Claims Assistance to Medical Providers

Under Florida PIP statutes, the insurance company has 30 days to make payment on a properly submitted claim form or medical bill. Their failure to do so will result in interest and penalties. There is no excuse for late payments by the insurance company.

Samole, Berger & Hicks, PA regularly assists medical providers in recovering unpaid or unjustly reduced Personal Injury Protection (PIP) benefits from insurance companies for medical services rendered to automobile accident victims.

_________________________

AS A MEDICAL PROVIDER, IS STATE FARM INSURANCE COMPANY DENYING YOUR BILLS DUE TO NATIONAL CORRECT CODING INITIATIVE (NCCI) EDITS?

Since the Amendment of Florida’s PIP Statute in 2008, our firm has discovered a very disturbing adjusting tactic used by State Farm Insurance Company to deny payments to chiropractors for certain procedure codes. For example, State Farm denies payments for CPT Code 97124 when it is performed on the same date as CPT Code 97140. State Farm bases its denial on the NCCI recommendations, which denial we believe violates the specific terms of the new PIP Statute. Be on the lookout in your State Farm “Explanations of Review” for explanation numbers 318, 319, and 323, just to name a few.

If State Farm has denied claims from your office and you would like to take action, please do not hesitate to call our attorneys at any time.

Call Us Today! We can Help!

Your Name^*
Your Email^*
Friend's Name^*
Friend's Email^*
SUBMIT