Understanding the Difference Between the Two Types of PI Claims You will generally experience two types of personal injury insurance claims with your patients: first-party claims and third-party claims. With a first-party insurance claim, your patient files with their own insurance carrier; for a third-party insurance claim, your patient files against the insurance carrier of…
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State Requirements for Insurance Coverage State minimum insurance requirements are the auto insurance requirements, by law, for the residents of each state. The minimum requirements for each state can be found on the State Insurance Commissioner’s website. We have also included them here for easy reference—just scroll to your state to see the current requirements….
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If you practice in a no-fault state, this information applies to you. Each state must implement either a tort system or a no-fault system. The insurance that is available to your patients is determined by which system your state uses. The many variations of the no-fault system make it difficult to provide accurate information on…
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PI and Tort Tort is defined as “a wrongful act or an infringement of a right (other than under contract) leading to civil legal liability.” For example, an automobile accident where one driver hurts another driver because he or she was not paying attention, might be considered a tort. Nearly every state has mandatory car…
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Personal Injury (PI) refers to a very specific type of case. This tutorial is an overview of the ins and outs of Personal Injury coverage. A clinic will see how the patient’s insurance coverage can impact their power to seek treatment of choice and the provider’s ability to receive payment. Download Support Tool Sometimes, just…
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Download Reference Documents This course provided an overview of types of commercial health insurance plans and the importance of locating the payer’s medical review policies. The reference documents listed below are samples of medical policies from a variety of common payers. Use these documents as a guide to track down similar forms on payer websites….
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