A case manager may help when an auto injury leaves a person or family coordinating several providers, appointments, equipment needs, or care arrangements. Whether case management is appropriate and payable requires an individual review; it is not an automatic benefit in every claim.
Define the job before selecting a provider
Ask which needs the case manager will address and how the work will support the treatment plan. Care coordination should not replace medical decision-making by treating providers or legal advice about the claim.
Identify the case manager’s credentials, relevant experience, reporting practices, and availability. Ask who selected the provider, who receives reports, and whether any business relationship could affect independence. An insurer’s suggestion does not answer whether the arrangement meets your needs.
Questions for the first discussion
- Which appointments, authorizations, equipment requests, or transitions need coordination?
- What information will be shared, with whom, and under what authorization?
- How are tasks, time, rates, and invoices documented?
- What treating-provider support or insurer authorization is being requested?
- How will the family receive updates and raise a concern about the services?
Prepare a usable care packet
Bring discharge instructions, provider contacts, prescriptions or orders, appointment information, policy details, and relevant insurer correspondence. List unresolved practical issues separately from legal disputes. Keep copies of reports and invoices so everyone can distinguish recommended services from services actually delivered.
A coverage disagreement may concern necessity, rate, hours, documentation, or the applicable policy. Ask for the actual reason rather than assuming every denial presents the same issue.
Coordinate related benefit records
See attendant-care documentation for care logs and household replacement services for ordinary tasks an injured person can no longer perform. Our no-fault claims practice can address disputes about the legal entitlement to benefits.
Talk with Logeman & Iafrate
Request a free consultation or call (734) 994-0200 to discuss your situation with our Ann Arbor office. Bring the relevant records and any insurer correspondence. Advice about your claim depends on the facts, coverage, and applicable deadlines.
General information only; this article is not legal advice for an individual case.
Frequently Asked Questions
Is case management automatically paid after any accident?
No. Eligibility, necessity, coverage, billing, and applicable legal requirements must be reviewed.
Does a case manager decide medical treatment?
Treatment decisions belong with qualified treating providers. Clarify the coordination role and reporting arrangements.
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