Getting Started FAQ
Whether you're looking for legal counsel or just want to have some questions answered, we can help you find what you are looking for. Here are quick answers to some common questions. If you don't see what you're looking for, just contact us. Consultations are free.
I. Hiring an Attorney
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Do I Need an Attorney?
Can I Afford an Attorney?
What if the Insurance Company Calls Me After I Hire You?
What Do I Do With Letters and Bills that I Receive?
What are the Roles of the Attorney and the Paralegal in My Case?
II. Insurance and Bills
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Who is Responsible for Paying My Medical Bills?
What if I Don't Have Any Insurance to Cover My Bills?
Do I Have to Pay My Insurance Company Back for Bills They Have Paid?
What if I Need Treatment After My Case Settles? Who Will Pay?
III. Injuries
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How Long Will It Take for Me to Recover from My Injuries?
What Do I If My Treatment Isn't Helping?
What if My Condition is Permanent?
What Are My Responsibilities to Recover From My Injuries?
IV. Settlement Process
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When Will My Case be Ready to Settle?
What Happens When It is Time to Settle My Case?
Can I Settle Part of My Case and Keep the Medical Benefits Open in Case I Have Future Medical Bills?
V. Claim Value
VI. Starting a Lawsuit
Do I Need an Attorney?
While
not every claim requires an attorney, every claimant can benefit from
consulting with an attorney. Injury and insurance law is complex, with
medical and legal issues and questions of causation and proof which the
insurance companies are prepared to deal with but most injured people
are not. When you consult with us we can help you protect your rights,
explain the process, and work with you to explore whether or not you
need an attorney. The initial consultation is free.
Read article(s) below for additional information on this subject
The Plaintiffs Right To Change Attorneys in a Personal Injury Case
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Can I Afford an Attorney?
Absolutely.
We understand that most people cannot afford to pay a large amount of
money to hire an attorney on an hourly basis as a business typically
would. That is why the "contingency fee" was designed. The "contingency
fee" allows you to hire an attorney and pay them at the end of the case
based on a percentage of the total recovery. Our contingency fee is the
standard 1/3 or 33 1/3%. The other financial component of hiring an
attorney is called costs of the case. These are monies that must be
spent to develop the evidence needed to prove your case, such as
medical and employment records, police or other incident reports, etc.
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What if the Insurance Company Calls Me After I Hire You?
Once
you have retained an attorney, the insurance company is no longer
allowed to contact you directly. If an insurance adjuster calls you,
advise him or her that you have retained an attorney and give that
person our name and number. Once the adjuster knows that you have hired
an attorney, they are not allowed to talk with you. Give us a call to
let us know about the incident.
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What Do I Do With Letters and Bills that I Receive?
Send
us copies of any letter, bills, or other accident-related documents you
receive. This will allow us to monitor payment of your bills and track
any issues that may arise.
Your health care providers should bill the appropriate
insurance carrier directly. Many send copies of your bills to you
simply for your information. Please send us copies of any bills you
receive. Unless we hear otherwise from you or your providers, we will
assume these bills are being submitted to the appropriate insurance
carrier for payment. If you have reason to believe the bills are not
being paid, please let us know.
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What are the Roles of the Attorney and the Paralegal in My Case?
The
attorney and paralegal assigned to your case work as a team and
regularly discuss the status and direction of your case. Since your
attorney may be out of the office conferring with doctors, in court, or
negotiating with insurance companies, the paralegal is often more
accessible to address your questions. Your paralegal can assist you
with most matters. If you have questions or concerns that your
paralegal cannot answer, he or she can find out the answer for you, set
up a telephone conference, or schedule an in-office appointment for you
and your attorney.
Read article(s) below for additional information on this subject
Litigation and the Patient File: How to Handle the Patient's Attorney and Subpoenas
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Who is Responsible for Paying My Medical Bills?
