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What You Should Know About PIP Arbitration Cases

What You Should Know About PIP Arbitration Cases

If you are a resident of New Jersey who has found yourself in an auto accident, it is imperative that you have a thorough understanding of the PIP arbitration process. New Jersey’s Personal Injury Protection insurance system is intended to provide medical expense benefits, continued income, money for essential services, and funeral or death costs. However, the PIP system can be highly complicated and confusing to navigate without help. Furthermore, medical insurance providers are notoriously recalcitrant to pay up when these benefits are claimed—which can spell trouble for both medical professionals and individuals affected by auto accidents. If you want to give yourself the best chances of filing for PIP benefits successfully and receiving all the benefits that you ought to be entitled to, it pays to know more about how resolving PIP disputes works. The resolution process (or arbitration) typically takes place between medical professionals and the auto insurance companies from whom they are trying to receive payment. Essentially, your doctor will bill the insurance company for the benefits that are owed to you. If the insurance company fails to pay these benefits on time or in full, you must start arbitration proceedings. If you happen to be a medical professional working to obtain benefits on behalf of one of your clients, here is what you will need to do:

  •  Contact a qualified legal practice whose members will be able to file PIP arbitration on
    your behalf.
  • Begin the dispute process with an arbiter appointed by Forthright Solutions.
  • The arbiter will hear both sides of the case and decide in accordance with the rules set out by the Department of Insurance and Banking.

Be advised that disputes are likely in many cases. Insurance companies want to do whatever they can to hold on to their money, so they will take almost every possible opportunity to contest a claim. One of the only ways to ensure that your claim cannot be disputed is to have your medical treatments pre-certified by the insurer in question. Even if an insurer denies a treatment that has been requested for pre-certification, they will be obligated to pay it as long as you can establish that the treatment is medically necessary. However, the number of caveats and pitfalls along the way can be significant and challenging. For this reason, it is always best to seek qualified legal help. Patients and their medical doctors alike are well advised to retain a qualified personal injury firm in cases where they plan to claim PIP benefits. As a patient, you deserve to have access to the services you need without having your finances adversely affected. As a medical practitioner, you deserve to be fairly compensated for the care that you provide for patients in need. No matter which of these circumstances applies to you, make sure you can succeed by finding help with your PIP claims.

Reach out to authorities such as Corradino & Papa, LLC today—and receive the benefits you are owed tomorrow.

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