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Copyright (c) 2014 SLAPPEY & SADD, LLC When filing a claim for injury benefits after an accident, a personal injury attorney can advise you to expect close scrutiny of your medical records. Adjusters look for specific aspects of a claimant's medical records as a tell-tale sign of fraud. When the Stories Don't Match In an injury claim, an injured party will be asked to give a statement to the insurance adjuster. Among other things, this statement will cover the claimant's version of events leading up to, during and after the accident in question. While a personal injury lawyer can help prepare their client to give this statement, he/she can't put words in the client's mouth or tell them what to say. When seeking medical treatment for their injuries, an accident victim will also need to explain to the doctor or other medical personnel what happened to them during the accident. Expect the adjuster to carefully review the statements made to the insurance company against those made to the doctor. If the story changes or the facts don't match up, this can be a red flag to the adjuster. Unnecessary Medical Treatment and Testing Adjusters are trained to understand the types of injuries commonly caused by car accidents. They are often well-versed in medical terminology used in diagnosis, testing and treatment of specific injuries. If the adjuster notices orders for testing and treatment not commonly associated with your claimed type of injury, this can raise suspicions about the validity of the claim. Expect the Adjuster to Pay Close Attention to Physical Descriptions in the Medical Record If a claimant tells the adjuster that he/she has been off work for months due to injuries sustained in the accident, the adjuster will closely review physical descriptions in the medical record. Personal injury lawyers have often seen claims rejected when the medical record reveals a well-muscled, tanned patient with evidence of work-related grime or callouses on their hands. Cookie Cutter Medical Records Adjusters develop a file on specific doctors they see repeatedly treating injury claimants. If any of the medical record appears rubber-stamped or suspiciously identical to other accident patients, this can impact the claimant's, and the doctor's, credibility. If an adjuster finds any of these issues in a claimant's medical record, they are far less likely to recommend payment of benefits. Let experienced personal injury attorneys that can carefully review your claim and discuss your best legal options who has your best interest at heart. How Atlanta Insurance Adjusters Closely Scrutinize All Aspects of an Injury Claimant's Medical Records When filing a claim for injury benefits after an accident, an Atlanta personal injury attorney can advise you to expect close scrutiny of your medical records. Adjusters look for specific aspects of a claimant's medical records as a tell-tale sign of fraud.
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