Post by
C-Kwik »
https://forums.nicoclub.com/c-kwik-u426.html
Fri Jul 13, 2007 10:15 pm
I don't know of any company that would ever agree to any contract that would bind them into paying anything before they have all the facts of the case (medical claim info as well). A claim's worth is not something that can be determined prior to having all the info an adjuster needs to make that determination. It's unfortunate, but necessary. In large part, a reason for this is fraud. Unfortunately, it would be an open invitation to get an insurance company to pay for all kinds of unneccesary treatment. A person faced with paying and being responsible for the cost of treatment would be more likely to only treat as much as it is necessary. It's not a perfect system, but from a legal standpoint, it works.
I'm sure the insurance company already told her this, but do whatever you can to treat as necessary.
I don't know everything about claims in Virginia, but in many cases here in CA, attorneys work out a lien against a future settlement with doctors. You might ask your own doctor and the specialist he refers you to if this is something they can do directly or through an attorney if they feel uncomfortable about you handling your own bodily injury settlement negotiations. I recommend that you try your best not to let an attorney refer you to a doctor or your doctor refer you to an attorney. It can look bad and you may be led into a situation where your claim is padded without your full knowledge. While I don't typically recommend an attorney unless you absolutely need it (Since they take a cut), it could be necessary if your doctor won't work out a lien arrangement without one. Ultimately, she needs to do what's best for her...