If
there was personal injury protection (PIP) or Med-Pay coverage on the
car you were in at the time of the accident, your bills should be paid
under that policy. These policies also cover a limited amount of wage
loss and payment for "household services", those tasks of daily living
you cannot perform due to your injuries. Coverage amounts vary
depending on your policy. You should check your policy or discuss with
us how much coverage you have available.
If you did not have PIP or Med-Pay coverage at the time of the accident, or if this coverage has been exhausted, you may be able to submit your accident-related bills to your health insurance carrier. Most health insurance carriers will cover your accident-related treatment subject to the referral, deductible, and co-payment requirements of your policy if PIP benefits are not available or have been discontinued. Your insurance company will usually be entitled to reimbursement from your settlement for any bills they pay.
Ultimately, the at-fault party's insurance company (the
"third-party insurer"), also known as the "liability insurer," will be
responsible for paying all reasonable bills and expenses that your
doctors relate to the accident. However, that insurer has no obligation
to pay your bills as they are being incurred. The third-party carrier
will only make payment on your bills and other expenses when you are
ready to settle and conclude your entire case.
Read article(s) below for additional information on this subject
Expert Witness Fees - Who's Responsible Attorney or Patient
Health Care Treatment Costs for Patient Injuries: Who's Responsible, Attorney or Patient?
When Can the Patients Attorney Pay the Patients Bill Treatment Purposes vs. Medical Legal Purposes
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What if I Don't Have Insurance to Cover My Bills?
Some
providers will agree to hold your bill for treatment and file a "lien"
against your settlement. This means they will be paid out of your
settlement proceeds at the end of your case. Many providers will not
agree to hold your bills, such as hospitals and medical specialists
(orthopedists and neurologists). In those instances, you should pay the
providers directly so that you can receive the care you need to get
well. You will get reimbursed for these expenses at thee not improving
with the recommended treatment, discuss this with your doctor; do not
simply quit treating. If you quit your treatment, the insurance company
will claim that you failed to mitigate your injuries or that you have
recovered from your injuries and are no longer having any pain.
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Do I Have to Pay My Insurance Company Back for Bills They Have Paid?
Your
insurance policy or contract contains a provision called "subrogation."
Under Washington law, you are not entitled to receive double payment
for your bills. When your case is settled, it generally includes
payment for all medical bills, wage loss and other expenses you have
incurred as a result of the accident. Since the at-fault party is
responsible for all of your losses, your insurance company has the
right to be reimbursed for any payments it has made.
One bit of good news, however, is that Washington law now
requires the insurance company to contribute toward the legal fees and
costs you have incurred in pursuing your claim for damages. Typically
your PIP insurance company will have to accept a 1/3 reduction in the
amount of money they get back. For example, if they paid $9,000 in
treatment bills, they would get back approximately $6,000. The rules
apply to the health insurance company as well, with a few exceptions,
such that they also must take less money than they actually paid.
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What if I Need Treatment After My Case Settles? Who Will Pay?
Generally,
your private health insurance company will be required to pay for your
medical treatment after your settlement. This is because your health
insurer cannot exclude pre-existing conditions under Washington law.
However, you may have a six month waiting period if you switch
insurers. If your coverage for your injuries is through the Department
of Labor and Industries or another governmental agency, different rules
apply. You should discuss the circumstances of your case with your
attorney or paralegal.
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How Long Will It Take for Me to Recover from My Injuries?
At
best, predicting recovery is difficult and depends on many factors
including the nature of the injuries and your response to treatment.
Your doctor can give you the best estimate. You can give yourself the
best chance for a full and speedy recovery by following your doctor's
treatment recommendations.
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What Do I Do if My Treatment Isn't Helping?
Discuss
this with your doctor. He or she may be able to modify your treatment
or find different types of treatment that are more effective for you.
Also, we suggest you give us a call to discuss the issue.
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What if My Condition is Permanent?
