As a matter of practice, I recommend electronic submission if possible because you get an immediate timestamp that can serve as proof of timely billing. As an example, billing submitted on May 1 cannot include any charges rendered prior to March 27, which is the 35 th day. The injured party is not liable for, and the provider may not bill the injured party for, charges that are unpaid because of the provider’s failure to comply with this paragraph.įor medical providers, the time limit is measured by the date of the postmark date or electronic submission.
The respective statutory protection for insureds is as follows: The provider’s failure to submit timely billing CANNOT BECOME THE PATIENT’S RESPONSIBILITY. After 35 days, the insurer is relieved of responsibility per Fla. Medical providers have 35 days from the date of service to submit their bills to the PIP Insurance carrier. The importance of timely billing cannot be stressed enough.
For both providers and claimants, it’s necessary to understand proper billing requirements. Additionally, the worry about “how much am I responsible for” can be highly stressful. The average injury victim knows very little about how their insurance works regarding payment of medical bills. For many individuals seeking medical treatment following a motor vehicle accident, there’s plenty of stress to go around: keeping up with appointments, nagging discomfort, confusing insurance paperwork, rising medical bills, time off work, and the length of time for settlement to happen.
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