Posted on Monday, August 26th, 2019 at 11:07 pm    

Most individuals, companies, and government entities have some type of liability insurance coverage. Liability insurance coverage protects us if we cause an injury. Two common types of liability insurance policies are car insurance and premises liability insurance. Both policies pay for damages incurred by someone who is injured because of the policy holder’s negligence, carelessness, or other wrongdoing. For instance, if you cause a car crash, the victims file claims against your car insurance coverage. If someone falls at a restaurant, they file a claim against the property owner’s premises liability coverage.

However, insurance companies are not legally obligated to immediately pay all claims filed against policies owned by their insureds. They have the right to investigate claims to determine if the claims are valid. Reasons why an insurance company may deny an injury claim include:

  • The type of claim is not covered by the policy
  • The policy was canceled or otherwise not in force at the time of the accident
  • The policyholder was not at fault for causing the injury
  • The claim exceeds the policy limits
  • There is a dispute as to fault and liability
  • A claim was not timely filed
  • There was a delay in medical care that the insurance company alleges prove the injuries did not occur in the accident
  • Insufficient information was provided with the claim
  • The statute of limitations (deadline) for filing a claim has expired

If an insurance provider denies your injury claim, you should contact a Sacramento personal injury attorney immediately. You may have several options for appealing the denial of claim or pursuing legal action against the party responsible for your injuries.

When Does an Insurance Company Pay My Medical Bills from an Accident?

A liability insurance policy is not a health insurance policy. The insurance provider will not pay your medical bills until the case is settled and closed. At that time, the insurance company does not pay your medical providers directly. The settlement check is issued to you for the agreed-upon amount, and you are responsible for payment of medical expenses related to the accident.

Therefore, many people submit medical bills from accidents to their health insurance company for payment.

Just remember, if your health insurance company pays bills related to an accident, the company likely has a right to reimbursement for the bills it paid when you receive your settlement for the accident. This right of reimbursement is a subrogation claim. Medicaid and Medicare may also assert subrogation claims if either agency paid medical bills related to an accident claim.

Carefully documenting all medical expenses, including out-of-pocket expenses for over-the-counter medications, travel to doctor’s offices or medical appointments, and purchases of medical equipment increase your chance of being reimbursed for these costs. You need proof that you paid the money. Without proof, the insurance company will not include the expense in your settlement.

Contact a Sacramento Personal Injury Attorney for Help

If you are injured in an accident, you might be entitled to substantial compensation from the party responsible for causing your injury. In addition to medical expenses, you might receive compensation for your loss of income, physical pain, permanent disability, emotional distress, and other damages.

Contact our Sacramento personal injury lawyers for a free consultation by calling The Tiemann Law Firm at (916) 999-9000 or by visiting our website.

Client Testimonials

Hanna Padilla Testimonial
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From the very start of my case the Tiemann Law Firm was wonderful. Perter came all the way to my home to sit down and talk to me about my options. He made me and my partner feel very comfortable and promised us he would take the very best care of my case. Peter kept me informed every step of the way and was always on top of things. everything was done in a timely manor and I always felt like I was the only case he was working on because he was so fast. In the end Peter got me back way more money than I ever expected. I would recommend this law firm to everyone. I am very happy with the outcome of my case thanks to the Tiemann Law Firm! Thank you!

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It is hard to put into words the care and dedication that I received from the Tiemann’s. They have been here for me every step of the way and were always available when I had questions or concerns. My husband and I will be forever grateful for everything they have done for us and our family. Thank you so much for all of the hard work and time you have put into my case, we greatly appreciate it and your friendship. We highly recommend this firm and will always be thankful for everything they have done. Thank you so much again, Kim

Maye Ly Testimonial
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I just saw my lawyer Jelena Tiemann on a t.v ad, which reminded me how much she helped when I was in a desperate situation. I just love her! That is why I feel a need to tell everyone. I had a situation that happened & didn’t know what to do, our where to go. I didn’t even know if she could help me or if any lawyer could. All I wanted was it to go away & was afraid most lawyers wanted to drag it out & possibly go to court. For one she was very professional but was very personable (maybe b.c she’s a lady). She didn’t make me feel embarrassed or self-conscious that I did something wrong or was the cause of the situation. She immediately said we should try our best before going to court. Let me handle some paperwork, if at the last we do go to court we have documents. She gave me all the details, pros and cons but reassured me she deals with these cases all the time. She came through and made it as painless as possible. I now have my life back.

Jennifer Birdseye Testimonial
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Tiemann Law Firm helped us with an injury case for my nephew. They were very knowledgeable and we are very happy with the service they provided. The entire staff is topnotch!

Elizabeth Ochoa Testimonial
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I chose Tiemann Law Firm to help me after a car accident I was involved in. Throughout the entire process, Moe made sure to keep me updated, he always responded quickly whenever  I had questions about anything. My case won thanks to this law firm and its dedication. My experience with Tiemann Law Firm was amazing! 10/10 recommended.