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PIP

What would you do with a potential additional return of your PIP benefits?

May 30, 2024 · 5 min read · Eastern Time

After an accident, it is common for an insured person to assign their PIP benefits under their applicable insurance policy to a medical provider in exchange for medical treatment.

In Florida, motor vehicle insurance laws require vehicle owners to purchase a minimum of $10,000 in Personal Injury Protection (PIP) coverage. PIP provides compensation for medical services after a motor vehicle accident (excluding motorcycles). As a no-fault state, an accident victim can initiate PIP benefits immediately, regardless of who is responsible for the accident.

At Revenue Recovery Firm we work to make sure your medical office is receiving the correct amount of benefits corresponding to your practice under case law.

The intricacies of PIP are complex. Insurers will often attempt to deny, reduce, or delay PIP claims for a variety of reasons. These defenses often lead to the reduction or even denial of PIP benefits.

One review of your past claims by our account managers can recover unpaid, reduced, or delayed PIP claims. Florida PIP law requires claims to be paid within 30 days of submission to the auto insurance carrier. If a claim has been denied past that 30-day threshold, it is considered overdue.

If your claims have been denied, reduced, or delayed with no justification on the Explanation of Benefits (EOB), you may have cause to pursue the claim. The Florida statute of limitations for PIP suit recovery is five years from the date of filing, which means you could still be owed more than was initially paid. A review by our account managers can help recover unpaid or underpaid PIP claims — on average, 15–25 percent of the amounts that were missed.