Work with us at no cost
Our firm expends all out of pocket expenses involved in the arbitration process*. When we collect, so do you. *Advancement for PLIGA cases based upon volume of files received from provider
Upload your files to our secure server
We take information technology serious enough that we have our own IT department to maintain a secure server for you to upload files and keep track of the progress of each demand.
We provide all forms needed for Arbitration
Sign up with us to receive access to simple forms to make your PIP arbitration easier
What is needed for PIP Arbitration
- PIP Application
- Assignment of Benefits
- Pre-certification requests with fax transmittal sheets for treatment
- Itemized medical bills or HICFs
- EOB statements from the insurance carriers
- Denial letters from the insurance carriers
- IME reports
The following documents and notes allow us to maximize the award you will receive
- Progress notes and monthly patient evaluation reports
- Medical reports (EMGs, MRIs, etc.)
- Police Report
- Affidavit of No Insurance
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Just researching about the unpaid PIP claim collection process can be a daunting task for a medical provider. Let us help you by explaining the process.
What is Personal Injury Protection (PIP) ?
Personal Injury Protection (PIP) is an extension of car insurance which pays medical expenses for parties injured in an auto accident and covered under an auto insurance policy. It is sometimes called “no-fault” coverage because it pays medical costs no matter who caused the accident. Coverage includes the cost of treatment you receive from hospitals, doctors and other medical providers and any medical equipment that may be needed to treat injuries. Additional PIP coverage can include reimbursement for certain other expenses, such as lost wages.
When Insurance Carriers Deny Reimbursement to Medical Providers
When insurance carriers fail to reimburse providers for medical costs expended for injuries arising from automobile accidents, there are two ways to collect from the auto carrier. The first route is settlement. Settlement may be made both prior to and during the arbitration process. If settlement is possible, negotiating with the carrier proves to be quick and successful in compensating providers for the treatment and medical equipment in question.
When Settlement Attempts Fail
Should settlement attempts fail, a demand for arbitration, by way of assignment of the patient, is filed in the State of New Jersey’s PIP arbitration forum, Forthright. Once a demand has been filed, a Dispute Resolution Professional (DPR) is assigned to the matter and a hearing date is scheduled for the matter to be heard. While awaiting the hearing date, both Claimant (provider) and Respondent (carrier) prepare documentation and arguments to be relied upon at the time of hearing. The filing of the arbitration costs upwards of $250.00