Medical providers often face challenges with personal injury protection (PIP) claims. An unfair PIP claim denial or delay can prevent you from providing critical medical care and treatment to a motor vehicle accident victim.
If you are having trouble with a PIP claim denial, the skilled Deerfield Beach personal injury lawyers at GED Lawyers can help you. Our team can work with you to appeal a denied PIP claim and recover payment for your services.
Understanding Personal Injury Protection Coverage in Deerfield Beach
Florida Statutes § 627.736 requires all drivers registered in Florida to carry personal injury protection (PIP) as part of their motor vehicle insurance coverage. PIP is issued by the driver’s insurance carrier.
In the event of an accident, PIP covers 80% of medical expenses up to $10,000 for qualified injuries. It also covers 60% of lost income and earning capacity due to disability caused by the accident and death benefits of $5,000 per individual to the deceased’s qualifying relatives.
Who Can File a PIP Claim for a Deerfield Beach Accident Injury?
Following a motor vehicle accident in Florida, PIP insurance covers the vehicle’s driver and any related passengers who reside in the same household. The driver’s PIP also covers pedestrians or bikers struck by the insured vehicle.
If a passenger or other person involved in the accident has PIP coverage, they could be covered by that policy.
Reasons an Insurance Company Might Deny Your PIP Claim
Insurance companies sometimes deny or reduce legitimate claims for PIP benefits. As a healthcare provider, you may receive a claim denial for any of the following reasons:
- Incomplete or incorrect paperwork
- The patient has no PIP coverage
- The patient is not eligible for PIP benefits
- The medical treatment was not considered reasonable or necessary
- PIP does not cover the medical treatment
- The medical care provider does not meet licensing requirements
- The claim is higher than the permitted reimbursement amount
- The patient failed to seek medical treatment within 14 days of the accident
In addition, the PIP carrier may lower the value of a PIP claim or deny coverage if the patient does not have a qualifying Emergency Medical Condition (EMC), as defined in Florida Statutes § 627.732.
At GED Lawyers, we know that insurance companies will do everything possible to reduce their liability. Our Deerfield Beach personal injury protection (PIP) attorneys have extensive experience handling stubborn insurance adjusters. Our dedicated legal team can review your claim and help you seek the benefits you deserve.
Fault Determination Is Unnecessary in a PIP Claim in Deerfield Beach
Florida is a no-fault state when it comes to auto insurance laws. Unlike traditional liability insurance claims, you need not prove fault to file a claim for PIP benefits. However, victims in a car accident may still pursue damages through the at-fault party’s insurance carrier or a personal injury lawsuit.
The laws surrounding such claims can be highly complex. If a PIP insurance carrier rejects your medical claim, you could benefit from working with our skilled personal injury protection attorney in Deerfield Beach.
GED Lawyers’ legal team is familiar with the laws and statutes governing PIP protection and car accident claims. We have successfully pursued millions in settlements and verdicts for vehicle injury victims in Florida. We can guide you through the legal process so you can continue providing necessary medical treatment to the injured parties.
Time Is of the Essence in a Deerfield Beach PIP Claim
To file a Florida PIP insurance claim, the injured individual must seek medical attention within 14 days of the motor vehicle accident that caused their injury. The PIP carrier has 30 days from the date you bill them for medical services rendered. If they deny the claim, you have 15 days to revise the claim and resubmit.
Due to the short time frames involved, it is critical to reach out to a Deerfield Beach personal injury protection lawyer as soon as you receive a notice of a claim denial. An attorney at GED Lawyers can help you gather the necessary paperwork to appeal the decision. We will not hesitate to aggressively pursue fair payment for your medical services and take additional legal action if necessary.
Florida Statutes § 95.11 allows injury victims only two years to file a personal injury lawsuit. This time frame may differ depending on the details of the accident. A personal injury claim may include compensation for medical services you rendered. If your patient suffered injuries and their PIP or liability insurance coverage is denied, you can contact our team to see how we can help.
Our Deerfield Beach Personal Injury Protection Attorneys Are Here to Help You
When you provide medical treatment to accident victims, you want to ensure they receive all the care they need. Treatment following a motor vehicle accident may include hospital stays, surgical procedures, and months of physical therapy. While you focus on your patient’s health and well-being, you should not have to worry about whether you can receive payment for your services.
Our team can:
- Gather evidence to appeal your PIP claim denial
- Handle phone calls, emails, and correspondence regarding your PIP claim
- Negotiate with the PIP insurance carriers to recover benefits
- File a PIP lawsuit against the carrier
If we decide to take your case, you can rely on GED Lawyers to represent your interests in complicated PIP claims, including taking your case to court.
Contact GED Lawyers Today for a Free Consultation
At GED Lawyers, we understand that the livelihood of a medical practice depends on receiving timely payments that cover the costs associated with medical treatment rendered. Without income, you cannot keep the lights on and provide quality patient care.
Our lawyers have the knowledge and experience to counter low settlement offers and PIP claim denials. Let our dedicated personal injury protection attorneys in Deerfield Beach handle the legal footwork, so you can provide the care your patients deserve.
Contact our office today to discuss your PIP claim questions and concerns. Our legal team provides free consultations. A member of our team can review the details of your case and advise you on your legal options so that you can make an informed decision about your next steps.