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Category: Medical Necessity

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A simple medical necessity decision

Innovative MR Imaging, P.C. v Praetorian Ins. Co., 2013 NY Slip Op 50264(U)(App. Term 1st Dept. 2013) “The unsworn letter report submitted by plaintiff from the assignor’s

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It involved a different matter.

All Boro Psychological Servs., P.C. v Progressive Northeastern Ins. Co., 2013 NY Slip Op 50252(U)(App. Term 2d Dept. 2013) Prior trial testimony was plainly insufficient to rebut

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Reverse Pan Chiropractic

So many people complain that the Pan Chiro line of cases represent a one-way street on the issue of medical necessity .  I remembered a case

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The substitute peer doctor

Bajaj v GEICO, 2012 NY Slip Op 51106(U)(Dis. Ct. Nassau Co. 2012) The first thing someone asks me in Brooklyn is whether “you have a substitute

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Peer review

Midtown Med. Assoc., P.C. v Clarendon Natl. Ins. Co., 2012 NY Slip Op 51071(U)(App. Term 2d Dept. 2012) “As the affirmed peer review report submitted by

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Conclusory affidavit?

New Life Med., P.C. v GEICO Ins. Co., 2012 NY Slip Op 51061(U)(App. Term 2d Dept. 2012) It was just insufficient. “In support of its cross

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Praetorian again

Darlington Med. Diagnostics, P.C. v Praetorian Ins. Co., 2012 NY Slip Op 50226(U)(App. Term 1st Dept. 2012) Extension of Pan Medical I always said Praetorian mean

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