Another letter also dated Aug. 4 soon arrived from HealthScope Benefits, a large administrative firm that processes claims for health plans. Minor Injuries Sustained in Los Gatos Accident at Riva Ridge and Mountain Charlie Road. But remember, they understood the game that was going on here. The problem with head injuries is that they’re very serious. Health insurers, by contrast, have networks of doctors and hospitals with whom they negotiate lower payment rates. WOODRUM: I mean, this LNL Attorneys - I work with them probably once or twice a month. The insurer paid $7,414.76 of the cost, and the Woodrums owed $1,853.45, which represented their share of the deductibles and copays. The man was driving the motorcycle and suffered serious injuries, Burke said. The law firm sends out their own letter with the questionnaire. Before you pursue a minor car accident claim, it is important to think about how serious your injuries are, factoring in the time and effort it takes to settle a claim. But also don't ignore scary bills from insurers or hospitals. Your injuries may have long-term consequences. This case involves an all-too-frequent dance between different types of insurers about which one should pay a patient's bill if an accident is involved. Dan Weissmann, host of the podcast "An Arm and a Leg," reported the radio interview of this story. "Let's say a young person falls off a bike," she says, "but the insurer was thinking, 'Did someone run him off the road, or did he hit a pothole the city didn't fill?'". WOODRUM: We were navigating through some big tree planters, and his handlebar caught. I mean, I know who they are. What about, though, this bill - $19,000? Around 20% of people killed in bicycle crashes have a blood alcohol concentration of 0.8 grams per deciliter. In 2015, 817 bicyclists were killed by motor vehicle crashes. The Nevada health plan's documents say state legislation allows the program to recover "any and all payments made by the Plan" for the injury "from the other person or from any judgment, verdict or settlement obtained by the participant in relation to the injury. Check others for injuries, whether they are obvious, such as blood, or obscure, such as incoherent answers to your questions. Because they were on bikes, he called the fire department in Carson City, Nev. "They were great," says Woodrum. Of course, injuries can also occur from simply falling off the bike or hitting a curb. Common injuries suffered include road rash, facial fractures and disfigurement, broken bones and burns. You can also break or fracture any bone in your body, from your hip to your ankles or femur. The hospital received less than half of what it originally billed, based on rates negotiated through his health plan. However, he says his insurance industry clients use subrogation to recoup payments from other insurers "as a cost-saving measure" because "they don't want to pass on high premiums to members.". But while deaths do happen far more often than people hope, injuries are far more common. If an insurer denies all payment for all medical care related to an injury, suspect that some type of subrogation is at work. Adam Woodrum and his son, Robert, get ready for a bike ride near their home in Carson City, Nev., on Nov. 7, 2020. And 60% of deaths are caused by head injuries. People are trying to save money and limit their impact on the environment, yet it does come at a much higher risk of serious, traumatic injuries if an accident does occur. They are: non-economic damages — include pain and suffering and other quality of life losses It was a surprise even for a family of lawyers. During the summer, Robert had a bike accident which resulted in a hefty bill from the family's insurer. Even minor bicycle accidents can put victims through considerable pain and suffering. During the summer, Robert had a bike accident that resulted in a hefty bill from the family's insurer. ADAM WOODRUM: I'd mapped out kind of a 10-mile route, and we were just going to kind of make a loop of the city. Do you have an interesting medical bill you want to share with us? It was a surprise even for a family of lawyers. This is a term for a hurt arm as a result from a motorcycle fall or accident. Bike accident injuries are more common than people think. "You have insurance and pay for years, then they say, 'This is denied across the board. Contact emergency services. These injuries can be as simple as scrapes, or they can be traumatic brain injuries that demand the help of a personal injury lawyer. The dad is a personal injury lawyer married to another lawyer. It's a ridiculous place to start from. A person that is wearing eye protectant may be able to lessen their risk of eye injury while cycling. WEISSMANN: Other people like his clients. Play. The knee (the cap of which is called the