Personal Injury Protection (PIP)
99%
success rate challenging all bill cuts
Helping Medical Professionals
Increase Collections & Reduce Delays
Alekman DiTusa, LLC has developed a streamlined process for PIP claims. We specialize in recovering unpaid, and underpaid, PIP payments to health care providers, like you. We feel that there is no reason why you should have to put up with reductions, delays, and denials by Massachusetts PIP insurers.
Review outstanding collectables
Determine if there is a valid claim
File a suit on your behalf, at no cost to you
Fight tenaciously to get you everything to which you are entitled
Schedule A FREE Consultation!
(413) 781-0000
“Our Experience & Expertise Will Drive Your PIP Collections To A New Level”
Recover the Full PIP You Deserve
1. Identifying Your Eligible Reimbursement
Insurance companies often try to deny the medical providers that full compensation that they are due by wrongly making deductions and disallowing claims. With our experience, we can fight for you to get the full compensation to which you are entitled!
2. We Fight Hard for Full Compensation
Insurance companies count on medical providers not knowing (or not fighting for) the full compensation to which they are entitled. When we’re involved, insurance companies know that providers are serious about obtaining the compensation that is due, which often results in the appropriate payment.
3. No Recovery, No Fee
The PIP insurance company is responsible for our legal fees and costs when we are successful. As a result, virtually all of our cases settle quickly, with the insurance company paying the medical provider’s bill in full, plus our legal fees and expenses.
We’ve Recovered Millions of Dollars for Clients
We represent medical providers across Massachusetts. Claim what is rightfully yours – don’t wait another day.
Questions & Answers
How Much does an Experienced PIP Lawyer Cost?
The PIP Statute (GL Chapter 90 Section 34M) requires a PIP insurer to pay our fee and reimburse legal costs (which we advance on your behalf) if we are successful.
How Many Cases Go to Trial?
At Alekman DiTusa, we have decades of experience negotiating PIP claims. As such, it has been our experience that the vast majority of cases settle before trial (over 99%), with our clients putting 100% of their outstanding balance in their pocket, and the insurer paying our fee and reimbursing the expenses.
How Long Do I Have to Pursue a PIP Claim?
The Statute of Limitations for collecting PIP benefits is 6 years from the point of the insurer’s breach of contract (either the last denial or last payment to you). The longer you delay, the less money we can collect for you. Therefore, we urge you to reach out as soon as possible to schedule a complimentary consultation.
What Are Usual & Customary Rate Reductions?
This term typically refers to the process by which an insurer performs a statistical analysis of your bill with the help of a computer database. The stated purpose of this analysis is cost control. Consequently, this often results in medical bills being entered into a computer system with the sole purpose of paying less money to a provider.
Can I Contact You at Anytime?
Yes! We have compassionate team members standing by 24 hours a day, 7 days a week. Call us at any time to discuss your PIP collection needs!
Are Independent Medical Exams Unbiased?
Under the Massachusetts PIP Statute, “the injured person shall submit to physical examinations by physicians selected by the insurer.” To call a physician, hired by an insurance company, and who wants to continue to be hired by that insurance company, “independent” is clearly a misnomer.
What Are Record Reviews?
Record reviews are the process by which an insurer provides medical records to a medical provider practicing under the same specialty as the treating provider. The reviewer is asked to opine whether the treatment contained in those records was accident-related and reasonable.
Should I Submit a Rebuttal?
For years, many treating medical providers, upon receipt of a record review or IME report, would take great effort in drafting a rebuttal to the insurance company, explaining why their care of their patient was “reasonable and necessary” (again, “a good faith effort to ameliorate the patient’s pain”). The insurance adjuster, who rarely possesses any medical training, would either decide on their own whether they would “allow for” the treatment; or ask the record reviewer or IME physician whether upon reviewing the rebuttal their opinion changed. Obviously, rebuttals rarely worked, and if a provider was “lucky” they could reach an agreement for a percentage of what they were owed.
Our clients do not write rebuttals. We are their rebuttal!