Why was my claim denied?

Common reasons include late notice to employer, disputes over whether the injury is work-related, pre-existing condition arguments, and missed deadlines.

Can I appeal a denial?

Yes. Administrative hearing before a Hearing Officer at the Department of Administration [§ 616C.315]. Appeal to Appeals Officer, then to Nevada Supreme Court via judicial review.

How long does the appeal process take?

Timelines vary by case complexity and hearing office backlog. Appeals to higher courts can take longer.

Should I get an attorney for a denied claim?

Strongly recommended. Denied claims involve complex medical and legal issues, and an experienced attorney can navigate the dispute resolution process effectively.

Topic guideUpdated 2026-02-27

Denied Workers' Comp Claims in Nevada — Your Options

What to do when your Nevada workers' compensation claim is denied, including dispute resolution and appeals.

Having your workers' compensation claim denied does not mean you have no options. In Nevada, you have the right to challenge a denial §616C.315.

Common Reasons for Denial

Claims are frequently denied for these reasons:

Late notice to employer (must be within Employer must complete and file an employer's report of industrial injury or occupational disease with its insurer or third-party administrator within 6 working days after receipt of a claim for compensation from the treating provider) §616C.045

Dispute over whether the injury is work-related

Pre-existing condition arguments

Missed medical appointments or non-compliance with treatment

Filing deadline expired (If an insurer denies your claim or fails to respond to a written request, you have a limited time to request a hearing before a hearing officer; the deadline is short and may be extended only in narrow circumstances, so confirm the current deadline with a lawyer)

The Dispute Resolution Process

Administrative hearing before a Hearing Officer at the Department of Administration §616C.315.

Appeals

Appeal to Appeals Officer, then to Nevada Supreme Court via judicial review.

Independent Medical Examination (IME)

Insurer may require employee to submit to an IME by a physician of its choice §616C.140. The IME results can significantly impact your claim.

⚠If the insurer requests an IME, you must attend. Failure to appear can result in suspension of benefits.

✓Before attending an IME arranged by the insurer, consult with an attorney. You have the right to have your own medical evidence reviewed and considered.

Prepare for Your Consultation

Quick checklist (Workers’ Compensation)

Gather these before your first consultation.

Incident report

(employer report, date/time of injury)

Medical records

(doctor visits, diagnoses, treatment plans)

Wage documentation

(pay stubs, tax returns, employment records)

General preparation tips only. Specific needs depend on your state and claim type.

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Common Questions

Frequently Asked Questions

General answers to common questions. Specific outcomes depend on your facts and timing.

If you have a deadline, court notice, or upcoming hearing, mention it when requesting assistance so timing can be evaluated promptly.

Read →

Independent Medical Exams (IME) in Nevada Workers' Comp

Read →

Nevada Workers' Comp Settlements & Hearings — What to Expect

Read →

Legal authoritiesStatutes referenced on this page

NRS 616C.315

Dispute Resolution Process

Administrative hearing before a Hearing Officer at the Department of Administration.

View →

NRS 616C.045

Notice Deadline

Timely notice requirement: Employer must complete and file an employer's report of industrial injury or occupational disease with its insurer or third-party administrator within 6 working days after receipt of a claim for compensation from the treating provider.

Employer must complete and file an employer's report of industrial injury or occupational disease with its insurer or third-party administrator within 6 working days after receipt of a claim for compensation from the treating provider

View →

Verified 2026-09-24 · quarterly review

NRS 616C.140

Independent Medical Examination

Insurer may require employee to submit to an IME by a physician of its choice.

View →

Verified 2026-09-24 · quarterly review

Citations link to official or authoritative sources. Laws change — verify current text before relying on any statute. How we verify citations →