PIP Arbitration Lawyer New Jersey
Personal injury protection (PIP) can be very confusing, frustrating and quite expensive in New Jersey. It can be twice as difficult for health care providers, take for instance someone in the medical profession trying to get a full payment by insurers, it can be very frustrating and time consuming. This is one of the reasons why Corradino and Papa, LLC should be your top choice, because we make your frustration our business. We can help you through highly complex system without charging you a fee.
Corradino and Papa, LLC. can assist you to get payment for the services which you rendered to patients under the “no-fault auto insurance laws” of New Jersey via the arbitration process inherent in Personal Injury Protection, PIP.
Personal Injury Protection (PIP) is basically a collection of insurance benefits which include, but not limited to, income continuation entitlements, funeral entitlements, death entitlements, medical expense entitlements, as well as, essential service entitlements. Examples of Medical expense benefits include medical, hospital, and allied expenditures made for the treatment of injuries.
PIP Arbitrations in New Jersey, are those mechanisms which are put together by the Department of Insurance of New Jersey to help resolve any disputes arising between the Automobile Insurance and the Companies Medical Providers.
Medical providers who handle automobile accident victims are entitled to have all bills paid pursuant to their customary and usual, and a reasonable rate or alternatively, the New Jersey PIP Fee Schedule. In a bid to overview the procedure, majority of medical treatments must be Pre-Certified by the Personal Injury Protection (PIP) insurer in order to be payable without any resolve to dispute. Should the Insurer deny treatment after a Precertification Request has been made, it would still be paid in as much as it is found that the treatment was as a matter of fact, medically necessary.
Let us stress however, that they fail to Pre-certify cases, it could lead to a fifty percent penalty especially in cases or situations whereby the treatment is medically relevant. All the billings must, as a matter of fact, be submitted via CPT – “Current Procedure Terminology Codes” aka Automobile Medical Fee Schedule.
Following the submission of a bill to the entity handling the Insurance service, the later would then make arrangements for payment and they will provide you with an EOB (Explanation of Benefits) letter. If on the other hand, payment is still denied, then an arbitration would be required in order to compel payment.
Corradino and Papa, LLC. can categorically boast of constant communication with the medical service providers, and keeps them wary of the status of their cases from the commencement of the appeal process down to settlement as well as payment of the claim owed.
Additionally, Corradino and Papa, LLC. would review your files to ensure that all the necessary documentation is being provided so as to ensure the 95% success rate in the firm. The provider would not be charged any fee(s) for the legal services and fees of the firm. Albeit, Corradino and Papa, LLC. also files the “New Jersey Property-Liability Insurance Guaranty Association (NJ PLIGA)” cases. We also enable the provider during the process of appeals in order to ensure high success rates in the firm. Please feel free to contact us with any questions, or to arrange for a FREE CONSUTLATION.