Top Questions Answered

1. How long before we will hear something from you on a claim we file?

   The adjuster will contact the employer, the injured employee and the treating provider within 24 hours of notice of the claim. This allows us to complete an investigation in a timely manner, assure that the employee is receiving appropriate medical care and explain the process and benefits to the injured employee. This has been proven to reduce litigation and costs.

2. When will the employee get their benefit check?

   Each state has its own requirements regarding when benefits are due. For example in Oklahoma there is a 3 day waiting period for which no benefits are payable. The first payment is due within 10 days after the disability began. In Arkansas the waiting period is 7 days but after the employee is off 14 days they are paid for the first 7 days. Payment is due by the 14th day. MAA will issue checks on a schedule selected by the employer to insure timely delivery of benefits to an injured employee.

3. How long does it take for a bill to be paid?

   The state fee schedule requires that payment be made to the provider within 60 days after they provide all the information to complete a review of the bill. If the bill is not paid after that time, the fee schedule reduction may not be applied. The average turn around at MAA for payment of medical bills is 15 days. This includes a review by the adjuster, reduction to fee schedule and a PPO discount.

4. How does an employee get the medications they need?

   MAA is currently contracted with a pharmacy program that allows either the employer or MAA to go online and print a card for the injured employee so they may obtain a prescription as early as the day of the injury with no cost to the employee. There is no waiting for a card to be printed and mailed. Many of the prescriptions do not require prior authorization. The formulary allows MAA to obtain the best discounts, control the amount of the medication dispensed, provide medications after normal business hours, reduce interactions with other medications and only provide medications related to the on-the-job injury.

5. How often to you follow up with an injured worker?

   If an employee is off work we will contact them once a week to keep the communication open and make sure they are progressing as anticipated. If they have returned to work we will follow up after each doctor’s visit.

6. What makes MAA different?

   We believe the best way to serve our clients is to form a partnership. Our expertise is the investigation and management of workers’ compensation and disability management claims. However, the employer has first hand knowledge that is essential in the successful management of a claim. With strong communication between the partners we can provide the injured employee with appropriate benefits, medical treatment, and modified work in the most cost effective manner possible.