how can a pip attorney help medical professionals

by Martin Torphy 5 min read

Through the PIP arbitration process of the National Arbitration Forum, (and possibly under New Jersey’s no-fault auto insurance laws) a qualified attorney can be of great assistance. In hundreds of cases, a PIP arbitration lawyer has successfully been able to help medical providers get payment for outstanding/overdue bills for medical services.

This is where a PIP attorney can step in to help the medical provider get paid properly on medical bills that were timely submitted to an insurance company. Medical providers and billing managers must carefully scrutinize ALL Explanations of Benefits (EOBs) and Explanations of Reviews (EORs) that come in.

Full Answer

Does Pip pay for therapy visits?

Our New Jersey medical PIP lawyers will help doctors and other providers navigate this complex process, with the goal of obtaining fair and quick compensation. Benefits of Working with Burnham Douglass Attorneys at Law Over 98% Success Rate No Costs No Risk Immediate Turnaround Unique Process

Can my patient’s Pip be cut off by the insurance company?

Our personal injury protection (PIP) attorneys are experts in PIP claims. PIP Recoveries attorneys review the files, submit the claims, obtain settlements, and take the claims to court if necessary. No financial investment is requested from health care providers for any of this to happen. The insurance carriers pay our attorney's fees.

Who is covered by PIP insurance?

In many cases, a review by a knowledgeable PIP attorney can help recover underpaid or unpaid PIP claims with no out of pocket cost to the healthcare provider. How Long Does a PIP File Review Take? The length of your PIP file audit will, of course, depend on the number of claims involved, and therefore could take anywhere from several hours, to days.

Can an adjuster say there is no pip available?

 · In hundreds of cases, a PIP arbitration lawyer has successfully been able to help medical providers get payment for outstanding/overdue bills for medical services. Medical Treatments – Pre-Certification Healthcare providers, doctors, and/or patients (for automobile accident injuries) may need certain types of medical treatment pre-certified.

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What Is Personal Injury Protection?

Every Florida vehicle owner must, at minimum, purchase coverage for property damage and for personal injury protection. Medical care for people suffering injuries in car accidents is covered, up to $10,000.

Why Partner With PIP Recoveries?

Our PIP claim processing experience dates from 1995 to the present. Through many years of diligent and innovative work, and through constant testing and attending to client feedback, PIP Revenue has fine-tuned an elegant claims processing method with an excellent ratio of full payouts.

How Our Service Works

When a Florida vehicle accident results in injuries, the insurance carrier, regardless of who's at fault, must repay an amount up to $10,000 in personal injury protection benefits.

Our Success Stories

In a typical medical practice, administrative staffers might remit claims to the health insurance carriers, then to the vehicle insurers, and eventually into collections.

PIP Recoveries: An Arm of Ged Lawyers

PIP Recoveries comprises the legal team at Ged Lawyers, bringing 25 years of recovery experience to our clientele. Leading the team are attorneys C. Glen Ged and Maurius J. (Marty) Ged.

What does a PIP attorney do?

A PIP attorney can negotiate with your insurance company on your behalf to ensure you receive personal injury protection when you have PIP coverage. Whether you are in Orlando, West Palm Beach or another part of the state, PIP attorneys may be an essential part of recovering things like lost wages and medical expenses when your insurance company has denied your PIP claim after an auto accident.

What is a PIP law firm?

PIP law firms, like Florin|Roebig, are known for hiring highly experienced, highly skilled and expertly trained PIP lawyers to ensure your West Palm Beach claim gets paid. If you are seeking benefits from wrongful death, brain injury or an accident victim and you have PIP insurance, Florida law may be on your side. When you need a legal team to take on your insurance company for PIP benefits that help pay your medical providers after an auto accident in a no-fault state like Florida, you need a PIP law firm.

What is PIP insurance?

Personal injury protection, also widely known as PIP insurance or just PIP, is a type of insurance benefit that helps accident victims recovery money for expenses related to personal injury, like lost wages, medical bills and more. A personal injury attorney is a licensed professional who understands Florida law when it comes to personal injury protection and your rights.

What is the PIP Statute?

The PIP Statute (GL Chapter 90 Section 34M) requires a PIP insurer to pay our fee and reimburse legal costs (which we advance on your behalf) if we are successful.

How does a PIP bill work in Massachusetts?

Insurers use: “usual and customary” rate reductions (not approved in the PIP statute); record reviews; and so-called “Independent Medical Exams” (IME). These so-called independent doctors are paid by insurance companies to challenge your treatment. However, they spend very little time reviewing records, less time examining the patient, and they are anything but independent. We have a 99% success rate in challenging all types of bill cuts.

