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Category: Reasonableness and standard of proof

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Procedural Issues (203)

Coverage (160)

EUO issues (207)

Evidence (137)

Fee Schedule (127)

Medical Necessity (184)

Additional Verification (95)

IME issues (161)

A reasonable basis inquiry to the propriety of an EUO is foreclosed absent a timely objection

April 16, 2011 2 Comments

Crescent Radiology, PLLC v American Tr. Ins. Co., 2011 NY Slip Op 50622(U)(App. Term 2d Dept. 2011) “The papers substantiate the basis for the EUO request.

Summary judgment granted on EUO no-show defense – interesting analysis

September 18, 2010 3 Comments

Dover Acupuncture, P.C. v State Farm Mut. Auto. Ins. Co., 2010 NY Slip Op 51605(U)(App. Term 1st Dept. 2010) The Appellate Term, First Department, which many

This one takes the cake

July 20, 2010 20 Comments

Dynamic Med. Imaging, P.C. v State Farm Mut. Auto. Ins. Co., 2010 NY Slip Op 20285 (Dis. Nassau 2010) I am somewhat flabbergasted at this decision.

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