patella) is a joint between the upper and lower … One of the most common injuries suffered in motorcycle crashes is road rash. And you go, well, nuts to you. November 25, 2020. The only way to know for sure what injury you have is to have a medical professional conduct imaging on the area. The motorcycle … As most insurance claims adjusters —and some parents—will tell you, teenagers are in a special risk category all their own when it comes to driving. Inform your insurer and all other parties of the actual circumstances of the injury. We are available to discuss your case anytime. This was just a kid who fell off a bike. And sometimes seemingly minor injuries later develop into serious and permanent problems. WEISSMANN: But a couple miles in, their 9-year-old son hit a snag. Between 2000 and 2012, the amount of people biking to work increased by 64%. The good news is that these acute injuries are often minor, such as: Like with motorcycle accidents, with bycycle accidents Road rash occurs often, and this will leave superficial abrasions in many cases. Simple hand signals can help, or alerting another person of potential dangers ahead. KELLY: So a medical bill and lawyers - I feel my blood pressure going up already. But I, from experience, know that other people do not know how to operate the system. Meeting and/or discussing your case with our attorney is completely free. Adam Woodrum and his son, Robert, get ready for a bike ride near their home in Carson City, Nev., this month. Minor Bike Accident Leads To $19,000 Medical Bill And A Legal Fight : Shots - Health News It was a surprise even for a family of lawyers. Some riders will become impaled by their handlebars, which often causes life-threatening injuries. Surgical treatments may be needed when you have a fracture, break or a potential organ injury. KELLY: And if you have a perplexing bill that you would like us to take a look at, go to NPR's Shots blog and tell us about it. While the insurers are duking it out over who will pay, the hospitals and doctors are often sending patients bills and threatening them and maybe even threatening collections. The only way to know for sure if a bone is broken is through imaging. He's since recovered nicely. There was no liable third party, he said. He's back on his bike. Contacting a Lansing bike accident attorney at our firm will help you avoid the consequences of defending claims alone. Transcript provided by NPR, Copyright NPR. KELLY: That is the good news. Tweet Share on Facebook Share on Google+ Email. This metric is higher than all states in the country allow. Let's listen in. These are damages that you would not be entitled to receive through your no-fault insurance benefits. So let's - we're going to hear what happened to Adam Woodrum and his son. And I'm no doctor, but, you know, right away, you can tell that this is a stiches situation. Our attorney will travel to your home, or hospital, at your convenience and request. Your injuries, if sustained by the negligence of another person or party, demands compensation. So I think for patients, the first is our perennial lesson - don't just pay the bill. Hamparyan Personal Injury Lawyers San Diego was founded so that Robert could bring more of his skill and knowledge to personal injury victims in all types of cases. A Kid, A Minor Bike Accident And A $19,000 Medical Bill. WOODRUM: People just simply have no clue what subrogation is or what that - you get a letter from a lawyer in Ohio that says, hey, we need you to come to our website and fill out some paperwork or we're not going to release your claims to be paid. Medical providers may have reason to hope that bills will be sent through auto or homeowner's coverage, rather than health insurance, as they're likely to get paid more. KELLY: Yeah. Well, today we're going to hear about a particular kind of bill that can be alarming to receive. ROSENTHAL: Well, they knew how to handle it, and insurance paid, so they only owed their normal deductible. Robert and his team have dealt with semi truck accidents, wrongful death cases, brain & spine injuries, and many other types of personal injury cases with soaring success. When contacted, the Public Employees' Benefits Program in Nevada would not comment specifically on Woodrum's situation, but a spokesperson sent information from its health plan documents. If you believe that you might have a broken bone or fracture, this may be seen with the following symptoms: If you do believe that you’ve broken or injured your bone, you’ll need proper imaging to confirm. Injured bicyclists are at the greatest risk of a head injury, and these injuries occur in 22% – 47% of all injured bicyclists. ", Attorney Matthew Anderson at the law firm that handles subrogation for the Nevada health plan says he can't speak on behalf of the state of