If
your doctor is of the opinion that you have suffered a permanent
injury, we will advise the insurance company of this fact when we enter
settlement negotiations. A disability or impairment rating quantifying
your level of permanent injury can only be done when your doctor is
certain that no additional improvement can be expected. Often your
doctor will only conclude you have a permanent injury after having
explored all reasonable treatment options and waiting at least one year from the time of the injury.
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What are My Responsibilities to Recover from My Injuries?
Under
Washington law, your right to obtain a recovery for your injuries is
balanced by certain duties you have. These duties include doing
whatever you reasonably can to recover from your injuries and regain
your pre-accident condition and lifestyle. You do this mainly by
following your doctor's treatment plan. If you feel you arn this
information has been established and blended with our years of
experience successfully negotiating claims and trying cases can an
estimated value range for your case can be determined.
Information and experience about what juries and arbitrators
award in cases similar to yours are a critical factor in determining
what a case is worth. We regularly receive and review reports of
arbitration awards and jury verdicts which keep us informed of the case
from counties throughout the state. This along with our experience
helps us advise you of the risks and benefits of accepting a settlement
or pursuing your claim in litigation.
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When Will My Case be Ready to Settle?
We
recommend you wait until you have been released from treatment, or your
doctor says you have a permanent injury and that further treatment will
not improve your condition, before thinking about settling your case.
Once your case is settled, the settlement is for all known and unknown
injuries, even conditions that may arise later. It is best to wait
until you and your doctor are reasonably sure that you know the full
extent of your injuries
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What Happens When It is Time to Settle My Case?
After
all pertinent information is obtained and your health care providers
have determined that you have reached pre-injury condition or maximum
recovery, a "demand letter" is written and mailed to the insurance
company. The demand letter presents the facts of the accident, your
injuries, and how the accident has impacted your life. It also requests
a monetary amount to settle the case. The vast majority of claims
settle at this stage. If, however, the insurance company refuses to
admit responsibility or compensate you fairly, a lawsuit may then be
filed. This is done only with your approval.
Read article(s) below for additional information on this subject
Report Writing: The Unwritten Rules
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Can I Settle Part of My Case and Keep the Medical Benefits Open in Case I Have Future Medical Bills?
Generally
speaking, the answer is no. This is why we will obtain an opinion from
your doctor on additional care you will probably require in the future
and a written estimate of what that care will cost. This amount will be
included in the amount of compensation we will request from the
insurance company when settlement negotiations begin.
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What is My Claim Worth?
That
is a question that is very difficult to answer at the beginning of your
case. Many factors affect the value of your claim, including your
doctor's opinion regarding your diagnosis, the nature and extent of
your injuries, your prognosis, the amount of medical expenses,
pre-existing conditions, future care needs, the amount of wage loss,
whether or not you have a permanent ratable disability or impairment
and other factors. Only when this information has been established and
blended with our years of experience successfully negotiating claims
and trying cases can an estimated value range for your case be
determined.
Information and experience about what juries and arbitrators award in cases similar to yours are a critical factor in determining what a case is worth. We regularly receive outcome reports of arbitration awards and jury verdicts which keep us informed of cases from counties throughout the state. This along with our experience helps us advise you of the risks and benefits of accepting a settlement or pursuing your claim in litigation.
What if I Have to file a Lawsuit?
A
lawsuit may be filed when all attempts to resolve your case through
negotiations have been unsuccessful. In Washington state, most injury
victims generally have three years from the date of the accident to
settle a claim or file a lawsuit. A lawsuit begins when an attorney
prepares legal documents (the Summons and Complaint) and has them filed
in the court and served on the responsible party. Just because a
lawsuit is filed, however, does not mean your case will go to court.
Settlement negotiations often continue even though a lawsuit has been
filed.
Read article(s) below for additional information on this subject
Dispute Resolution - Alternatives to Trial
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Getting Started: Frequently Asked Questions
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