Final answer:
When workers' compensation benefits are denied, the patient must appeal the denial. Filing an appeal allows them to contest the decision and provide additional supporting evidence. It's critical to follow the proper procedures outlined by the workers' compensation program. Option 1 is correct.
Step-by-step explanation:
If a claim for workers' compensation benefits is submitted and the claim is denied, the patient must appeal the denial. Workman's compensation insurance is designed to protect employees who suffer an injury on the job, as employers contribute to state-run funds for this purpose. If an employee's claim is denied, they do not have to passively accept the denial.
Instead, they have the option to file an appeal where they can challenge the denial and provide additional information or evidence to support their claim. It's important for the employee to understand their rights and the proper procedures to follow, as ignoring the denial or directly filing a lawsuit may not be the initial appropriate steps according to the workers' compensation program guidelines.
Additionally, under the Occupational Safety and Health Act (OSH Act), employees have the right to file a complaint with OSHA regarding serious hazards or noncompliance with standards without fear of retaliation. This is separate from workers' compensation but is an additional protective measure for workers' rights.