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Q/A: Can I Refuse to File a Patient's Medical Insurance for an Auto Accident?

Published June 25, 2019

By Wyn Staheli, Director of Research

Question:

Can a Chiropractor refuse to file a patients Medical Insurance for an Auto Accident?

Answer:

There isn't a simple answer to this question. It depends on who is responsible and state laws. Who is responsible (the auto insurance or the medical insurance) can depend on state requirements as well as who is liable for the accident. Although we have some general guidelines which begin on page 40 of the 2019 ChiroCode DeskBook, it is best to consult with your state association who will be familiar with the specific laws in your state. If there is already an attorney handling the case, consult with them as they will know the specific laws of your state (or the state of the accident) which may apply.

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About This Tool

The Basic Medicare Fee Calculator is a helpful tool which uses Resource Based Relative Value Units (RBRVS) to estimate fees. It is only for educational purposes and should not be used as your only source for fee schedule determinations. The percentages included here should only be used as a reference and should be adjusted to fit your individual needs. Please note that some states, such as Florida, mandate specific percentages of the Medicare Fee as the allowed amount for personal injury or other claims.

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Enter your zip code and click on the [Create Fee Worksheet] button. Geographic adjustments will be applied to the displayed Medicare Fee. The Medicare Fee displayed is the Allowed Amount. To find the Medicare limiting charge for non-participating providers, consult your Medicare Administrative Contractor.

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