Personal Injury Protection (PIP) Billing
What is PIP?
• Personal Injury Protection is a part of your auto insurance policy. It is designed to take care of you
immediately after an accident.
• If you have PIP, you MUST use it. Your health insurance will not cover your expenses if you have PIP.
• If you were not the “at-fault” party, your PIP will be reimbursed by the 3rd party.
Benefits of PIP
• PIP is no-fault, so it doesn’t matter who caused the accident…you’re still covered.
• Most PIP coverage is for 3-years or $10,000, whichever comes first. Some policies have higher limits.
• PIP covers medical payments, wage loss, and loss of services.
• There is no deductible. There are no co-pays.
What is Med Pay?
• Med Pay is a medical-payments-only version of PIP. It does not cover wage loss or loss of services.
A Step-By-Step Guide
- Call YOUR insurance agent. Ask if you have PIP or Med Pay.
- If “NO”, ask for a copy of the document you signed waiving PIP benefits.
- If yes, ask about limits on time and dollar amount.
- Ask your agent to take your report of loss and call it into the claims office.
- Ask your agent to call back with the claim number, address and phone of the claims office.
- Call the claims office and get the name of the claims adjuster handling your claim.
- Ask the claims adjuster to mail a PIP Application, Attending Physician’s Report, and Salary Verification forms.
- Complete the PIP Application and return it to the claims adjuster.
- Have your chiropractor fill out the Attending Physician’s report form and return it to you and mail it to your
claims adjuster.
- Have your employer complete the Salary Verification form and return it to you and mail it to your claims
adjuster.
- Provide your claim number, adjustor’s name, office address and phone number in the space provided below.