After an accident, it is common for insured people to assign their PIP benefits under their applicable insurance policy to a medical provider in exchange for medical treatment. The dedicated team at Revenue Recovery Firm represents your interests as a medical provider and a business at the same time, we work tirelessly to better the lives and well-being of clients and recover every dollar you have been owed in the past five years.
What are the most common reasons that Insurance Carriers use to deny or underpay bills?
Denials
Often insurance company denials occur when there is a billing error. Insurance companies can be aggressive, using denials as a tactic to detter your attention off the PIP benefits
Underpayments
Insurance carriers may often reduce payment for PIP claims by a small amount asuming that most medical providers will not bother to file a suit.
Exhaustion of Benefits
One of the most common reasons why a carrier will deny a claim is exhaustion of benefits. For example if a carrier pays a full $10,000 in benefits to providers making claims, they close the book on all subsequent claims alleging consumption of services rendered after treatment.
Fee Schedules
The Florida statute allows insurance carriers, in certain cases, to use fee schedules to pay medical bills. However, there are strict rules as to when a carrier may use a schedule and when they may not use one. If a carrier does not follow the rules precisely, they are responsible to pay the legitimate amount owed.
Misinterpretations when taking out the policy
Certain insurance carriers deny claims on the basis that there were misconceptions on the policy execution.
Insurance companies can be aggressive using different strategies to deny or undepaid bills, but at Revenue Recovery Firm we know that The PIP Statute contains a hierarchy of who should be paid and in what order, making it a priority for us to exhaust all benefits in each case.
