{"id":465,"date":"2017-01-08T12:43:17","date_gmt":"2017-01-08T12:43:17","guid":{"rendered":"http:\/\/bmcontent.dev\/donovan-dixons-ur-denied-story"},"modified":"2025-10-08T09:14:09","modified_gmt":"2025-10-08T16:14:09","slug":"la-historia-de-ur-denied-de-donovan-dixon","status":"publish","type":"post","link":"https:\/\/www.bentleymore.com\/es\/blog\/donovan-dixons-ur-denied-story\/","title":{"rendered":"La historia de la admisi\u00f3n denegada de Donovan Dixon en la UR"},"content":{"rendered":"<div class=\"featured-image\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2017\/01\/x3w8ak0v78.png\" \/><\/div>\n<p>Las compa\u00f1\u00edas de seguros utilizan la revisi\u00f3n de la utilizaci\u00f3n (RU) para denegar y retrasar la atenci\u00f3n m\u00e9dica necesaria. Por lo general, dicha atenci\u00f3n es recomendada por el m\u00e9dico designado por la propia compa\u00f1\u00eda. Sin consecuencias ni sanciones efectivas, el sistema de seguros est\u00e1 fuera de control. Esto tiene repercusiones reales en los trabajadores lesionados.<\/p>\n<p>A continuaci\u00f3n, la historia de Donovan Dixon<\/p>\n<p>Acerca de m\u00ed: Me llamo Donovan Dixon. Tengo 41 a\u00f1os y vivo en Bakersfield.<\/p>\n<p>Mi trabajo y lo que sucedi\u00f3: Trabajaba para Pan Pacific Petroleum como conductor de camiones. El 27 de octubre de 2013, conduc\u00eda un cami\u00f3n cisterna de gran tonelaje en la ciudad de Commerce. Un autob\u00fas que iba siendo remolcado delante de m\u00ed perdi\u00f3 el eje trasero. El eje empuj\u00f3 el cami\u00f3n cisterna hacia el borde de la carretera, se pleg\u00f3 y mi cami\u00f3n qued\u00f3 colgando de un paso elevado de la autopista. El cami\u00f3n cisterna se incendi\u00f3 y las llamas comenzaron a quemarme. Tuve que elegir entre morir quemado o saltar 21 metros desde la autopista. Pens\u00e9 que morir\u00eda de cualquier manera, as\u00ed que salt\u00e9 y sobreviv\u00ed. Tuve quemaduras en m\u00e1s del 60 % de mi cuerpo. Estuve en coma durante tres meses y en el hospital durante ocho meses. Me fractur\u00e9 la pelvis y el sacro, me operaron, perd\u00ed parte de mis intestinos y sufr\u00ed insuficiencia renal.<\/p>\n<p>Lo que esto ha significado para mi vida: me fractur\u00e9 la pelvis y el sacro; tengo insuficiencia renal y estoy en di\u00e1lisis. El dolor y la fatiga limitan mi movilidad cuando estoy acostado. Me salen \u00falceras por presi\u00f3n debido a las quemaduras y los injertos de piel, por lo que mi m\u00e9dico me recomend\u00f3 una cama Tempur-Pedic. Una cama especial ajustable me ayuda a sentarme y tiene un colch\u00f3n \u00fanico que puede prevenir las \u00falceras por presi\u00f3n. AIG rechaz\u00f3 la cama. Estoy deprimida, d\u00e9bil y con dolor. La aseguradora utiliza el sistema UR para rechazar la atenci\u00f3n m\u00e1s b\u00e1sica.<\/p>\n<p>La atenci\u00f3n m\u00e9dica que me han negado: Iba en un cami\u00f3n de gran tonelaje que se incendi\u00f3. Salt\u00e9 al suelo desde un paso elevado de la autopista. Tengo quemaduras en m\u00e1s del 60% de mi cuerpo, m\u00faltiples fracturas y insuficiencia renal. AIG me neg\u00f3 la atenci\u00f3n recomendada por el m\u00e9dico: una cama Tempur-Pedic para prevenir las \u00falceras por presi\u00f3n y fisioterapia.