Provider Lawsuits in Michigan No-Fault Claims: How The Injury Law Firm, LLC Can Help
Effective June 11, 2019, significant changes were introduced to Michigan's no-fault insurance system, impacting how medical providers can seek reimbursement for services provided to insured individuals involved in auto accidents. Under MCL 500.3112, providers now have the ability to assert a direct cause of action against an insurer or make a claim under the assigned claims plan to recover overdue benefits payable for charges for products, services, or accommodations provided to an insured person. However, it's crucial to note that not all providers are eligible to make a claim or bring an action under this provision; they must fall under the types listed in MCL 500.3157.
Before the implementation of no-fault reform via 2019 PA 21 and 22, courts primarily considered the reasonableness of the amount and the necessity of the charge when determining reimbursement for medical expenses, as outlined in MCL 500.3157 and MCL 500.3107. However, the reform introduced another layer to this process: statutory fee schedules. These fee schedules categorize providers and list a sliding fee for each category.
Most providers likely fall under the default schedule outlined in MCL 500.3157(2), which dictates reimbursement percentages based on the Medicare amount for treatment or training. For instance, from July 2, 2021, to July 1, 2022, reimbursement is set at 200 percent of the Medicare amount, from July 2, 2022, to July 1, 2023, it's 195 percent, and after July 1, 2023, it's 190 percent.
Furthermore, for a health care provider to recover under the No-Fault Act, treatment must be lawfully rendered, and the provider must be in compliance with licensing requirements, as established by Cherry v State Farm Mut Auto Ins Co, 195 Mich App 316, 320, 489 NW2d 788 (1992). This requirement underscores the importance of ensuring that providers adhere to all licensing regulations to qualify for reimbursement under Michigan's no-fault insurance laws.
The Injury Law Firm, LLC, understands the intricacies of Michigan's auto insurance laws and has a proven track record of success in handling provider lawsuits related to no-fault patients. Their experienced attorneys work tirelessly to advocate for medical providers, fighting against insurance companies' tactics to delay or deny rightful reimbursement.
With a focus on maximizing compensation for their clients, The Injury Law Firm, LLC employs strategic legal strategies tailored to each provider's unique situation. Whether negotiating with insurance companies or litigating in court, they prioritize their clients' interests and work diligently to achieve favorable outcomes.
By choosing The Injury Law Firm, LLC to represent them, medical providers can rest assured that their rights will be protected, and their financial interests will be safeguarded. With their expertise in auto accident cases in Michigan, The Injury Law Firm, LLC is the trusted partner medical providers need to navigate provider lawsuits and secure the compensation they deserve.
Contact The Injury Law Firm, LLC at 855-LET-US-WIN to learn more about how they can assist medical providers with no-fault patient claims and ensure they receive fair and just reimbursement. Trust the experienced team at The Injury Law Firm, LLC to fight for your rights and maximize your compensation in Michigan provider lawsuits.