IME no-show –> Necesity to issue timely disclaimer
When patients miss IME appointments, insurers must issue timely disclaimers to deny claims. These NY appellate cases clarify strict procedural requirements.
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2011 Legal Articles
141 articles published in 2011
141
Total Articles
10
Active Months
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Featured Articles from 2011
EUO – No need to highlight the information
New York court rules that EUO scheduling letters don't need to conspicuously highlight information, clarifying requirements under Insurance Department Regulations.
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Acupuncture – the fee schedule is incorporated by reference
NY court rules workers' compensation fee schedule incorporated by reference in no-fault acupuncture cases, establishing precedent for billing code requirements.
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The Court of Appeals discusses a condition precedent
Court of Appeals ruling on hospital NF-5 submissions and 30-day notification requirements under New York no-fault insurance condition precedent rules.
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Statute of doom.
No-fault insurance statute of limitations case analysis - EBM Med. Health Care v Amica showing how improper motion practice led to dismissal failure.
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First Presbyterian, then PSW – Maryland is at it again
New York court affirms Civil Court ruling that insurance company failed to prove chiropractic services weren't medically necessary in no-fault case.
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A defeat to those who attempt to avoid responding to verification requests
Court ruling on verification requests in NY no-fault insurance cases, establishing requirements for adequate responses and consequences of inadequate compliance.
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Substitute peer allowed to testify on appeal
New York appeals court rules that substitute expert witnesses can testify in no-fault insurance cases even when they didn't prepare the original peer review report.
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Nothing gives me a bigger headache than reading about acupuncture and the fee schedule
Top 10 arguments about acupuncture fee schedules in NY no-fault insurance law, including court precedent and billing disputes between providers and insurers.
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Donde esta Unitrin?
Unitrin case analysis and IME no-show procedures in NY no-fault insurance law, including mailing requirements and claim denial standards.
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