When a personal injury protection (PIP) insurance provider denies a policyholder’s claim, it also affects the medical provider assigned to the patient. Fighting these denials to try to get the money owed to you is often stressful and challenging. Doctors and facility administrators have important medical tasks to handle, so dealing with an insurance claim denial becomes an inconvenience. You can count on our Parkland personal injury lawyers to help you.
If you need help navigating a PIP denial, a personal injury protection attorney from Ged Lawyers can help you. We only represent medical care providers and healthcare facilities in these cases, and we understand you need to get paid for the service you rendered. We can help you seek the compensation you deserve.
Understanding How Florida’s PIP Laws Work After a Parkland Crash
Per Florida Statutes § 627.736, all drivers in the state must carry a personal injury protection policy. This policy must cover at least $10,000 in medical care needs following a crash.
This policy generally covers:
- The policyholder
- Their children
- Other family members in their household without their own policy
- Others in their vehicle during a crash who do not have a policy
- Pedestrians or cyclists hit by the policyholder
When the policyholder or another covered party files a claim, the insurer should pay the care provider directly. If the insurer denies the claim, this leaves the doctor or health care facility without the payment they deserve. There are options for challenging this denial, and this is where our Parkland PIP team comes in. We know how to communicate with the insurance company to help you get paid for your medical services.
Our Parkland PIP Attorneys Represent Medical Providers After Claims Denials
At Ged Lawyers, our attorneys only take on PIP cases representing medical providers and healthcare facilities. We pursue the money owed to you for your services based on the patient’s PIP policy, either through an insurance claim or lawsuit.
Our case results show we know how to use our experience and knowledge to fight for clients and recover the money they need to cover their costs. When you choose to work with our team, you can count on us to:
- Assess your case and legal options for free
- Investigate the reason for the claim denial
- Gather evidence supporting your payout
- Demand appropriate compensation from the PIP carrier
- Pursue a lawsuit when necessary
- Represent your best interests throughout this process
- Fight for the money you deserve based on the services provided
Our team generally represents doctors, clinics, and hospitals in PIP denial cases on a contingency-fee basis. We do not ask healthcare facilities or individual doctors to pay any upfront fees to get our attorneys on their cases. We understand you already provided services and now need help to secure payment for them.
Our attorneys work for a portion of the payout we secure for you. We can discuss how this works and what you might pay for our services during your initial case consultation. We will answer your questions and ensure you are satisfied before proceeding.
We Help Clients Pursue a PIP Payout for the Services They Provided
When a medical care provider or institution provides treatment to a car accident victim, the facility generally bills the PIP insurance provider and receives the payment directly. These payments could include money for many types of accident-related injuries and treatments, from relatively minor to catastrophic.
Some examples of covered expenses include:
- Ambulance or medevac transportation
- Emergency department assessment and stabilization
- Treatment
- Surgery
- Hospitalization
- Rehabilitation and therapy
- Medications
Broward County has three trauma centers where patients with emergent injuries might receive care. This includes:
- Broward Health Medical Center
- Broward Health North
- Memorial Regional Hospital in Hollywood
We represent care providers at these facilities, as well as at clinics, urgent cares, walk-in clinics, and other healthcare facilities in Parkland and greater Broward County.
Why Would an Insurer Deny a Parkland PIP Claim?
One of the most common reasons why PIP carriers deny claims is because they allege that the policyholder failed to see a doctor soon enough. Legally, auto accident injury victims must receive assessment and care within 14 days of the crash. If they do not receive their initial treatment during this time, the insurer does not have to pay their medical expenses.
Other reasons why the insurance carrier might deny a claim include:
- They do not believe the care was necessary
- They deem the costs unreasonable
- They order an independent medical examination
- They demand an examination under oath, and the party refuses
- They accuse the policyholder or care provider of misrepresenting their injuries or necessary treatment
Sometimes, the insurance company might have a valid reason to deny a claim. However, invalid denials and unreasonable delays occur with insurance companies frequently. They could have missing information, false information, or simply be operating in bad faith.
Our attorneys know how to develop a strong argument for a payout and challenge a denial or delay. If you provide care and services to a policyholder, you deserve to be paid. Our team fights for the money due to you based on the patient’s coverage and the bills you submitted.
Discuss Your Options With Our Parkland PIP Attorney Today for Free
At Ged Lawyers, our attorneys provide free initial consultations for medical providers assigned to patients whose PIP coverage has been denied. We help challenge these denials and sue insurance carriers who refuse to pay valid claims in Parkland.
Contact us today to get started on your case and learn more about how we can help you receive the payment you need.
