When Will I Know if My Pennsylvania Workers’ Comp Claim is Accepted or Denied?

The 21-Day Rule: Getting an Answer on Your PA Workers’ Compensation Claim You’ve reported your injury, you’ve seen a doctor, and now you’re waiting. The silence can be deafening, and you’re anxious to know if your Pennsylvania workers’ compensation claim has been accepted. This video will explain the key timeline for receiving a decision on your claim. We’ll detail the “21-day rule,” which is a critical piece of information for any injured worker in Pennsylvania.
The 21-Day Deadline: We’ll clarify the rule: The insurance carrier has 21 days from the date they are notified of your injury to either accept or deny your claim. This is a firm deadline set by Pennsylvania law.
What Happens During the 21 Days? We’ll explain that during this period, the insurance company is investigating your claim. This may involve reviewing medical records, speaking to witnesses, and getting information from your employer.
The “Notice of Temporary Compensation Payable”: In some cases, the insurance company may not be ready to make a final decision within 21 days. We’ll explain that they can issue a “Notice of Temporary Compensation Payable.” This allows them to pay benefits for up to 90 days while they continue their investigation. We’ll also explain what happens at the end of this 90-day period.
What Happens After the 21-Day Deadline? If the insurance company doesn’t act within 21 days, we’ll explain the next steps and how you may be able to file a penalty. This video is for any injured worker in Pennsylvania who is waiting for an answer. Knowing the timeline gives you the power to hold the insurance company accountable.