Short Answer

In North Carolina, you prove the value of a soft tissue injury by showing the crash caused your injuries, your treatment was reasonable and necessary, and the injury measurably affected your life and work. Use timely medical records and bills, a treating provider’s opinion on causation, proof of wage loss, and consistent documentation of pain and limitations. Insurers often focus on medical expenses, but your claim can include lost income and non-economic harm. You generally have three years from the crash to file suit.

Understanding the Problem

You want to know how, in North Carolina, you can prove the dollar value of your soft tissue neck, back, and shoulder injuries to the auto insurer—or to a court if needed—after a car accident. You received urgent care and then about two months of chiropractic treatment. The goal is to present reliable proof of what the crash caused and what it cost you, beyond just the medical bills.

Apply the Law

Under North Carolina law, you recover personal injury damages by proving the crash caused your injuries and losses, your treatment and charges were reasonable and necessary, and the harm affected your daily life and work. Your primary forum is negotiation with the at-fault driver’s insurer; if negotiations fail, you file a civil lawsuit in the General Court of Justice (District or Superior Court) through the Clerk of Superior Court in the appropriate county. A key timing rule is the general three-year statute of limitations for personal injury, measured from the date of the accident. Medical bills and records can be used to establish the reasonableness of charges through proper affidavits. North Carolina also limits what medical expense amounts can be shown at trial to what was actually paid or necessary to satisfy the bill; the exact citation depends on the issue.

Key Requirements

• Causation: A treating provider connects your soft tissue injuries to the crash, ideally documented soon after the accident.
• Reasonable and necessary care: Records show the type, duration, and frequency of treatment were medically appropriate (e.g., urgent care, chiropractic/physical therapy).
• Provable economic loss: Itemized medical bills, proof of payments, and employer wage records or a pay history for time missed.
• Non-economic impact: Consistent notes about pain, sleep limits, daily activity restrictions, and missed life events, supported by provider observations.
• Credibility and consistency: Minimal gaps in treatment, accurate prior-injury disclosures, and no conflicting statements or social media posts.

What the Statutes Say

• N.C. Gen. Stat. § 8-58.1 (Medical bills as evidence) - Allows medical bills/records to prove reasonableness via affidavit.
• N.C. Gen. Stat. § 1-52 (Three-year limitation) - General three-year deadline to file personal injury claims.
• N.C. Gen. Stat. § 44-49 (Medical liens) - Providers may assert liens on injury recoveries for services rendered.

Analysis

Apply the Rule to the Facts: Your urgent care visit shortly after the crash supports causation. Two months of consistent chiropractic care helps show the treatment was reasonable and necessary for soft tissue injuries. If the insurer’s offer is based only on incurred medical expenses, you can add value by presenting a provider’s opinion linking the injuries to the crash, any work restrictions and wage loss documentation, and clear proof of how pain and limits affected daily life.

Process & Timing

1. Who files: You or your attorney. Where: Submit a demand package to the liability insurer; if suit is needed, file a Complaint and Civil Summons (AOC-CV-100) with the Clerk of Superior Court in the proper North Carolina county. What: Demand letter, medical records/bills, proof of payments, wage documentation, and a concise narrative. When: Aim to resolve or, if necessary, file suit within the general three-year limitations period from the crash date.
2. Insurer review and negotiation: adjusters often request 2–6 weeks to evaluate. Expect back-and-forth over medical necessity, prior conditions, gaps in care, and wage proof. Provide clarifying records or a brief provider note when asked.
3. If no settlement: serve the lawsuit, proceed through discovery and mediation. The expected outcome is either a negotiated settlement or a verdict determining damages.

Exceptions & Pitfalls

• Contributory negligence: If you were even slightly at fault, recovery can be barred. Expect insurers to look for statements or facts suggesting shared fault.
• Gaps and inconsistent care: Delays starting treatment or long breaks can reduce credibility. Keep appointments and document reasons for any gaps.
• Amounts billed vs. paid: At trial, evidence of medical expenses may be limited to amounts actually paid or necessary to satisfy the bill; align your proof to that reality.
• Prior or ongoing conditions: Disclose them. Have your provider explain aggravation or distinction from the crash injuries.
• Wage loss proof: Provide employer verification, pay stubs, and any work restrictions from your provider. Unsupported claims are discounted.
• Medical liens: Hospitals and some providers may assert liens. Account for liens in negotiations to avoid delays in settlement disbursement.
• Recorded statements and broad authorizations: Be cautious with insurer requests that can be used to minimize your claim.

Talk to a Personal Injury Attorney

If you're dealing with a soft tissue injury claim and an insurer focused only on your medical bills, our firm has experienced attorneys who can help you understand your options and timelines. Reach out today at (919) 341-7055.

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.