PIP/Attorney's

[Guest guest]

Good Morning,

Another PIP inquiry here. Have had some interesting cases as of late. This one is a young woman who was about 6 months pregnant and was travelling as a passenger in a friend’s vehicle. The vehicle was struck and she was injured. She didn’t seek treatment right away, thought some of her symptoms of neck and upper back pain would disappear. She began feeling light headed one evening and actually fainted. This scared her and she came in for treatment for her upper back and neck.

The patient provided us originally with the 3rd party ins. information thinking that was the correct company. She had a claim number in hand. We began sending patient records to them and bills. Eventually they contacted us to inform us that they were third party. We informed the patient of this, but she had a difficult time contacting her friend who’s vehicle she was in to figure out what ins. she had. Finally that was obtained and we sent everything to them. They wanted to investigate, saying this was the first time they had heard of it.

Finally after they got in contact with the patient etc. they came to the conclusion that they were going to deny the case, saying that her injuries were not sustained in the accident. We just got this notification today. The patient was discharged in mid-December after full rehab.

We have been paid nothing. I’ve never had a case outright denied like this. Other than writing this off, which I don’t wish to do, what is a prudent way to proceed. We’ve recommended to her to contact an attorney immediately. Billing the patient will be impossible. She has nothing. Young mom (just had Twins mid december)

Really appreciate any help you could provide.

ph Medlin D.C.