Insurance Claims

  • Supreme Court Overrules Insurers Denial of Personal Injury Protection

    Supreme Court Overrules Insurers Denial of Personal Injury Protection

    Personal Injury Protection (PIP) insurance is intended to protect victims of motor vehicle collisions by covering medical expenses, lost wages, household services and funeral costs under an automobile insurance policy.  It applies to any occupant…

  • Prior Authorization from Health Insurers

    Prior Authorization from Health Insurers

    Patients and providers in Washington State recently won an important victory against health insurance companies, by reducing a frustrating and time-consuming restriction when accessing needed medical care.  This victory is in the form of legislation…

  • How Social Media Sites Can Be Used To Damage a Personal Injury Case

    How Social Media Sites Can Be Used To Damage a Personal Injury Case

    According to a recent study by the Pew Research Center, eight out of ten American adults online have used social media websites such as Facebook, Instagram, Twitter, and LinkedIn at some point in their lives.[1] …

  • The Rise of Artificial Intelligence in Insurance Claims Handling

    The Rise of Artificial Intelligence in Insurance Claims Handling

    Recovering from a traumatic injury is often a slow process that unfolds in ways patients often can’t anticipate. The full extent of an injury, or the effectiveness of treatment might not be fully known for…

  • Insurers’ Use Of Computer Systems Artificially Devalues Injury Claims

    Insurers’ Use Of Computer Systems Artificially Devalues Injury Claims

    “Liability” insurance is different from other insurance coverages, such as life insurance.  For example, life insurance pays a certain amount upon the death of the policyholder, regardless of the cause or consequence.  But liability insurance…

  • Personal Injury Protection: Potential Hidden Benefits for Your Patient

    Personal Injury Protection: Potential Hidden Benefits for Your Patient

    Most health care providers who treat those with traumatic injuries following motor vehicle collisions are likely aware that Personal Injury Protection (PIP) is accessible under the auto policy of the patient or the policy of…

  • Holding Treatment Bills vs. Billing Health Insurance

    Holding Treatment Bills vs. Billing Health Insurance

    In today’s economic-health care landscape, providers are looking for ways to lessen the financial impact of insurers’ relentless cost containment measures aimed at reducing reimbursement for services. One area that providers are looking at anew…

  • Resolution of PIP Claim Disputes in Motor Vehicle Accident Cases

    Resolution of PIP Claim Disputes in Motor Vehicle Accident Cases

    When a person injured in a motor vehicle accident has a conflict with his or her automobile insurance company, it often involves the insurer’s refusal to pay or delay in paying for medical expenses under…

  • When Should Patients Sign the Insurance Company’s Release of Claims?

    When Should Patients Sign the Insurance Company’s Release of Claims?

    The Washington Supreme Court in the case of Bennett v. Shinoda Floral, 108 Wn.2d 380 (1987), addressed the issue of whether an injured party who signs a release, settling an automobile accident injury claim is…