Case management services are a covered no-fault insurance benefit if you or a family member is seriously injured in an auto accident. Typically, a case manager is utilized when the injured party suffers a brain injury, has severe or complex medical issues to manage, or is elderly or a young accident victim. An injured person has the right to hire their own case manager and is not required to utilize the insurance company's case manager.

It is recommended that an accident victim hire their own independent case manager.

Case managers will advocate on your behalf and assist in managing your medical needs including the following services:

  • Communicate with the insurance company

A case manager should be able to effectively communicate with the insurance adjuster, including providing the necessary prescriptions to expedite processing of your no-fault insurance claims.

  • Educate you and your family about your diagnosis

Your case manager helps you understand your diagnosis so you can make informed decisions.

  • Maintain communication

To ensure that your medical doctors, treatment team, and the adjuster are on the same page.

  • Help you transition to different care levels

As you move from different levels of care depending on your ongoing treatment, your case manager helps you understand and prepare for coming changes.

  • Coordinate paperwork and documentation

Paperwork can be overwhelming. Your case manager coordinates paperwork with providers and insurance companies, ensuring timely communications, correctly filled-out forms, and organized record-keeping.

  • Assist with scheduling your appointments

Your case manager reduces the stress of scheduling appointments with multiple medical and rehabilitation providers.

  • Schedule transportation and care services

A case manager can schedule and coordinate necessary medical transportation services.

  • Accompany you to medical appointments

Your case manager is there to support you, advocate for you, and provide explanation of clinical plans of care and doctor recommendations.

  • Manage treatment needs

Assist with purchasing available medical equipment, planning home modifications, and purchasing a modified van if necessary.

If you have questions regarding your no-fault benefits or a personal injury claim, please contact Logeman, Iafrate & Logeman, P.C. for a free consultation.

Frequently Asked Questions

What is a case manager in auto accident cases?

A case manager is a professional who advocates on behalf of injured accident victims, coordinating medical care, managing insurance communications, and helping navigate the complex recovery process. They are particularly valuable for brain injury victims, those with complex medical needs, or elderly and young accident victims.

Do I have to use the insurance company's case manager?

No, you have the right to hire your own independent case manager. It is recommended that accident victims hire their own case manager rather than using the insurance company's case manager to ensure your interests are prioritized.

Are case management services covered by no-fault insurance?

Yes, case management services are a covered no-fault insurance benefit if you or a family member is seriously injured in an auto accident. This means the insurance company should pay for these services as part of your no-fault benefits.

What services does a case manager provide?

Case managers provide comprehensive support including: communicating with insurance companies, educating you about your diagnosis, coordinating with medical providers, helping with care transitions, managing paperwork, scheduling appointments and transportation, accompanying you to medical visits, and assisting with medical equipment purchases and home modifications.

When should I hire a case manager after an auto accident?

You should consider hiring a case manager if you suffer a brain injury, have severe or complex medical issues to manage, are elderly, or if the accident victim is young. A case manager is most beneficial when medical needs are extensive and coordination between multiple providers is necessary.