$54,508 Awarded to Spine Surgeon
Judd Shaw Injury Law™ sought payment for PIP medical benefits on behalf of a spine surgeon. The insurance carrier denied payment for the fusion and cage placement with stabilization based on the allegation the services were not medically necessary. Judd Shaw Injury Law™ established the surgery was reasonable and related to the motor vehicle accident. Claimant’s attorney Judd Shaw established that the patient was living with a degenerative condition and did not have any significant medical issues until after the accident which changed the patient’s pre-existing condition and worsened it and therefore, the accident provided sufficient trauma which had not existed pre-accident. The arbitrator disagreed with the carrier and awarded nearly $55,000.00 to the surgeon.