Firm news

Accident Q&A series

  1. What medical records are needed before sending a demand to the insurance company after a car accident? — Durham, NC

    Before sending a car accident demand, the claim file should usually contain complete records and itemized bills from every provider who evaluated or…

  2. What information does a health plan need to resolve a lien after settlement? — Durham, NC

    A health plan usually needs the member’s identifying information, authorization to communicate with the attorney, accident details, settlement date…

  3. What has to be confirmed before personal injury settlement funds can be released? — Durham, NC

    Before personal injury settlement funds can be released, the law firm generally must confirm that the settlement payment has been received, the…

  4. What happens when an insurance adjuster sends a settlement counteroffer to a supervisor? — Durham, NC

    When an insurance adjuster sends a settlement counteroffer to a supervisor, it usually means the adjuster needs additional authority before accepting…

  5. What happens to a diminished value claim if the insurance company declares the car a total loss? — Durham, NC

    A separate diminished value claim usually does not continue when an insurer treats the vehicle as a total loss. Diminished value measures the loss in…

  6. What happens if there are multiple health insurance liens on my injury settlement? — Durham, NC

    Multiple health insurance liens must be identified, verified, and handled before the affected settlement funds are fully distributed. They are not…

  7. What happens if I reject the insurance company's final settlement offer? — Durham, NC

    If you reject the insurance company’s final settlement offer, there is usually no settlement, no release, and no payment based on that offer. You may…

  8. What happens if a public benefits program claims repayment from my injury settlement? — Durham, NC

    Part of your injury settlement may need to be held back and paid to the public benefits program before you receive the remaining funds. The amount…

  9. What happens after the property owner’s insurance company receives notice of my injury claim? — Durham, NC

    The insurance company usually opens a claim, assigns an adjuster, checks whether the policy may cover the incident, and investigates fault and…

  10. What happens after a demand letter is sent to the insurance adjuster in a personal injury claim? — Durham, NC

    After receiving a personal injury demand letter, the insurance adjuster usually reviews the evidence, evaluates fault and damages, and then accepts…

  11. What happens after a demand is sent to the insurance company in a car accident injury case? — Durham, NC

    After a settlement demand is sent, the insurance adjuster usually reviews the evidence, evaluates fault and damages, and responds with an offer, a…

  12. What evidence helps prove that stairs were not properly maintained before a fall? — Durham, NC

    Photographs, video, witness accounts, maintenance records, prior complaints, inspection logs, and surveillance footage can help show that unsafe…

  13. Should I accept an insurance company's final settlement offer after an injury claim? — Durham, NC

    Do not accept an offer merely because the insurance company calls it “final.” Acceptance may make sense when the amount, risks, timing, release…

  14. How is a slip and fall injury claim evaluated when I still have numbness and back symptoms? — Durham, NC

    A slip and fall claim involving continuing numbness and back symptoms is evaluated by looking at both responsibility for the unsafe property…

  15. How do ongoing physical therapy and an MRI affect my slip and fall injury claim? — Durham, NC

    Ongoing physical therapy and a possible MRI can help document your symptoms, physical limitations, treatment progress, and medical expenses after a…

  16. How do medical bills and treatment records support a personal injury demand after a car accident? — Durham, NC

    Medical records help show what injuries were evaluated, when treatment occurred, and how the condition affected you, while medical bills document the…

  17. How do I decide whether to accept or reject an insurance settlement offer? — Durham, NC

    Decide by comparing the offer’s likely net amount with the strength, documented losses, unresolved expenses, and risks of your North Carolina…

  18. How can my attorney get a final lien amount from my health plan? — Durham, NC

    Your attorney can request a final lien or reimbursement amount by giving the health plan’s lien administrator proof of representation, settlement…

  19. How can I understand the difference between liens from different health coverage plans after an injury settlement? — Durham, NC

    Health coverage claims against a settlement are not all governed by the same rules. Medicare, Medicaid, the North Carolina State Health Plan,…

  20. How are personal injury settlement negotiations handled after the insurance company reviews a demand letter? — Durham, NC

    After reviewing a demand letter, the insurance adjuster may accept the demand, reject it, request more information, or make a counteroffer.…

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