Workers’ Comp Claim Denied in Pennsylvania?
Here's What to Do Next
Don’t Give Up: You Have Options
Getting a denial letter doesn’t mean your case is over. Many Pennsylvania workers are denied initially because of paperwork mistakes, employer disputes over how the injury happened, missed deadlines, or disagreements about medical treatment. The good news? You have the right to challenge that decision.
Understanding the Denial Notice
The Notice of Compensation Denial explains why your claim was rejected—common reasons include “not work-related,” “insufficient medical evidence,” or “reporting delay.” If you were receiving benefits and they suddenly stopped, you might also get a Notice of Suspension or Modification. These notices require a legal response.
How to Appeal a Workers’ Comp Denial in PA
To appeal a denial, you’ll need to file a
Claim Petition with the Pennsylvania Bureau of Workers’ Compensation. From there, the case goes to a Workers’ Compensation Judge for hearings. This process can involve expert testimony, medical records, and legal argument. It’s complex and
time-sensitive—which is why having an attorney is so important.
How Vellner Law Helps Injured Workers Fight Back
We dig into the facts—medical records, witness testimony, and employer conduct—to prove your injury is work-related and your benefits were wrongly denied. We’ve handled appeals across Lehigh Valley courtrooms, including Allentown and Easton, and we know what local judges expect.
Denied Medical Care or Surgery?
If workers’ comp refuses to authorize surgery, therapy, or testing, we can help challenge it through a Petition to Review or Utilization Review. Don’t let insurance companies deny necessary care.
Temporary vs Final Denials
If you received a Notice of Temporary Compensation Payable, your benefits might stop after 90 days. That’s not a final denial—but you need to act quickly to preserve your rights.
FAQ – Workers’ Comp Denials in PA
Why was my workers’ comp claim denied?
Common reasons include the employer denying the injury happened at work, missed reporting deadlines, or disputes over medical documentation.
How long do I have to appeal a workers’ comp denial in Pennsylvania?
Generally, you have up to 3 years from the date of injury to file a Claim Petition—but the sooner, the better.
Can I get benefits while appealing?
In most cases, benefits don’t continue during the appeal unless you’re under a Notice of Temporary Compensation.
Do I need a lawyer to appeal a denied claim?
Yes. Appeals are complex and involve hearings, legal briefs, and evidence. An experienced attorney improves your chances significantly.
Talk to a Lawyer Before Time Runs Out
A denial letter doesn’t mean your case is over—it means it’s time to take action. Workers’ comp insurers often deny valid claims hoping you’ll give up. But with the right legal strategy, you can appeal and win the benefits you need for medical care, lost wages, and recovery.