Criminal Injury Compensation ( CICA ) Claims, injury compensation claims.#Injury #compensation #claims

injury compensation claims

Injury compensation claims

Criminal Injury (CICA) Claims by RAM Legal Services

The effects of a criminal injury can be serious, with many victims suffering from lasting physical and psychological damage and distress. If you’ve been injured either physically or mentally as a result of a criminal act you may be entitled to claim compensation through the Criminal Injuries Compensation Authority ( CICA ) Scheme. Our No Win No Fee* service which is operated by RAM Legal Services, an independent legal firm with 15 years of experience, we will ensure that one of our criminal injury specialist will handle your claim from start to finish and will strive to reach a fair outcome whilst trying to ensure that the maximum possible award is granted.

What is the Criminal Injuries Compensation or CICA Scheme?

The Criminal Injuries Compensation authority or CICA for short is a government organisation that provides compensation for blameless victims of violent crime throughout the UK The CICA pay out awards ranging from £1000 to £500,000 depending on the severity of your injuries and if future losses need taking into consideration. If you, a friend or a family member have suffered physical or psychological injuries as a result of a violent crime at some point in your life, you may, subject to satisfying the criteria of the scheme, be entitled to compensation.

Why choose us as your legal representation?

You can make your application to the Criminal Injuries Authority yourself, without legal representation, however you may be interested to know that:

There were a total of 33,688 applications made to the authority between 2013-2014. There were a total of 28,307 applications rejected without an award being offered between 2013-2014. (This is irrespective of if the application was made by applicants themselves or with the help of an independent company or Solicitor and is sourced from the Criminal Injuries Compensation Authority annual report 2013-2014)

We are a team of independent specialists who work on a NO WIN NO FEE basis and represent thousands of clients in making applications for criminal injuries compensation. Our many satisfied customers prefer to have the help and assistance of our specialist staff when making their application.

Naturally our clients find our help and advice particularly useful, as this process usually takes over 12 months and can become complex and frustrating, especially when chasing information or if your application is rejected. Should this be the case, we work very hard to overturn rejections on your behalf. If necessary we also arrange to attend Tribunal hearings and currently enjoy a very high success rate. The Criminal Injuries Compensation Authority will also ask you to make an advance payment of £50.00 for obtaining medical evidence in all cases. We have been successful in getting this fee deferred until the end of the case for our clients to avoid the initial expense however this is entirely dependant ability to pay.

Can I Claim Compensation Under the CICA Scheme?

In order to qualify for an award under the Criminal Injuries Compensation ( CICA ) Scheme 2012 you must meet meet the following criteria:

  1. The incident was reported to the police within 48 hours or as soon as reasonably possible.
  2. Your injuries are serious enough to meet the minimum award or would qualify under the tariff of awards. (we will assess this during our initial discussion with you).
  3. The incident happened within the last two years (in certain circumstances, usually relating to to sexual abuse / assault claims the two year time limit can be waived).
  4. The incident occurred in England, Wales or Scotland.
  5. You have no unspent criminal convictions other than driving offences .

Our Service

By working with you and the Criminal Injuries Compensation Authority, our specialist criminal injury team work to obtain an appropriate criminal injuries compensation award for your losses. We can also advise you on benefits and payments available to you if you are left permanently or temporarily disabled or unable to work.The CICA scheme enables you to make a successful claim even if an offender is not identified, caught or convicted. Contact our criminal injury claim specialists before you make assumptions about the likely success or failure of your case .

All claims are dealt with on a No Win, No Fee * basis and we never ask for up front payments. If we are successful we will deduct 25% plus VAT from your award. example: If you awarded £1000.00 then you would receive £700.00 after deduction of our fees which would be a total of £250 +VAT of £50

Medicare denial codes, reason, action and Medical billing appeal, claim card.#Claim #card

Medicare denial codes, reason, action and Medical billing appeal

Medicare denial codes, reason, remark and adjustment codes.Medicare, UHC, BCBS, Medicaid denial codes and insurance appeal. Sample appeal letter for denial claim. CO, PR and OA denial reason codes codes.


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Reconsiderations The attending physician/dentist or the hospital may request reconsideration of the adverse determination of the ACRC regarding the need for admission, readmission, transfer, or continued stay. This reconsideration right applies regardless of the current hospitalization status of the beneficiary. Reconsiderations must be requested within three business days of the adverse determination. (Refer to the Directory Appendix for ACRC contact information.) If requested by the ACRC, the provider must provide written documentation. The provider is notified of the reconsideration decision within one business day of receipt of the request or the date of receipt of written documentation. If the initial adverse determination is overturned, the adverse determination is considered null and void. If the initial adverse determination is upheld or is modified in such a manner that some portion of the hospital care is not authorized, the hospital is liable for the cost of care provided from the date of the initial determination, unless this determination is overturned in the Medicaid appeals

If the ACRC does not authorize the admission or the continued stay for an admission and the beneficiary remains in the hospital for one or more days after Medicaid payment is not authorized, the hospital is at risk of Medicaid nonpayment for those days. The provider may request post-discharge review by the ACRC, regardless of whether reconsideration was requested on the case, in writing within 30 calendar days of the discharge from the hospital. A copy of the medical record must accompany the post-discharge review request.

case is in the reconsideration, post-discharge review, or formal appeals process. Submission of such a claim does not imply acceptance of the ACRC determination.


** Medicaid beneficiaries enrolled in a Medicaid Health Plan (MHP). (Authorization must be obtained through the MHP.)