If an examiner fails to document the return-to-work date and delays payment, what should be the first action taken?

• A. Call the doctor's office and verify the return to work date
• B. Pay benefits immediately
• C. Call the employer to confirm the return to work date
• D. Request authorization to pay benefits

Answer: (A)

The recommended first action in this scenario is to call the doctor's office and verify the return-to-work date. This step is crucial because the doctor's office holds the official medical documentation regarding the employee's condition and fitness for work. Verifying this information directly helps ensure that the examiner has accurate details about when the employee is medically cleared to return.

This action can prevent misunderstandings or errors related to the employee's work status, which are vital for determining the appropriate timing and amount of any benefits the employee may be entitled to. Establishing clear and accurate communication with the physician's office provides a reliable basis for making informed decisions regarding benefit payments.

In contrast, paying benefits immediately without confirmation could lead to complications if the return-to-work date is misinterpreted or inaccurate. Similarly, calling the employer or requesting authorization to pay benefits might not yield conclusive information about the medical status and would delay obtaining the necessary details needed for accurate claims handling. Therefore, verifying with the doctor's office is the most effective first step.