NO-FAULT INJURIES /
WORKERS' COMPENSATION INJURIES

No-Fault Injuries >>

Workers' Compensation Injuries >>

No-Fault Injuries

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1. No-Fault Information Required: All patients are required to bring at the time of your initial appointment the insurance carrier name, address and phone number as well as the policy number of the vehicle in which or by which you were injured. If you were injured by a vehicle as a pedestrian or while riding a bicycle, please make sure to have the vehicle policy number that hit you. Please also make sure you have a claim number from the insurance carrier. All claims must be put in to the insurance carrier within 45 days of the date of accident.

2. Accepting Assignment: As a courtesy, this office will bill your insurance carrier and accept assignment as long as you have filled out the No-Fault assignment of benefits form as well as filled out an application for no-fault benefits with your carrier. Patients who fail to complete these forms will be subject to payment at the time of service and can submit to their insurance carrier for medical reimbursement.

3. No-Fault vs. Workers’ Comp: If you are driving a vehicle while working i.e. delivery truck or taxicab, your claim is a worker’s compensation claim and should be filed with your employer’s workers’ compensation carrier.

4. Independent Medical Exam: All patients will eventually be subject to an independent medical exam by your vehicles’ insurance carrier. Please make sure to attend, as failure to attend will deny all of your medical benefits. All claims after the denial of medical coverage will be billed to your private insurance. If you do not have private coverage you will be subject to no-fault rates and be billed personally for all charges incurred.

5. Attorney: If you have an attorney handling your case, please make us aware of their name, phone number and address.

Workers' Compensation Injuries

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1. Injuries on the Job: If you were injured on the job, while working or on your employer’s property you are entitled to worker’s compensation benefits.

2. File with Your Employer: You, as the employee, must notify your employer and complete a C2 form, which is submitted to both the carrier and the state.

3. No-Fault vs. Workers’ Comp: If you are driving a vehicle while working (i.e. delivery truck or taxicab), your claim is a worker’s compensation claim and should be filed with your employer’s workers’ compensation carrier.

4. Must Be Reported: All workers’ compensation claims must be reported to this office within 72 hours of treatment as our claims go out regularly. All claims are submitted directly to the carrier and to the state.

5. Authorization for treatment: All therapy services require authorization from the insurance carrier. Authorization can take up to 72 hours to receive but no longer than 30 days and is subject to medical necessity.

6. Disability Forms: All Disability forms are subject to a $25 or $50 fee by the physician depending on the length of the form. This fee is for the time involved in completing the information required on your form.

7. Multiple Services on Same Day: Worker’s Compensation patients cannot have services from multiple provider specialties on the same day. This includes other practitioners, chiropractors etc.

8. Attorney: If you have an attorney handling your case, please make sure to give us their name, address and phone number.