Nevada, nor can he comment directly on Woodrum's situation. The teenager was a passenger on the bike. There are a few things that you can check for following an accident if you don’t feel like something is wrong: Of course, move your extremities to determine if a bone is fractured or broken. Adam kept an eye out for it, filled it out right away. WEISSMANN: Like, if you were rear-ended, the other driver or their insurance should be responsible. Your health is more important than anything. Despite consumers' unfamiliarity with the term, subrogation is common in the health insurance industry, says Leslie Wiernik, CEO of the National Association of Subrogation Professionals, the industry's trade association. by Julie Appleby . WEISSMANN: But to Adam, it makes sense. After receiving the accident questionnaire, Woodrum filled it out and sent it back. Originally published on November 25, 2020 6:44 pm. Elisabeth Rosenthal is still with us, listening in. The insurance company is trying to see if there's a way out of paying this bill. Bicyclists account for 2% of all traffic-related deaths and injuries per year. An accident involving three semi-tractor trailers caused minor injuries and closed down state Highway 91 near County Road 9 on Monday morning north of Arlington. It involves lawyers. He thought sending in his bill would be a good way to give more of us a heads-up. The bill from the insurance company led to subrogation, a process of determining which type of insurance is primarily responsible. The insurance company thinks maybe somebody else should be on the hook for this bill and sub out for them in paying 'cause there's been an accident. You’ll often feel a shooting pain if a bone is broken or fractured. Often due to adrenaline, nerves, or simply the nature of an injury, cyclists do not immediately realize the severity of an injury. A 2013 Deloitte consulting firm study, commissioned by the Department of Labor, estimated that subrogation helped private health plans recover between $1.7 billion and $2.5 billion in 2010 — a tiny slice of the $849 billion they spent that year. The claim, it said, included billing codes for care "commonly used to treat injuries" related to vehicle crashes, slip-and-fall accidents or workplace hazards. There is also a risk of being impaled. If injuries occur, there could be immediate and future costs as a result of the injuries. The biggest factor that isn’t talked about is negligence. The majority of long-term disabilities from bike accidents have to deal with head injuries. You may not be able to move the extremity without pain, or you may not be able to move it at all. ROSENTHAL: That's right - a yikes moment. Health insurance companies hire law firms like this LNL outfit in Ohio to make sure you jump through the hoops. WOODRUM: It's basically a contractual right. Is he OK? And it just - almost instantaneously, he was on the ground crying, bleeding. Who Is Liable in A California Car Accident: Owner or Driver? And let the hospital and doctors know why you're not paying the bill so they won't go after you. ROSENTHAL: Yeah, he's great. Spinal injuries are one of the most devastating types of injuries suffered in a motorcycle accident. "He cut himself pretty bad, and I could tell right away he needed stitches," says Woodrum. If you've been injured in a car crash or your kid has broken an arm, requiring a trip to the ER, you might just get a legal document in the mail asking for more information before your health insurance will pay the bill. 4:01pm Nov 25, 2020. Adam Woodrum, who happens to be a personal injury attorney, runs into subrogation all the time representing his clients, many of whom have been in car accidents. Also, if you have to fill out your own claims forms, beware of that little box we often see that says, was this caused by an accident? But he and his wife are both lawyers, and so they knew something was up. What should the rest of us do? Take action. Bill of the Month is a crowdsourced investigation by KHN and NPR that dissects and explains medical bills. She's the editor-in-chief of Kaiser Health News. What happened? Statistics on how much money health insurers recover through passing the buck to other insurers are hard to find. SAN DIEGO, CA – A motorcycle rider sustained minor injuries after a crash on State Route 94 on Tuesday morning, according to CHP.. The firm's website boasts that "we collect over 98% of recoverable dollars for the State of Nevada.". It’s a matter of a community effort, which can help save the lives of cyclists. I have their email addresses. Saturday at about 3:10 am, a single-vehicle accident on US 36 happened as 50-year-old David Pickering of Kansas City was westbound and drove off the north side of the road. You might fit … But, he says, the average patient probably wouldn't understand the legal