<\/p>\n<p>C\u00f3mo me afectan los retrasos y las denegaciones de la revisi\u00f3n de la utilizaci\u00f3n (UR): El accidente se transmiti\u00f3 en directo por televisi\u00f3n; nunca ha habido ninguna duda de que se trataba de un accidente laboral. Apenas sobreviv\u00ed, y sin embargo AIG sigue acos\u00e1ndome con retrasos y denegaciones de la atenci\u00f3n m\u00e9dica necesaria recomendada por mis m\u00e9dicos. He tenido que luchar contra AIG durante a\u00f1os para conseguir un tratamiento b\u00e1sico. Perd\u00ed una y otra vez hasta que consegu\u00ed un <a href=\"https:\/\/www.bentleymore.com\/es\/abogados-especializados-en-indemnizaciones-por-accidentes-laborales-en-el-condado-de-orange\/\">Orange County: Abogado especializado en indemnizaciones por accidentes laborales<\/a>, <a href=\"https:\/\/www.bentleymore.com\/es\/keith-more\/\" target=\"_self\" rel=\"noopener noreferrer\">Keith More<\/a>. Hasta el d\u00eda de hoy, tengo que luchar para recibir un tratamiento b\u00e1sico. Cuando pude empezar la fisioterapia, AIG me la deneg\u00f3 porque hab\u00eda pasado m\u00e1s de un a\u00f1o desde mi lesi\u00f3n. Para m\u00ed, eso no tiene sentido. Cuando me tuvieron que amputar los me\u00f1iques, me volvieron a denegar la fisioterapia por la misma raz\u00f3n. AIG incluso me deneg\u00f3 una cama especial que me hab\u00eda recetado el m\u00e9dico.<\/p>\n<p>C\u00f3mo se supon\u00eda que me iba a ayudar el seguro de accidentes de trabajo: El seguro de accidentes de trabajo se supone que debe proporcionar la atenci\u00f3n m\u00e9dica necesaria para curar o aliviar los efectos de mi lesi\u00f3n laboral. No tengo derecho a demandar y estoy atrapado en el sistema de accidentes de trabajo. AIG se aprovecha del sistema para evitar pagar el tratamiento recomendado. Nunca volver\u00e9 a mi antiguo trabajo, ni a ning\u00fan otro. He perdido cualquier atisbo de una vida normal. Eso ya es bastante malo. No existe una sanci\u00f3n efectiva por la mala conducta de la aseguradora, as\u00ed que AIG simplemente sigue negando la atenci\u00f3n m\u00e1s b\u00e1sica. \u00bfC\u00f3mo puede ser esto legal?<\/p>\n<p>Descubre m\u00e1s sobre la historia de Donovan \u2013 <a href=\"https:\/\/www.caaa.org\/index.cfm?pg=URDenied_Dixon\" target=\"_blank\" rel=\"noopener noreferrer\">Haga clic aqu\u00ed<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Insurance companies use Utilization Review (UR) to deny and delay needed medical care. The care is usually recommended by the company&#8217;s own chosen doctor. Without consequences or effective penalties, insurance is out of control. It has real impacts on injured workers. Donovan Dixon&#8217;s story follows About Me:\u00a0\u00a0My name is Donovan Dixon. I&#8217;m 41 years old,&#8230; <a href=\"https:\/\/www.bentleymore.com\/es\/blog\/donovan-dixons-ur-denied-story\/\">Leer m\u00e1s<\/a><\/p>","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-465","post","type-post","status-publish","format-standard","hentry","category-firm-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.7 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Donovan Dixon&#039;s UR Denied Story<\/title>\n<meta name=\"description\" content=\"Donovan Dixon\u2019s harrowing fight for care after a workplace fire exposes UR abuse. 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