If you own a motor vehicle in the State of Florida you are required to purchase personal injury protection insurance (PIP). PIP insurance covers medical necessary and reasonable medical expenses related to an automobile accident regardless of fault as well as a portion of lost wages and funeral expenses. Coverage is limited to a maximum of $10,000.00. Because individuals and their medical providers run into a problems with PIP insurance companies that can result in a dispute, is important to get an experience insurance attorney represent involved.
WHAT HAPPENS WHEN YOU SUBMIT A PIP CLAIM?
Generally, when you are involved in a car accident and are injured, you must file a claim with your insurance company for your own medical bills. This is true even if you are no at fault in the accident. Failure to seek treatment within 14 days of an accident will result in no coverage. A PIP claim is often submitted to the insurance company through your doctor by way of an assignment of benefits. Medically necessary and reasonable medical bills related to an accident must be paid within 30 days of receipt by the PIP insurer. Due to the fact that many PIP insurers don’t want to comply with their own policies or Florida Law, it is not uncommon for PIP insurance dispute. As a result, involvement of an experience insurance attorney is critical.
A PIP insurer must pay claims within 30 days of receipt. You have a right to seek collection against the insurance company if the bill is not paid within 30 days. Because benefits are limited, it is absolutely essential to have a Miami FL insurance attorney representing you immediately upon a delay in payment. The Law Office of BHD is there to support you every step of the way to ensure that your insurance carrier honors your policy. Contact the BHD law firm in Miami at your earliest convenience.
REPRESENTING MEDICAL PROVIDERS
The BHD Law Firm has been representing medical providers in actions against insurance companies for over 25 years. Our law firm has successfully litigated thousands of claims on behalf of medical providers against PIP insurers. We have extensive jury trial experience in PIP matters. Our approach in representing medical providers is a comprehensive one. Because an error in the claims process can result in a denial of payment, our attorneys provide real-time advice regarding claims submissions. These services are provided at no cost to the medical provider.
We have successfully litigated all types of PIP insurance disputes on behalf of medical providers and insureds including:
- Denials regarding medical necessity and relatedness
- Disputes regarding the reasonableness of medical bills
- Unbundling, upcoding, and other coding disputes
- Cutoffs based upon Compulsory Medical Exams (IMEs)
- Denials based upon EUO no-shows, CME/IME no-shows or failure to cooperate
- Untimely billing disputes
- Denials based upon assertions of improperly documented services
- Coverage denials including those based upon material misrepresentation and non-payment of premiums
- Underpayments based upon improper limitation of payment to 200% of Medicare or other fee schedules
- Emergency Medical Condition (EMC) disputes
The Law Firm of BHD is a recognized leader in the field of PIP litigation. Put our extensive experience in representing medical providers and insureds against PIP insurers to work for you. Because we recover our fees and costs directly from the insurance company, there is no cost to you for our services. Therefore, if we are not successful in recovering additional benefits the medical provider or insured owes us nothing.