PIP Claims Consulting for Health Care Providers
To begin, health care providers that process PIP claims are either experienced or are aware of the complications of F.S. 627.736 and its varied pits and pratfalls. Therefore, the processing of a claim can be a headache. At best, it’s an absolute quagmire of delay. Also, you face double talk by the PIP carriers and its corps of adjustors.
Failure to Pay Valid PIP Claims is an Unfair and Deceptive Practice
Also, Personal Injury Protection (PIP) insurance companies improperly reject claims every day. In South Florida, some of the biggest insurance providers wrongfully deny claims, frequently. If you are a medical practitioner, the Dawson Law Firm wants to help you be certain that you are not wrongfully underpaid for the PIP Claims that you submit to the insurers. We will help your practice to review your patient files and determine areas where you were wrongfully denied payments on PIP claims. After notifying the insurance company with a demand letter, they have 30 days to respond. If the PIP Insurer still denies payment for whatever reasons, we will move forward with filing a lawsuit.
The end goal is to collect on the monies that are owed to you from the insurance company.
To begin, Florida law requires the purchase of automobile insurance compliant with Florida Statute 627.736. So, simply stated, the goal of this statute is the efficient, expedited method of making payments to various medical providers. However, the purpose of PIP (personal injury protection) is as follows. The statute contemplates recovery of payment by medical providers directly from the PIP insurer, which in turn, guarantees injured parties quick payment of medical bills.
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However, PIP can be a minefield of time sensitive requirements and barriers.
1. Providers: It is critical that office procedures follow the policy language and applicable Personal Injury Protection statutes. Bills can be challenged for procedural and substantive grounds. For instance, totally reasonable necessary and related medical treatment can be denied for simple office procedural mistakes. Also, claims can also be denied substantively for failure to meet the RRN standard or Reasonable, Related and Necessary.
2. Claimants: It is critical to understand the stringent requirements imposed upon claimants or policyholders when navigating through the jungle of PIP claims. Delay in the initiation of treatment can be a complete bar to PIP recovery. Other impediments and requirements placed upon this class of individual. The requirement to submit to Independent Medical Examinations (IME) are Examinations Under Oath (EUO). In any event, the failure to cooperate with the company or its agent/exam vendor.
3. Counsel: (Referrals Accepted – Client relationship respected and observed) Much like any other trial litigation involving insurance, the evaluation always includes who the lawyer is for the Plaintiff / Claimant / Assignee. Simply stated, the law firms’ experience and familiarity with the battleground would enhance the value of any Bodily Injury or Personal Injury Protection claim.
Finally, the Dawson Law Firm is experienced with PIP cases and it would benefit you to utilize the experience of these trial lawyers to maximize your PIP Claim. Reach out to us for a free case evaluation, today!
Very Happy With The Outcome
"I'm very happy with the outcome of my case. I would recommend Joseph R.Dawson to my family and friends."
Won a Great Recovery on My Behalf
"Joe handled a personal injury matter for me. He won a great recovery on my behalf! I always knew where I was at throughout the entire process since his communication with me was very frequent. The entire process occurred in a very timely manner. I would highly recommend Joe to anyone who is looking a for a quality and experienced personal injury attorney!"
Knowledge of Case Law Was Impressive
"Joseph Dawson is one of the most detail oriented, prepared attorneys I've ever had the privilege to try a case against. His knowledge of case law was impressive and I learned a lot from having him as opposing counsel. I would definitely recommend him to anyone looking for a quality personal injury attorney."
He Won Full Recovery on My Behalf
"I hired Joseph Dawson on a recommendation from a friend to handle my personal injury matter. Not only did he win full recovery on my behalf, but he guided me step by step throughout the entire process. I always knew what was happening since his communication was very frequent. The case did not drag on for years rather it was very quick!! His compensation fees were fair. I would highly recommend Joseph Dawson."
I Would Use Dawson Again in a Heartbeat
"Mr. Dawson came highly recommended and did not disappoint! Promptly returned phone calls, explained things to me at every juncture, and got the results he predicted. I would use him again in a heartbeat - excellent attorney!"