Attorney Lien

There may be certain cases in which our patients seek out the help of a skilled Personal Injury or Workers Compensation Lawyer to represent their rights and recover for damages. We may, at our discretion, accept a Medical Lien for services rendered. A Medical Lien is a binding legal document between your Doctor, Attorney and yourself in which your Medical Treatment costs may be differed until your case is settled or resolved.

Automobile Medical Payments

Almost all Car Insurance carriers offer Medical Payment or 'Medpay' as past of their automobile insurance policies. Most people do have Medical coverage within their own insurance policies. Your auto medical coverage may also cover all of the passengers in your vehicle. Even if you are a passenger in another vehicle and you are involved in a car accident, the drivers automobile medical coverage may also apply to you or you may be able to use your own automobile medical coverage if the driver does not carry any. Please note that all Automobile Insurance carriers may have different medical coverage policy limits, coverage limits and other limitations and it is important for you to contact your Insurance Broker or Insurance Carrier. In most cases, your automobile medical payment policy will pay the Doctor directly.

Insurance

Our office policy is to not bill your employer sponsored group or individual health plans for motor vehicle, automobile or car accidents, motorcycle injuries or any other injuries arising from Personal Injury claims. This is true of HSA/FSA which are forms of group or individual insurance policies. Within the State of California, we cannot legally accept your employer sponsored group or individual health plans, HSA or FSA for Workers Compensation injuries.

Third Party Insurance

For Personal Injury claims, the "Third Party" is the automobile insurance carrier that represents "the person who hit you" or "the person who is responsible for your medical bills". For example, if you are rear ended by someone who has Farmers Insurance. Farmers Insurance is your "Third Party" insurance. Typically, the Third Party insurance will attempt to contact you if they have taken responsibility for the accident ("accepted liability") and offer to cover your medical bills. Since the third party has no contract or obligation to the Doctor, they will not pay your Doctor directly. We do not accept Third Party Insurance. You may self pay and submit your receipts and medical chart for reimbursement, we will help you through this process at no charge.

Workers Compensation MPN (Medical Provider Networks)

In 2004, the State of California passed SB899 which was aimed to reforming the California Workers Compensation system. Among the many reforms that occured were the implementation of Employer Medical Provider Networks (MPN) where Employers and/or Insurance companies could retain control of the patients medical care. Prior to 2004, except in certain cases or within certain time frames, the patient was free to see the Doctor they wanted to see and their Workers Compensation Insurance was required to pay for their treatment. As of 2004, Doctors must be part of their Workers Compensation Insurance's MPN (Medical Provider Network) in order to treat their patients, except in certain cases.

At Peninsula Spine & Sports Rehabilitation, Dr. Rommel Hindocha does participate in most of the Workers Compensation MPN's and accepts their insurance. Dr. Rommel Hindocha, D.C., is a Qualified Medical Evaluator (QME), State appointed, and a certified Industrial Disability Examiner (IDE).Dr. Hindocha's additional qualifications means that he has taken the necessary post graduate training to be able to help you navigate through the California Workers Compensation system.

We have treated Worker Compensation cases from patients in San Mateo, San Francisco, Daly City, Colma, San Bruno, South San Francisco, Brisbane, Millbrae, Burlingame, Belmont, Redwood City, Foster City, Redwood Shores, San Carlos, Menlo Park, Palo Alto, Sunnyvale, Santa Clara, Mountain View and San Jose. Please note that Filing a false or fraudulent California workers' compensation claim is a felony subject to up to 5 years in prison or fine of up to $50,000 or double the value of the California workers' compensation fraud, whichever is greater, or by both imprisonment & fine.

Payment:

Attorney Lien (contact us)
Automobile Medical Payments
Check
Credit Card
Debit Card
Flexible Spending Account (FSA)
Insurance (see below)
Health Savings Account (HSA)
Self/Private Pay
Workers Compensation MPN (Medical Provider Network)

Insurance List

We accept or are a participating provider ("in network") with most Insurance Plans that have Chiropractic Coverage for Chiropractic Services. Most insurance plans do have Chiropractic coverage and do not require a medical referral. Please note that we do not accept employer sponsored group or individual insurance, HSA or FSA for Personal Injury or Workers Compensation injuries. For you convenience, we will contact your insurance carrier or company to verify insurance your benefits. If you are unsure, please contact your insurance carrier. The following is a partial list of insurances carriers, employer insurance or TPA administrators that we accept, if your insurance is not listed, call your insurance company to verify your coverage:

• AAA Automobile Medical Payment (MedPay/PIP)
• ACE/ESIS
• AIG Claim Services
• Aetna PPO, POS, EPO, HMO
• Automobile Medical Payment
• American Risk Services and subsidaries (Amerisafe)
• American Specialty Health Plans
• Anthem Blue Cross PPO, HMO
• Applied Risk Services
• Arrowpoint Capital
• Athens Administrators
• Berkshire-Hathaway
• Broadspire
• Blue Cross and Kaiser-on-the job
• Blue Cross of California PPO, HMO
• Blue Cross/Blue Shield PPO, HMO
• Blue Shield of California, PPO, HMO
• CIGNA PPO/PPA, NAP, Open Access
• City & County of San Mateo MPN
• City & County of San Francisco MPN
• CNA Insurance
• Crawford & Company
• Concentra
• Corvel Corp.
• Coventry
• E Surance Automobile Medical Payment
• Farmers Auto Medical Payment
• First Health
• Flexible Spending Accounts (FSA)
• Focus
• Gallagher-Bassett
• Gieco Automobile Medical Payment
• Great-West Healthcare of California
• Health Net PPO, EPO, HMO
• Health Savings Accounts (HSA)
• InterCare
• Kaiser Permanente
• Landmark Healthcare
• Liberty Mutual
• MedRisk
• Mercury Automobile Medical Payment
• MultiPlan
• OneBeacon
• Optum Health
• PacifiCare
• PHCS
• Premera Blue Cross
• Progressive Automobile Medical Payment
• Providence
• Safeco
• Sedgwick Claims Management
• State Compensation Insurance Fund
• State Farm Automobile Medical Payment
• Travelers Insurance
• UNICARE
• United HealthCare
• Wausau
• Workers Compensation MPN
• Zurich National Insurance Company
  

Notice: Filing a false or fraudulent California workers' compensation claim is a felony subject to up to 5 years in prison or fine of up to $50,000 or double the value of the California workers' compensation fraud, whichever is greater, or by both imprisonment & fine.