Our client was driving through a construction zone on a busy street. She was driving slowly and attentively, eventually coming to a full stop behind the traffic in the lane in front of her. The car directly behind her changed lanes, and the driver in the car behind it failed to notice that traffic had stopped. He crashed into the rear end of our client’s vehicle. She was injured in the auto accident and had to seek medical treatment.
Our client’s Personal Injury Protection (PIP) policy was covering her medical bills. Then, her insurance carrier performed an independent review of her medical records and retroactively stopped medical expense coverage. This left our client with significant outstanding medical bills that she wasn’t sure she would be able to pay. She turned to an Oregon auto accident attorney at Dwyer Williams Cherkoss for help.
When I took the case, I started with a review of the client’s medical records and the carrier’s independent review report. I immediately spotted some inconsistencies and errors. For example, the independent review was conducted by a general surgery physician and not a specialist in the field of her injury. The independent review occurred months after her treatment, and there were several factual errors in the independent review that were easily corrected by statements in her actual medical records. Additionally, the insurance physician never actually examined our client, just her medical records. After compiling information regarding the errors and problems, I contacted the PIP carrier and disputed their reasons for stopping her medical expenses coverage.
In addition to contacting the PIP carrier, I opened negotiations with the at-fault driver’s insurance company. Ultimately, we succeeded in getting our client’s PIP carrier to reinstate her medical benefits and pay off all of her outstanding medical bills. The at-fault driver’s insurance company also offered a fair settlement to compensate our client for her pain and suffering and medical costs.
If you have been in a car accident and your PIP carrier or insurance company is refusing you the coverage you deserve, contact us. One of our expert Personal Injury Attorneys will be happy to discuss your Oregon Personal Injury case with you. Call us now: 541-617-0555