Awarded for Set of Injections
Judd Shaw Injury Law™ sought payment for PIP medical benefits on behalf of a pain management physician and related ancillary anesthesia services. The insurance carrier denied payment for surgery based on the allegation the services were not medically necessary. The matters involved a series of cervical epidural injections. After considering the arguments made by both parties, the arbitrator concluded that claimant proved, by a preponderance of the evidence, the clinically supported symptoms, diagnosis and neurological indications supported the treatment at issue. Judd Shaw Injury Law™ obtained a combined award of $29,500.00 on behalf of the doctor.
Awarded to Hospital
Judd Shaw Injury Law™ client sought payment for PIP medical benefits on behalf of a hospital. The insurance carrier denied payment for hospital related charges in association with a spine surgery. At the oral hearing, the insurance carrier argued against the hospital’s rates, codes and overall charges. Attorney Judd Shaw countered the carrier’s position with proofs and legal arguments supporting the claim as billed. The arbitrator accepted Claimant’s arguments and awarded 100% of the demand amount. Judd Shaw Injury Law™ recovered $96,344.54 on behalf of the hospital.
Awarded to Spine Surgeon
Judd Shaw Injury Law™ sought payment for PIP medical benefits on behalf of a spine surgeon. The insurance carrier denied payment for the fusion and cage placement with stabilization based on the allegation the services were not medically necessary. Judd Shaw Injury Law™ established the surgery was reasonable and related to the motor vehicle accident. Claimant’s attorney Judd Shaw established that the patient was living with a degenerative condition and did not have any significant medical issues until after the accident which changed the patient’s pre-existing condition and worsened it and therefore, the accident provided sufficient trauma which had not existed pre-accident. The arbitrator disagreed with the carrier and awarded nearly $55,000.00 to the surgeon.
Collected for Chiropractic, Physical Therapy and Conservative Care
Judd Shaw Injury Law™ sought payment for PIP medical benefits on behalf of chiropractors, physical therapists, acupuncturists, pharmacy groups, DME suppliers and conservative care providers. The insurance carriers denied payment for services based on various denials such as medical necessity, causation, failure to cooperate, eligibility, coding, billing and coverage. Judd Shaw Injury Law™ aggressively pursued PIP payments and prevailed over the carriers’ non-payments and collected benefits in thousands of claims. No-Fault insurance carriers either settled or lost at arbitration paying Judd Shaw Injury Law™ conservative care providers over 11.4 million dollars ($11,400,000.00).
Collected for Diagnostic Services
Judd Shaw Injury Law™ sought payment for PIP medical benefits on behalf of Magnetic Resonance Imaging (MRI) centers, Electromyography (EMG) testing groups and physicians, Computerized Tomography (CT Scans), X-ray and Post-Discography testing. The insurance carriers denied payment for services based on various denials such as, medical necessity, causation, failure to cooperate, eligibility, coding, billing, coverage and misrepresentation. Judd Shaw Injury Law™ prevailed over the carriers’ non-payments and collected benefits for clients. No-Fault insurance carriers either agreed to settle or lost at arbitration paying Judd Shaw Injury Law™ radiology and testing providers over 6.1 million dollars ($6,100,000.00).
Collected for Pain & Spine Cases
Judd Shaw Injury Law™ sought payment for PIP medical benefits on behalf of a pain management physicians, spine surgeons, orthopedic doctors, ambulatory care facilities and hospitals. The insurance carriers denied payment for services based on various denials such as, medical necessity, causation, failure to cooperate, eligibility, coding, billing rates, coverage and misrepresentation. With a recovery rate of over ninety two percent (92%+) Judd Shaw Injury Law™ prevailed over the carriers’ non-payments and collected benefits for clients. No-Fault insurance carriers either agreed to settle or lost at arbitration paying Judd Shaw Injury Law™ pain and spine medical providers over 33 million dollars ($33,000,000.00).