$90,000 Settlement 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 surgery based on the allegation the services were not medically necessary. The service involved a complicated two-level lumbar fusion with cage placement and bone grafting. Attorney Judd Shaw established the surgery was reasonable for ongoing discogenic pain associated with neurological compression versus the alleged facetogenic diagnosis made by the insurance carrier’s medical denial. Ultimately, the carrier agreed to settle the matter and Judd Shaw Injury Law resolved the claim for $90,000.00 on behalf of the doctor.