How do insurance companies try to deny medical providers?

Insurance companies often try to deny the medical providers that full compensation that they are due by wrongly making deductions and disallowing claims. With our experience, we can fight for you to get the full compensation to which you are entitled!

How long can you collect PIP?

The Statute of Limitations for collecting PIP benefits is 6 years from the point of the insurer’s breach of contract (either the last denial or last payment to you). The longer you delay, the less money we can collect for you.

Do insurance carriers underpay medical professionals?

Insurance carriers regularly underpay or incorrectly pay medical professionals. Similarly, insurance carriers often withhold payments to skilled practitioners while conducting peer reviews and independent medical examinations. At Alekman DiTusa, our goal as PIP attorneys is to ensure swift payment of all medical bills.

Medical Payments (Med Pay) Coverage in Missouri

Medical payments coverage is available in Missouri, but it’s not mandatory. Therefore, you must specifically purchase medical payments coverage as it is a separate provision under your auto policy.

Why Buy Med Pay?

Med Pay insurance is relatively inexpensive, and it provides coverage for medical bills when you have been injured in an accident. It is a form of “no-fault” insurance, meaning you can collect these benefits regardless of who was at fault.

What is Personal Injury Protection (PIP) in Kansas?

Personal injury protection is a no-fault form of auto insurance that pays for medical bills and other related expenses when you are injured in a car accident.

What Does PIP Cover in Kansas?

What is covered under personal injury protection varies from state to state and policy to policy. At a minimum, in Kansas, you must have $4,500 of PIP coverage. Of course, you may purchase additional PIP coverage from your auto insurance company (but it would likely be better to purchase additional medical payments coverage instead).

Refer to Your Personal Injury Lawyer First

Not sure how personal injury insurance or medical payments coverage affects you? Your personal injury lawyer can help you navigate the legal system after your accident and help you make the most of your insurance coverage and any settlement from the at-fault party. Call Aaron House today for a free consultation at 816-875-4260.m

What is PIP insurance?

PIP covers any person named on the auto policy, as well as household members. Any passenger in the insured car is covered, as well as any pedestrian or cyclist involved in the collision. Furthermore, a patient is not limited one layer of PIP coverage. If the patient has their own auto policy, that PIP comes in as a secondary layer.

Who is the final authority on whether your patient has PIP coverage available to them?

The adjuster is the final authority on whether your patient has PIP coverage available to them.

What is the maximum amount of PIP coverage?

PIP is great because it covers medical treatment more broadly than many health insurance policies. To the extent of your patient’s PIP limits of at least $10,000 (the mandatory minimum that auto insurers in Washington must offer), there are fewer restrictions on what is covered, no in-network/out-of-network distinction between providers, no copays, no deductibles, and no annual visit limitations. According to the Revised Code of Washington (RCW) 48.30.010 and the Washington Administrative Code (WAC) 284-30-395, the statute and rule which establish the legal standards for prompt, fair and equitable settlements by insurance companies for PIP claims, a bill submitted under PIP can only be denied if the treatment (1) is not reasonable, (2) is not necessary, (3) is not related to the collision, or (4) occurs after 3 years of the collision date. WAC 284-30-395 provides, “These are the only grounds for denial, limitation, or termination of medical and hospital services,” under PIP.

What does it mean when an adjuster cuts off a patient's PIP?

If the adjuster decides to cut off your patient’s PIP, that decision must be supported with a medical opinion from a similarly licensed healthcare professional. If the adjuster asks your patient for an exam, called an Insurance Medical Exam, is usually a sign that the insurer is gearing up to cut off your patient’s PIP.

What happens when PIP runs out?

When PIP runs out, the patient’s health insurance is next in line to pay. All of this may sound well and good, but it often isn’t smooth PIP sailing. Insurers are always cooking up creative ways to deny bills and to discourage drivers from obtaining, or increasing, PIP coverage.

Is PIP a secondary policy?

If the patient has their own auto policy, that PIP comes in as a secondary layer. Depending on the situation, there could be multiple layers of PIP available, depending on the patient’s own policy and their role in the collision – owner, driver, passenger, pedestrian or cyclist.

Can a PIP claim be closed?

PIP covers care until it is no longer reasonably necessary, or until coverage runs out. The insurer cannot close a PIP claim because a patient is able to go back to work, or is somewhat improved. The attorney team at Adler Giersch is experienced at navigating PIP insurance issues.

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