PIP Arbitration and Reimbursement
New Jersey’s Personal Injury Protection auto insurance system can be confusing, frustrating, and costly for all health care providers. The Bergwall Law Firm is here to help you navigate this complex system at absolutely no cost to you, EVER.
The firm has reached seven figure settlements for providers in PIP and medical collections.
If you are a doctor or medical provider, our lawyers can help you receive payment for services rendered to patients under the New Jersey's no-fault auto insurance laws and through the Forthright Solutions (formerly the National Arbitration Forum) PIP arbitration process.
Pre-certification of Medical Treatment: Patients, doctors, and/or providers must pre-certify certain types of medical treatment for patients injured in automobile accidents. Failure to pre-certify or properly appeal the denial of pre-certification may result in the insurance company denying payment. Frequently, insurance companies will contest the medical necessity of chiropractic treatment and physical therapy for injuries to the neck and back. Insurance companies also commonly contest the need for diagnostic tests, such as MRIs and EMG/NCV studies. Our lawyers can help doctors and providers navigate this complex area of the law.
Forthright: After an insurance company denies payment for services rendered to patients injured in automobile accidents, patients, doctors and medical providers may file an Arbitration Demand with Forthright Solutions This is not a lawsuit but rather, it is a formal request for Forthright to appoint an arbitrator to resolve the dispute between the provider and the insurance company. This forum is a litigation forum which is in lieu of costly litigation in Superior Court. The arbitrators are licensed attorneys who have experience in PIP arbitrations and dispute resolution. The decisions of the arbitrators are binding on both sides of the dispute. Our lawyers have successfully represented doctors and providers in PIP arbitrations for over 10 years.
Free Initial Consultation: Contact us today to schedule your free initial consultation with a skilled New Jersey car accident lawyer and skilled PIP arbitration lawyer. We offer direct access to our attorneys 24 hours a day, just call our office at (973) 276-6100 to reach us. If you cannot come to our office, we will come to you. We can also assist clients who speak Spanish, Portuguese, and Polish.
The firm has handled hundreds of arbitrations on behalf of Individual Insureds, Medical Providers and Suppliers since 2000. The firm has successfully arbitrated thousands of cases under an assignment of benefits on behalf of hospitals, surgeons, surgery centers, dentists, anesthesiologists, pain management specialists, chiropractors, physical therapists, diagnostic facilities and medical supply companies and directly on behalf of individuals.
When the Bergwall Law Firm, P.C. represents you in your PIP DISPUTE RESOLUTION, all costs connected with the commencement and resolution of the PIP DISPUTE RESOLUTION will be advanced by the law firm and any reimbursement of costs and legal fee will be paid by the automobile insurance carrier as determined by the arbitrator called the DISPUTE RESOLUTION PROFESSIONAL. There will NEVER be any costs or legal fee demanded from the client regardless of the outcome of the PIP DISPUTE RESOLUTION.
In addition to PIP DISPUTE RESOLUTION, the office handles medical collection for its client-providers. We are the proverbial “one-stop shop”. We arbitrate and collect. We maintain daily and acute knowledge of the developments before the relevant arbitration forums and the applicable law affecting medical service providers.
The firm. is licensed in New Jersey and New York, and can represent clients in both states.