01 · The Difficult Moment
The Client Needed Treatment for Several Areas of the Body
The crash left the client with injuries involving the leg, shoulder, and back.
The carrier asked another doctor to review whether the treatment was medically necessary.
02 · The Insurer’s Review
The Carrier Asked a Third Party to Review Medical Necessity
The insurance carrier hired a third party to evaluate whether the client’s treatment was medically necessary.
03 · The Firm’s Work
The Firm Built the Claim Around the Medical Record
The firm handled communications with the insurer, investigated the claim, and gathered the client’s medical records.
The legal team then prepared a 90-day demand presenting the claim for resolution.
04 · The Outcome
The Carrier Tendered $125,000
After the medical review, the carrier tendered the policy limits. The case resolved for $125,000.
The result allowed the client to pay medical bills and brought relief after a process lasting just over one year.