My PIP Won't Pay

Baltimore personal injury lawyers see this happen every day. The PIP law requires that insurers pay all "reasonable" and "necessary" medical expenses up to the policy limits for Baltimore car accident victims. Insurers sometimes contest if a service was "necessary", which the courts define as something that in light of the patients condition, and in light of other possible treatments, had some "efficacious value" Sabatier v. State Farm, 609 A.2d 307. More often, insurers contest if the charge for the service was "reasonable", and refuse to pay it. Not surprisingly, no Baltimore personal injury lawyer has ever seen a case where the PIP carrier refused to pay because the charge was too low, and therefore unreasonable. PIP carriers routinely refuse to honor charges that it views as too high, or "reduce" charges to a level that the carrier, arbitrarily, decides is "reasonable - even though there is no direct authority in the PIP statute authorizing this process.

Property damage in personal injury lawsuits

The notion that there is a correlation between the dollar amount of property damage in a motor vehicle accident, and the severity of a personal injury has some logical appeal. If a car’s front end is smashed in, then the occupants would seem...

Lost wages in personal injury settlements

The recovery of past lost wages in some personal injury claims amounts to little more than mathematics. The average weekly hours a person works before their accident, multiplied buy their hourly wage, multiplied by the amount of time missed....

Personal injury settlement: Medical bills

Maryland, like many states, has enacted a statute that sets the right of health insurance providers, or third party payors generally, to assert a claim on the proceeds of a personal injury lawsuit. Knowledge of these provisions is a key in getting...

How Much Will I get for my Personal Injury Case?

Of course the most important consideration in any personal injury award is the “in your pocket” number. After attorney fees, litigation costs, outstanding medical balances, and everything else has been accounted for: “How much do...

How much is the case worth?

Medical expenses are one variable in the value of any case. They impact the value in a direct sense. A claims adjuster, judge, or juror, at some point will be presented with those bills. The injured person is entitled to collect the amounts paid, in...

What is the value of an injury claim?

Two things remain true about the valuation of a personal injury case. One, it is one of the core functions of a personal injury lawyer – to assess the likely outcome of a claim at trial. Ideally, this is done with a balance of reason and...

How much is a personal injury case worth?

I’ve said elsewhere that it is by far any away the most common and frequent question that I’m asked. In addition, though, it is probably the most legitimate. The primary role of a personal injury attorney is getting their injured client...
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