quagmire and might not know how to fight back. And they end up in collections. Robert received stitches and anesthesia at Carson Tahoe Regional Medical Center. The insurer denied the claim based solely on the medical code indicating a possible accident. Head injuries. But it still came as a shock, he says, to have his health insurer deny payment because there was no third party responsible for their son's ordinary bike accident. WEISSMANN: A few weeks later, Adam's insurance company writes him. The patient. Elisabeth Rosenthal, stay with us. Copyright 2020 Kaiser Health News. A Kid, A Minor Bike Accident And A $19,000 Medical Bill. I'm intrigued but already stressed out because you're in a stressful medical situation, and then you're getting these, you know, letters from lawyers asking you to fill out forms. Before we go into the actual bike accident injuries that cyclists need to worry about, let’s learn a little more about the accidents. Elisabeth Rosenthal, thank you for being here. Fill out the forms they send you. Some cyclists don't realize they've been injured until several hours after the accident. A meta-analysis of bicycle helmet efficacy by Attewell, Glase, and McFadden (2001) estimated that bicycle helmets reduce the risk of head injury by 60% and brain injury by 58%. NPR A Kid, A Minor Bike Accident And A $19,000 Medical Bill. Instead, traumatic injuries are directly attributed to an accident. Look for blood and think about any pains you may be experiencing. While neck injuries can and do occur, they’re far less common than head injuries and other injuries. Here's your $18,000 bill.'". Working with an auto insurance company is time-consuming and stressful, especially if the other driver’s insurer is involved. All sides do their best to avoid paying. Or, fearing for their credit, they pay the bills. During the summer, Robert had a bike accident that resulted in a hefty bill from the family's insurer. WOODRUM: He was cut in sort of a personal area. By Julie Appleby | KHN Wednesday, November 25, 2020. There’s a reason that everyone should wear a helmet. Give us a call at (619) 550-1355. View Slideshow. This figure was up 13% from the year prior and marks the highest number of bike related deaths since 1995. KELLY: All right. WEISSMANN: At the ER, they actually had to put the poor kid under. To see more, visit, National Association of Subrogation Professionals. A Kid, A Minor Bike Accident And A $19,000 Medical Bill 05:41. A lot of bicyclists do not follow the rules of the road. "I hear the horror stories every day from people who don't know what it is, are confused by it and don't take appropriate action," Woodrum says. Long-term effects of bike accidents can be devastating, especially if the accident is severe. For the rest of us, it's sub, like substitution. In fact, neck injuries are quite rare in the whole spectrum of bike accidents. That's because auto insurers "are going to pay billed charges, which are highly inflated," says attorney Ryan Woody, who specializes in subrogation. When you hire a car accident lawyer to bring an auto negligence claim against the at-fault driver, you can only ask for two types of damages for your car accident injuries. Every month, NPR and Kaiser Health News take a close look at medical bills that you send us. Cyclists can make the road much safer if they all looked out for each other. All rights reserved. If you get an accident questionnaire, "fill it out, be honest about what happened," says Sean Domnick, secretary of the American Association for Justice, an organization of plaintiffs lawyers. So the health insurance company's trying to get Adam on the record. Accidents, insurance claims - this is his everyday professional world. Do not take the advice of a massage therapist or some other individual that lacks proper training. DAN WEISSMANN, BYLINE: One Sunday last July, Adam Woodrum and his wife and their two kids took off on a bike ride around Carson City, Nev., where they live. Nonsurgical treatments are ideal. Robert's bike crash led to an $18,933.44 hospital bill for stitches and anesthesia. No driver was at fault. WOODRUM: It's just ridiculous. Woodrum received an accident questionnaire from his insurer, which he filled out and sent back to provide clarity on what had happened during the accident. Julie Appleby Adam Woodrum and his son, Robert, get ready for a bike … Recovering After a Bicycle Accident. The legal name for the process of determining which type of insurance is primarily responsible is subrogation. You’ll be severely injured in some bicycle accidents and escape relatively unscathed in others. Please sign here. Not all bike accident injuries are traumatic, but the ones that are account for the worst injuries. What If My Motorcycle Accident Was Caused By a Defective Part? Is California A No-Fault