialist, but there was a long wait for an appointment. I have the urgent care paperwork - should I submit that to EDD too or just let them know if they ask?

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I HAD THE EXACT SAME PROBLEM last year!!! My doctor put the wrong date on my form and it took FOREVER to fix. Called EDD like 50 times and either got hung up on or waited 3+ hours. The SDI system is BROKEN!!

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NightOwl42

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This is why it's so important to verify what your doctor puts on the form before it gets submitted. Once incorrect information is in the system, it can take weeks to correct.

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Dmitry Ivanov

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If you're having trouble getting through to an EDD representative, you might want to try Claimyr. I used them when I had problems with my disability claim last month. They got me connected to an actual EDD agent in about 20 minutes when I'd been trying for days on my own. Their website is claimyr.com and you can see how it works in this video: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd Regarding your actual question - yes, you'll get backpay to your injury date (after the 7-day waiting period) as long as your doctor certifies that date properly. Just make sure to check your SDI Online account in a few days to verify the correct dates are showing up once your claim is processed.

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Thanks for the Claimyr tip - I'll check it out if I can't get through tomorrow. And good idea about checking my SDI Online account, I didn't realize I could verify the dates there.

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Ava Thompson

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Just went thru this in January - the waiting period is the first 7 days from your disability date (NOT from when u filed). So if ur disability started March 3, waiting period is March 3-9, and benefits would start March 10. BUT - big issue could be the 3 week gap between injury and doctor certification. When I had a 2 week gap they made me do a phone interview and I had to explain why. Just be ready to explain why it took 3 weeks to see the doctor.

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Good to know about the phone interview possibility. I'll gather my referral paperwork and be ready to explain the appointment wait time. Did they eventually approve your claim with the full backpay?

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Ava Thompson

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Yeah they did approve my backdated claim but it took almost 2 extra weeks because of that phone interview. Just make sure u answer all their calls even if u don't recognize the number because they only try twice before putting ur claim on hold.

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wait, i thought the rule was you have to file within 49 days of your disability starting, not that the doctor has to certify right away? as long as you're within that window you should be fine?

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You're right about the 49-day filing window. The issue isn't about filing too late (OP is well within the 49 days). The potential issue is that there's a gap between the claimed disability start date and the first medical certification, which sometimes triggers extra verification from EDD. But as long as there's medical documentation from the urgent care visit on the injury date, it should be fine.

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Update: My doctor confirmed he put March 3rd as my disability start date and I just checked my SDI Online account - my claim is showing as received! The disability start date shows correctly as March 3rd. Now I'm just waiting for it to be processed. Huge relief to know I'll get backpay for these weeks once it's approved. Thanks everyone for your help!

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Dmitry Ivanov

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Great news! Just be prepared that they might still contact you about the gap between injury and medical certification. If they do, just explain about the urgent care visit and specialist referral wait time. Keep us posted on how it goes!

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Sarah Jones

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That's awesome news about your claim showing up correctly in the system! I'm dealing with a similar situation right now - injured my back at work 2 weeks ago and just got my doctor's certification yesterday. Reading through all these responses has been super helpful, especially knowing about the potential phone interview if there's a gap between injury and certification. I'm keeping all my initial treatment records just in case. Hope your claim gets approved quickly and you get that backpay soon!

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Drake

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Good luck with your claim! Since you're only 2 weeks out from your injury, you should have a much smoother process than what I went through. The key things I learned from everyone here: make sure your doctor put the correct injury date as your disability start date, keep all your initial treatment records handy, and check your SDI Online account to verify the dates once your claim is submitted. The waiting is nerve-wracking but it sounds like most people do get their backpay as long as the paperwork is correct. Keep us posted on how it goes!

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Amina Toure

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Just wanted to add my experience for anyone else in a similar situation - I had a work injury last year where there was a 10-day gap between my injury and getting proper medical certification because my employer's workers comp doctor initially said I could work light duty, but then a specialist later determined I couldn't work at all. EDD did backdate my payments to the original injury date once the specialist certified the correct disability start date. The key was having documentation of the initial medical visit and being able to explain the timeline clearly. Sometimes these delays happen through no fault of your own, and EDD does understand that accessing specialists can take time, especially for orthopedic injuries. Good luck with your claim!

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That's really reassuring to hear about your experience with the 10-day gap! It sounds like EDD is more understanding about specialist wait times than I initially thought. Your situation with the workers comp doctor initially clearing you for light duty but then the specialist determining you couldn't work actually makes a lot of sense - that's probably a pretty common scenario. I'm feeling much more confident about my claim now, especially since I have that urgent care documentation from day one. Thanks for sharing your experience - it's exactly what I needed to hear!

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Sean Doyle

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This thread has been incredibly helpful! I'm currently going through a similar situation - injured my shoulder at work 6 weeks ago and finally got my specialist to submit the SDI paperwork last week. I was really worried about the gap between my injury date and when the paperwork was filed, but reading everyone's experiences here gives me hope that EDD will backdate to my actual injury date as long as my doctor certified that correctly. I kept all my initial ER visit records and follow-up appointments, so I should be able to document the entire timeline if they ask. It's such a relief to know that specialist wait times are common and EDD generally understands these delays aren't the patient's fault. Thanks to everyone for sharing their experiences - this community has been way more helpful than trying to get through to EDD on the phone!

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I'm so glad this thread helped you too! Six weeks is definitely a longer gap than some of the other cases mentioned here, but it sounds like you have excellent documentation of your medical timeline which should really help if EDD has any questions. The fact that you went to the ER right after your injury and have all the follow-up appointments documented shows a clear medical trail - that's exactly what they want to see. Shoulder injuries can be tricky and often do require specialist care, so the wait time makes total sense. Hopefully your claim processes smoothly! It's frustrating that getting information from EDD directly is so difficult, but at least we can help each other out here.

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Simon White

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I just wanted to share my recent experience that might help others with similar timing concerns. I had a workplace injury last month where there was a 4-week gap between my injury date and when my orthopedic surgeon finally submitted my SDI paperwork. I was really stressed about whether EDD would question the delay, but they approved my claim with full backpay to my injury date without any issues. The key was that my doctor properly documented the original injury date on the DE 2501 form and I had kept all my initial urgent care records. What really helped was that I proactively included a brief note with my claim explaining that the delay was due to specialist referral wait times, not because I wasn't seeking treatment. EDD processed my claim in about 10 days and I received backpay for all the weeks I was off work (minus the 7-day waiting period of course). For anyone dealing with similar gaps - don't panic! As long as your medical provider certifies the correct disability start date and you have documentation showing you sought initial treatment promptly, EDD seems pretty understanding about specialist appointment delays. The healthcare system is backed up everywhere right now and they know it.

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StarSurfer

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Thank you so much for sharing your experience, Simon! This is incredibly reassuring to hear. I'm currently dealing with a similar situation - injured my wrist at work about 5 weeks ago and just got my specialist to submit the paperwork this week. I was really worried about that gap, but your experience gives me hope that EDD will understand the specialist wait times. I love the idea of including a brief note explaining the delay - that's such a smart proactive approach that I hadn't thought of. Did you just attach it as a separate document when you submitted your claim, or did you include it somewhere specific in the online application? I have all my initial urgent care records too, so hopefully I'll have a similar smooth experience. It's such a relief to know that 4 weeks wasn't an issue for them!

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