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One more thing to consider - if you're dealing with both L&I and a third-party claim (against the other driver), make sure you understand how these interact. If you receive a settlement from the third-party claim, L&I may place a lien on part of that settlement to recover what they paid for your medical treatment. This is standard practice, but many people are surprised by it. Your attorney should be explaining this to you. As for finding a surgeon who takes L&I, ask your claim manager for a list of approved specialists. They should be able to provide you with options within your area that are approved providers.
Based on everything you've shared, here's what I recommend: 1. Contact your L&I claim manager tomorrow and request a list of approved spine surgeons in your area 2. Have your primary doctor submit detailed documentation about why you need a specific surgical approach 3. If your claim manager isn't responsive, contact the L&I Ombuds office 4. Withdraw your ESD application for now to avoid potential overpayment issues 5. Ask your L&I claim manager about getting your time-loss rate reassessed if it's not sufficient Don't agree to pay for the surgery out-of-pocket with the promise of reimbursement later - that's risky and not how the system is supposed to work. L&I should cover approved medical treatment directly.
have u tried going to worksource in person? sometimes they can help with stuff like this when the phone people wont
WorkSource staff don't have access to your submitted forms in the system. They use a different database than the claims center. They might be able to help with general questions but not retrieving documents. I used to work there.
Quick tip: you can sometimes see part of your application info if you start a new claim but don't submit it. The system pre-fills some fields with your last application data. I did this when I needed to check what start date I used for my disability claim. Not a perfect solution but might help in a pinch!
Thanks everyone for the helpful responses! I feel much better knowing that the interest should eventually come back too. I'll keep an eye on my account and give it about 6 weeks before I start trying to contact them. Fingers crossed it all goes smoothly!
just wondering.....how long did it take for them to approve your waiver? i submitted mine 7 weeks ago and haven't heard anything yet. getting scared they'll deny it.
FYI - the adjudication doesn't necessarily mean there's a problem with your work search. It just means they're reviewing it. If your contacts were legitimate and you can document them, you should be fine. And like others said, keep filing weekly claims no matter what.
UPDATE: I just got an email from ESD saying I need to provide additional documentation for the job contacts from that week. They want company addresses and contact names, which I didn't include originally. I'm gathering that info now. Still no answer about whether my current payments will be affected, but at least I know what they need now. Thanks everyone for your help!
Good news! That's a straightforward request. Once you provide that additional documentation, the adjudication should resolve relatively quickly. In my experience, if there's no issue with your current weeks, your payments should continue while they sort out that specific week. Get that documentation in ASAP though!
Zainab Ibrahim
One other thing to check - make sure the IDs you uploaded are clearly legible. If they're blurry or have glare, the verification team might be struggling to read them. If you're worried about that, you can always upload them again (it won't hurt anything). Also, the ESD system actually places regular claims and ID verification in the same 'adjudication' category even though they're handled by different departments.
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Miguel Ramos
•That's good to know! I'll double-check the quality of the images I uploaded. They seemed clear to me, but maybe they need to be better quality.
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StarSailor
Update on my situation: I finally got through to ESD this morning after like 30 attempts calling. They said my ID verification was actually completed last week but the system hadn't updated! The agent manually released my payments. might be worth trying to call non-stop if you can.
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Miguel Ramos
•That's great news for you! And definitely concerning that the system didn't update automatically. I'll try calling tomorrow morning - I've heard early morning right when they open is the best time to get through.
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