Mastering Medical Expenses in Personal Injury Claims
Learn about medical expenses after personal injury in NYC & Long Island. Expert guidance on documenting costs and maximizing compensation.
Read More →Timely submissions of Bills
17 articles by Jason Tenenbaum, Esq.
Triable issue of fact: 45-day rule
NY appellate court rules that insurance company's late receipt of claim forms creates triable issue of fact regarding timely mailing under 45-day rule.
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45-day rule appeal was meritless
Court rejects healthcare provider's appeal of 45-day rule denial, finding their own papers proved claims were submitted late under 11 NYCRR 65-2.4(c).
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Late notice defense sustained
Court sustains late notice defense when medical provider failed to submit no-fault claims within required timeframe and couldn't prove valid excuse for delay.
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Failed to avail itself of the opportunity afforded to it on the NF-10
NY court ruling emphasizes that healthcare providers must actively use regulatory safety valves when facing late notice denials in no-fault insurance claims.
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45-day rule in action (or inaction)
Court ruling shows insurance companies must provide detailed affidavits about mail handling procedures to prove 45-day rule violations in no-fault claims disputes.
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The conclusory statement of non receipt will not non-suit a 45-day case
Easy Care Acupuncture v MVAIC case shows conclusory non-receipt statements insufficient to dismiss 45-day no-fault billing cases without proper search evidence
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The reason proffered by plaintiff was insufficient
Appellate Term finds insufficient excuse for late no-fault claim submission despite provider's proof of mailing to MVAIC first when insurer identity unclear.
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Late written notice not excused
Court denied excuse for late written notice when attorney failed to explain why claim was initially submitted to wrong carrier, establishing prima facie case for summary judgment.
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Summary judgment granted under the new interpretation of prima facie
Court grants summary judgment under new prima facie interpretation for no-fault billing manager affidavit establishing timely claim submission within 45 days.
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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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consideration" an element to a late notice claim.
New York Court of Appeals ruling requires insurers to show "due consideration" when denying late no-fault claims, changing how prima facie defenses must be established.
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What went wrong here?
Aminov v Travelers case analysis: court finds insurer failed to prove non-receipt of claim forms despite provider's incomplete complaint documentation.
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45-day rule – insufficiency of justification
Court rules on 45-day submission rule for MVAIC claims, highlighting strict requirements for written justification when medical providers miss deadlines.
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The Provider is Under an Extremely Tight Leash to Explain Why a Bill Was Untimely Submitted: Essential Guide for Long Island and NYC Healthcare Providers
Navigate strict 30-day and 45-day billing deadlines for Long Island and NYC providers. Expert legal guidance on untimely submissions. Call 516-750-0595.
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45-days…and then what?
Understanding New York no-fault 45-day rule violations and reasonable justifications. Expert legal guidance from Long Island attorney Jason Tenenbaum.
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TImely submissions and MVAIC – a real problem
MVAIC's strict timing requirements create challenges for Long Island accident victims seeking no-fault benefits from uninsured drivers and hit-and-run cases.
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