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 HOW TO USE ASSIGNMENT AND AUTHORIZATIONS TO GET PAID IN ACCIDENT CASES
Sometimes there is no health insurance, leaving no other way for you to get paid other than to wait until the case ends. Other times, the only way to get your full bill paid is through the proceeds of the case settlement (since the health insurance fee schedule drastically reduces your payment). If you need to wait until the case ends to get paid, protect yourself. Have both the attorney and the patient sign an Assignment and Authorization. An Assignment And Authorization states that when the case is settled, the attorney must pay your bill before your patient is paid. If the attorney does not pay your bill, and gives your money to the patient, the attorney becomes personally liable to you and must pay your bill out of his or her own pocket. The Assignment and Authorization must be signed by both the client and the attorney. At the bottom of this page, you will find a complete Assignment and Authorization form for your use. Assignments and Authorizations
The easy solution to protecting your bill is to refer your accident patients to The Law Offices of Bruce A. Blaylock, LLC We promptly provide signed Assignment and Authorizations, send you written status updates during the case to keep you informed, and pay your full bill at the end of the case with client consent.
You are hereby authorized to disclose and/or furnish my attorney(s) with any and all medical information, bills, and/or records in your possession which they request in reference to any illnesses and injuries which I have suffered. I further, irrevocably assign to you, and authorize and direct said Attorney to pay from the proceeds of any recovery in my case all reasonable fees for services provided by you, including fees for preparation and testimony, as a result of the injury or condition heretofore mentioned. I understand that this in no way relieves me of my personal primary obligation to pay for such services and that the signing of this form does not prohibit customary billing by you. All bills shall be paid promptly in the usual manner. This specifically includes but is not limited to any and all Pip, Med-Pay, or Med-Expense payments. I further agree that any applicable statute of limitations will not begin to run until there is a denial in writing by me of any balance claimed to be due and owing, mailed via certified mail to you, by me. Patient Signature: ________________ (seal) Witness: ________________ Date: ______________ THE UNDERSIGNED ATTORNEY FOR THE PATIENT REFERRED TO ABOVE HEREBY AGREES TO COMPLY FULLY WITH THE FOREGOING "AUTHORIZATION AND ASSIGNMENT" AND AGREES TO ADVISE THE NAMED ASSIGNEE IN WRITING THE STATUS OF THE CLAIM OF THE PATIENT WITHIN TEN (10) DAYS OF THE REQUEST, AND AGREES TO NOTIFY THE ASSIGNEE IF THE ATTORNEY CEASES TO REPRESENT THIS PATIENT AND/OR IF THE CLAIM IS DROPPED OR DENIED. Attorney: ______________________ Bruce A. Blaylock Attorney At Law (301) 951-1800
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Why You Should Refer Your Accident Patients || PIP and Med-Pay Law || Pedestrian Cases Accident Patients Without Attorney || Assignment and Authorizations || Demand Letter || Directions || Home Bruce A. Blaylock, LLC 4610 Elm Street, Bethesda, Maryland 20815 Phone 301 951-1800 Facsimile 301 656-6957 Disclaimers and Warnings |
How do you protect yourself when you have to wait until the end of an accident patient's case to get paid?