What is the role of the Attending Physician or Attending Provider in my L&I claim?

L&I claim attending physician or attending provider

 

What is the role of the Attending Physician in my workers’ compensation claim?

Injured workers are required to designate an attending provider or attending physician (AP) on their L&I claim or workers’ compensation claim. In very simple terms, the AP is the medical provider that manages treatment, and reports progress to L&I. The AP also assesses the injured workers’ medical ability to return to work in regular intervals as the claim progresses. It is the injured worker who gets to choose their AP. However, the AP must be within L&I’s Medical Provider Network (MPN). On top, the chosen provider must be willing to see the injured worker.

 

Observations and recommendations

I’m often asked by injured workers what kind of AP they should select. People are often concerned with finding a provider that will be “good” for their case. They often believe that in order for the provider to be “good” they must be a MD. While the opinions of medical doctors can sometimes carry greater weight than other types of providers, I don’t always agree that an MD is the best AP. I usually tell injured workers to select an AP they are comfortable with. It is important for injured workers to have good communication with their providers. You must feel comfortable with the medical advice you are given and with asking questions. It is also important for injured workers to have attentive AP’s. The AP must pay attention to the facts and details of the claim. The AP must provide appropriate and well-reasoned treatment recommendations and referrals. Moreover, they also have to be willing to respond to inquiries from the Department.

 

There are many kinds of medical providers that can be APs. This includes medical doctors (MD), osteopathic doctors (DO), chiropractors (DC or DCM), and naturopaths (ND). The list also includes physicians’ assistants (PA-C), and advanced registered nurse practitioners (ARNP). Many injured workers are surprised to learn that their “family doctor” or “primary care physician” may be within the medical provider network and able to take on the role of AP. Therefore, it is best to take your time and do your research. Injured workers can change the AP designation by filling out a Transfer of Care card , and can search for MPN providers through the Department’s Find a Doc website.