How an Attorney Helps in the Arbitration Process
As an attorney, Christopher J. Metcalfe has handled hundreds of personal injury protection (PIP) arbitrations. The decisions of the arbitrators are binding on both sides of the dispute. It is important to have a lawyer who can thoroughly and properly prepare a claim for arbitration.
Claims That Need an Arbitration Attorney
Any time an insurance carrier does not fully reimburse a health care professional or provider for medically necessary treatment provided to a patient, the claim is ripe for arbitration.
This includes claims in which the insurance company:
- Fails to issue payment within 60 days.
- Denies treatment and/or payment for treatment.
- Improperly imposes a penalty for lack of pre-certification.
- Denies claims based upon an unsupported, independent review of a claim.
- Fails to pay usual, customary and reasonable rates of reimbursement for examinations or continued treatment.
Documentation for an Arbitration Proceeding
It is important that everything from medical records to bills to a signed assignment sheet be in the package to be successful at the arbitration proceeding. Further complicating matters is that each insurance company has its own set of protocols.
Attorney Christopher J. Metcalfe has successfully handled hundreds of these arbitration proceedings for hundreds of health care professionals.
Attorney Christopher J. Metcalfe was a member of the No-Fault Arbitration Advisory Board and his published decisions can be found at the New Jersey Department of Banking and Insurance website at http://www.state.nj.us/dobi/index.html.
New Jersey Personal Injury Protection Lawyer
Health care professionals and clients in Bergen County, Hudson County and Passaic County needing an attorney who will fight for the rights of injured people should call Christopher J. Metcalfe at 201-460-3444 or contact the law office online.