State For Car Accidents. Kevin Ellis, 20, was on his bicycle when he was struck by a … KELLY: Well, I'm glad there was a happy ending to this particular story and wise words for the rest of us. Robert Hamparyan is one of California’s most accomplished personal injury lawyers. "It's like deny now and pay later," Woodrum says. A Lakeland man died Wednesday from injuries suffered in a traffic crash that happened on Dec. 26. Getting thrown off a motorcycle or colliding with another heavy vehicle can cause serious damage to the spine and lead to partial or total paralysis. Underlined for emphasis, one sentence warned that the denied claim would not be reconsidered until an enclosed accident questionnaire was filled out. Could another policy — say, auto or home coverage or workers' compensation — be obligated to pay if someone was at fault for the accident? "Time and delay can be your enemy.". The neck isn’t as common of an injury area as many people would think. What to Expect After a Bike Accident. Two serious injury accidents were investigated by State Troopers in the area Counties over the weekend. But there are some cold, hard facts that provide us with information we can use to be safer when riding a bike, such as: Males are statistically at a much higher risk of being involved in a bicycle accident. A Kid, A Minor Bike Accident And A $19,000 Medical Bill ... See, Adam's a personal injury lawyer. Eye injuries are less common, but they can still occur. Pelvic fractures and rectal trauma are also major causes for concern. KELLY: All right. These treatments will require you to have a cast or suture. As of January 2020, 22 states, the District of Columbia, and more than 201 localities had bicycle helmet-use laws, according to the Bicycle Helmet Safety Institute. Once again, if it’s anything more than just a minor bingle, refer to the article previously mentioned. And of course, the patient is caught in the middle. Let's just say that. A person may suffer from overuse injuries, but these are often not serious and do not occur due to accidents. Adam Woodrum, who lives in Carson City, Nev., got one of those letters concerning his 9-year-old son. A process called "subrogation" began with a Nevada family's health insurer denying their claim for an ER visit after their 9-year-old fell off his bike. ROSENTHAL: Well, this one involves what seems to be a growing problem - different types of insurers arguing about which one should cover your medical costs. Dr. Elisabeth Rosenthal is here to break it down for us. "Do not ignore it," says Domnick. WEISSMANN: So people ignore those letters, and their insurance doesn't pay the medical bills. Big Rig Rollover Crash Deaths Remind Us of Rural Highway Truck Accident Dangers. Seek appropriate medical attention for any injuries sustained from the bike accident. CHP Investigating Minor Injury Los Gatos Motorcycle Accident. Lacerations to the face, road rash, chipped teeth, and scars can all occur in accidents law enforcement deems “minor.” Major accidents can lead to permanent injuries, disabilities, and the wrongful death of a loved one. Share on Twitter Share on Facebook Share on Reddit Share on linkedin Share by Email Adam Woodrum was out for a bike ride with his wife and kids on July 19 when his son, Robert, who was 9 at the time, crashed. Minor Injuries from Motorcycle Accidents That Can Become Serious; Being involved in a motorcycle accident can be an extremely scary matter, and the idea of escaping without serious injury is sometimes all you can ask for. His vehicle overturned, coming to rest on the passenger side. See, Adam's a personal injury lawyer. When a teenage driver causes a car accident, their parents or legal guardians can be on the legal hook for injuries, vehicle damage, and other losses resulting from the crash. Hamparyan Personal InjuryLawyers San Diego, APC275 W Market St #1000San Diego, CA 92101(619) 550-1355, Hamparyan Personal InjuryLawyers San Diego, APC2221 Las Palmas Dr, Suite HCarlsbad, CA 92011(760) 444-9006. Biker’s Arm. The Little Rock, Ark.-based firm did not return emails asking for comment. I'm sure that helps. Subrogation is an area of law that allows an insurer to recoup expenses should a third party be found responsible for the injury or damage in question. WOODRUM: I knew exactly what to expect, and I knew exactly how to handle it because I know how to operate the system. These issues often present themselves days or weeks after the accident. Quote, "You will receive an accident questionnaire in a separate mailing," or you may go to website blah, blah, blah, or call this 800 number or email subrogationlnlattorneys.com with any additional questions. And, no surprise to Bill of the Month followers: When insurers can't agree, who gets a scary bill? 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