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« Will my friend's car insurance cover me? | Main  | What are contingent attorney fees? »
  What is a gap in treatment?

 

What is a gap in treatment and why is it a big deal?  Once you start treatment, the insurance company wants to see a regular treatment schedule. Their theory is if you are injured and hurting, you will go to the doctor regularly. Unfortunately, things come up which cause clients to miss their scheduled appointments.

When you miss a doctor's appointmnent it is considered a gap.  For example, if you were scheduled to go to the chiropractor on Monday but you were sick and weren't able to reschedule until the following Wednesday, it is considered a 1 week gap.   If you were scheduled to go to the doctor on March 1st, didn't make the appointmnet and didn't reschedule (for whatever reason) until April 1st it is considered a 1 month gap.  If the doctor tells you to follow up in 1 month then there is NO gap because you are following doctor's orders. 

In reality life happens, you get sick, your kids get sick, you have to stay late at work, etc.   A gap of a week or two will not effect your case and can usually be explained but if there is a gap of a month your case value may be compromised. Make sure you can explain any gaps in treatment, preferably with documentation about why you missed the visits.  If possible tell the doctor why you missed the


Posted By Phillips & Lyon on March 09, 2010 08:20 am | Permalink 


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