Car Insurance Computers

How Understanding Car Accident insurance companies computerized software get you the Best Settlement…

What NO Insurance Company's Wants You To Know

Many times the claim will be worth more than the insurance company wants you to discover. Perhaps this is why out-dated information is still the norm on the web. Insurance companies are extremely powerful in our culture.

More and more insurance companies now use software designed to calculate settlement values on car accident insurance claims. These software programs have many advantages to the insurance companies. They believe that the software increases the precision and accuracy of their claim evaluations. There is no question that the use of this software has affected how they consider damages, records, car accident injuries and ultimately any offer to settle your insurance claim.

Approximately 70 percent of the auto insurance industry has implemented claims assessment software such as Colossus, Claims Outcome Advisor or Injury IQ, to appraise bodily injury claims  This reality generates an increased need for claims insurance attorneys and doctors reviewing your medical records to use their knowledge to get you a better settlement, rather than be defeated by it. This is why understanding how the injury claims settlement computer works and finding the experts to manage your injury is vital to presenting your claim that will get the best settlement offer. Car Insurance Experts use their specialized knowledge and expertise to identify the factors that increase claim values for car accident injuries.  Since most car accident injuries claims are evaluated with computerized software, which automatically calculates the amount of the insurance companies offer of settlement to you, it is critical to understand the way these software programs calculate injury values. Whenever your medical and legal advisor submits a settlement claim the old-fashioned way, it will be evaluated by a claims software program such as Colossus, which will report that your claim has little value, so any settlement offer will be low. To get a fair offer, it is vital that they fully understand how to file a car accident claim, so when it is evaluated by the insurance computers, so your injury claim gets you the highest settlement offer possible.

All car accident insurers use some type of medical bill review software, which analyzes all healthcare provider billings and determines which are “reasonable and necessary” for a bodily injury claim. If codes do not match up, exceed the maximum cap per day, or a procedure cost exceeds the 90th percentile of charges in a geographical region, the review software is programmed to reject reimbursement, thus lowering the amount of the settlement. Our collision injury experts improve the diagnostic coding to reflect the patient’s actual injuries in their entirety, make high quality chart notes to support clinical treatment and referrals, and provide care at a reasonable charge, to ensure that you not only get the best possible medical care, but that you also get justly compensated.

Car accident claims assessment software such as Colossus, Claims Outcome Advisor, or Injury IQ, use a checklist of “value-drivers” to score and calculate the settlement amount that will be offered. Our expert car accident doctors and lawyers have an intimate working knowledge of this software, so any settlement discussions with the insurance company’s lawyers includes information that pertains to all relevant value-drivers. For Colossus, more symptoms—referred to as complaints (headaches, muscle spasms, restriction of movement, radiating pain, depression, etc.)—will add value to the claim. Detailed chart notes are essential, as the evaluation is almost entirely dependent on this information. Prognosis is also a large value-driver in Colossus. The program does not use the typical medical prognoses, but instead has its own categories, requiring the adjustor to re-characterize the physician’s prognoses. The Colossus categories focus on whether complaints remain and whether treatment is required. Our experts give a detailed prognosis for each area injured, in order to maximize the settlement amount. Furthermore, to obtain any value for a disability, the injured party’s attorney must specifically address “Duties Under Duress” in their demand letter. If the attorney fails to do this, the patient will be unable to obtain a maximum settlement offer, and will face reimbursement reductions. Our experts have thoroughly researched the claims assessment software, so they understand what are consider the Duties Under Duress factors, and chart problems accordingly. Permanent impairment is the second most valuable factor in a Colossus claim, preceded only by the injuries incurred. Colossus is presently set up to calculate values based on the findings of a “Whole Person Permanent Impairment”, under the AMA Guides to the Evaluation of Permanent Impairment 5th Edition. Claims that do not have an AMA impairment rating fail to obtain the highest potential value. Our experts ensure that AMA impairment ratings with notation of pages and tables in the guides are provided on only those patients with viable permanent impairment ratings, in order to give the insurer the opportunity to evaluate the patient’s claims appropriately.