Guest guest Posted March 16, 2009 Report Share Posted March 16, 2009 Hello! Does anyone know what the recourses on PIP payment is in a timely manner? I have a patient that was injured in November of 2008 and they still have not sent me a check yet. They ordered an IME back in Feb. but had scheduling problems so it finally was done a couple weeks ago. I talked to the adjuster today and he is telling me it will take another 2 weeks for his medical review department to get to it!!! My understanding was that they had to pay at least the bills from before they asked for an IME. Please correct me if I am wrong, and if I do have recourses tell me where. I do not have a MVA oriented office and I find all this very frustrating. Thank you, M. Côté D.C. Silverton cote@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2009 Report Share Posted March 16, 2009 PIP has 60 days from the time of the bill to either pay you, or provide you in writing a reason for delay. If they indicated within 60 days that they were sending out for an IME, then they can wait for payment. If they let you know 61 days later, then they have to pay for the one visit that is over 60 days. After they have notified you or your patient, then they can wait as long as they want. Legal recourse by the patient may be in order. Dan DC From: [mailto: ] On Behalf Of Cote Sent: Monday, March 16, 2009 12:41 PM Subject: insurance payments Hello! Does anyone know what the recourses on PIP payment is in a timely manner? I have a patient that was injured in November of 2008 and they still have not sent me a check yet. They ordered an IME back in Feb. but had scheduling problems so it finally was done a couple weeks ago. I talked to the adjuster today and he is telling me it will take another 2 weeks for his medical review department to get to it!!! My understanding was that they had to pay at least the bills from before they asked for an IME. Please correct me if I am wrong, and if I do have recourses tell me where. I do not have a MVA oriented office and I find all this very frustrating. Thank you, M. Côté D.C. Silverton coteviclink Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2009 Report Share Posted March 16, 2009 PIP has 60 days from the time of the bill to either pay you, or provide you in writing a reason for delay. If they indicated within 60 days that they were sending out for an IME, then they can wait for payment. If they let you know 61 days later, then they have to pay for the one visit that is over 60 days. After they have notified you or your patient, then they can wait as long as they want. Legal recourse by the patient may be in order. Dan DC From: [mailto: ] On Behalf Of Cote Sent: Monday, March 16, 2009 12:41 PM Subject: insurance payments Hello! Does anyone know what the recourses on PIP payment is in a timely manner? I have a patient that was injured in November of 2008 and they still have not sent me a check yet. They ordered an IME back in Feb. but had scheduling problems so it finally was done a couple weeks ago. I talked to the adjuster today and he is telling me it will take another 2 weeks for his medical review department to get to it!!! My understanding was that they had to pay at least the bills from before they asked for an IME. Please correct me if I am wrong, and if I do have recourses tell me where. I do not have a MVA oriented office and I find all this very frustrating. Thank you, M. Côté D.C. Silverton coteviclink Quote Link to comment Share on other sites More sharing options...
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