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The Texas report shows that most COVID-19 compensation claims were denied



Of the 12,305 COVID-19 compensation claims filed by workers in Texas since a state disaster was declared on March 13, only 35% included applicants who tested positive for the virus and 38% of them were denied, according to a report released on Tuesday of the Texas Department of Workers & # 39; Compensation.

Data, collected from 66 selected insurance companies, showed that claims activity in Texas from January to August was approximately 22% higher than during the same period in 2019.

Insurance companies accepted 48% of COVID-19 positive test claims and 14% are still being investigated , according to the report. Despite more than 1633 denials of COVID-19 claims with positive tests or diagnoses, there were only five disputes submitted to DWC as of September 27, the report said. paid $ 1

3 million in severance pay on COVID-19 receivables, with $ 10.5 million in employer benefits, $ 2.5 million in benefits and $ 13,965 in death benefits. of $ 4.4 million in medical costs for COVID-19 claims. Most – 86% – of these payments were for hospital / facility services, including COVID-19 testing, while 13% went to professional fees and 1% to pharmacy costs.

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