Goodbye, wally.

Thank you Vinnie! Now maybe someone who will answer questions instead of throwing insults and B.S.


wally

No insults, but as Vinnie stated correctly, if you use the search feature these questions have been hashed over multiple times. I do bill directly, I do get paid in full often even though I charge considerably more than networks allow, and when I’m short paid I take the steps necessary to collect. Some of my best posts have been deleted of course, but please do your homework before you ask questions.

Hi Wally,

Forget about complaining over the phone. It is a waste of time.

Make sure you don't shoot yourself in the foot by signing a network agreement especially one that requires you to give up the right to set, or at the very least, negotiate, your prices. (If by chance you already have, you can terminate it by giving the TPA or insurer written notification.)

Never call a TPA or an insurer to get "permission" to do a job that you have every right to do.
Only call for one reason and that is to verify coverage and determine what the deductible, if any, may be.

Take and save pictures of every job, no exceptions. Before AND after pictures are best.

Have the customer sign a "request for service" that designates your company as their official representative for the claim process including the first notification of the claim and the right to collect your bill in full directly from the insurer including the right to sue the insurer in your company's name, in the customer's name or both.

A proper "request for service" is a must and should be approved by your attorney. It needs to be worded properly for when you get short paid and have to take the insurer to court. It will be evidence.

You can fax, email or snail mail copies of your request for service, invoice and pictures directly to any insurer. (Don't come on here and ask for addresses and fax numbers.)
That is your job. Get it from the customer or google etc.

Pricing is your right to set. Insurance policies agree to pay "reasonable" prices. Be able to justify your prices.

You will probably have to pay court costs and attorney fees up front, but since these are indemnity claims, the nature of an indemnity is one where legal fees incurred by the indemnitee should ordinarily be reimbursed by the indemnitor, as one component of losses or damages within the scope of the indemnity.

Do your homework. It is your livelyhood. Good luck.

Thanks Davey,

This is the info I was talking about, very informative!!

wally

Davey’s advice is fine, but nothing that hasn’t been discussed here multiple times. All I’m saying is use the search feature and there’s a lot to be learned. Don’t enjoy homework? Then you’ll probably keep doing what you’ve always done.