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As a medical provider, you may charge and the insurer must pay a “reasonable amount.” As long as your services are reasonably necessary and your bills are reasonable, there is no reason why you should not be paid.
Michigan law provides that service providers may sue a no-fault carrier for failure to reimburse them and can enforce the penalty provisions contained in the No-Fault Act for interest and attorneys fees. This means that in the appropriate circumstances you can be reimbursed your full charges plus No-Fault penalties. These penalties can add up quickly and sometimes add up to more than the actual charges!
However, providers must act fast to protect their rights within the deadlines imposed by the No-Fault Act. First, the provider must provide notice to the insurer within one year of the accident. Second, even if timely notice is given, a lawsuit can only obtain benefits for services incurred within one year of the filing of the lawsuit. Because of these deadlines, it is very important for providers to notify all insurer as soon as possible. If you fail to notify the insurer, your claim may be barred permanently.
We represent providers in courts everyday, including:
• Major Hospitals
• Surgical Centers
• Private Physician Practices
• MRI & Imagining Providers
• Physical Therapy Centers
• Numerous Other Providers
• Pain Management & Recovery
• Traumatic Brain Injury (TBI)