State Farm v. 465872
In State Farm v. 465872 filed in 2018, State Farm claimed that a PTP was taking place.
Several of the patients were contacted by unknown individuals, frequently by cell phone, soon after their car accident and were directed to treat at the clinics.
The clinic developed a particularly strong referral relationship with certain personal injury law firms. For instance, two-thirds of all patients who treated at the clinic were represented by a single law firm.
Virtually every initial examination states that the patient “entered the clinic in obvious painful distress” even though it is unlikely given that some patients didn’t treat for close to two weeks after the collision.
Virtually every initial examination states the patient has a 4-out-of-5 muscle strength.
All patients were prescribed “four times a week or as needed” for treatment frequency.
All patients received on average, five modalities per visit.
The vast majority of patients received chiropractic manipulation; traction; electrical stimulation; neuromuscular re-education (or therapeutic exercises); and manual therapy. No effort was made to document what type of NMR or exercise was performed or how the patient responded.
DISCLAIMER
This is based on a real court case that was previously filed against a medical provider/doctor. The case number has been partially redacted and names have been changed to protect the Defendants’ names. This example is posted to help educate others on the laws and potential pitfalls. This posting is not intended to embarrass or defame anyone. I have limited the information and simplified some of the facts in the lawsuit to reflect key points and make a complicated case easier to understand. This “example” is directly from a complaint filed by an insurance company, therefore, I am using the facts THEY presented. There are always two sides to a story so please understand this is just one side of the story. This information was found through records available to the public.