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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September 2011 Articles
11 articles published in September 2011
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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Appellate Term Second Department holds that MVAIC's prima facie case is similar to that of other providers
Appellate Term Second Department rules MVAIC's prima facie case requirements match other no-fault insurance providers in Turnpike Medical decision.
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IME no show results in summary dismissal
Court rules that properly mailed IME notices to both assignor and attorney, followed by patient no-show, warrants summary dismissal of no-fault claim.
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Case remanded to Civil Court to determine whether interest was tolled
Court remands no-fault case to determine interest calculations, highlighting complexities in Insurance Law § 5106(a) tolling provisions for overdue medical benefits.
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Appellate Term First Department does not seem to be too fond of durable medical equipment
Appellate Term First Department rules against durable medical equipment provider in no-fault case, finding insufficient evidence of medical necessity for summary judgment.
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So you told your client to go bankrupt…
Bankruptcy discharge doesn't eliminate judgment liens on property - important considerations for personal injury attorneys and no-fault insurance practitioners.
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Conclusory statement that the bill was not received is insufficient to stave off summary judgment
New York court rules that simply claiming you never received a verification request isn't enough to defeat summary judgment in no-fault insurance cases.
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