No Fault Litigation

No-Fault insurance treatments associated with motor vehicle accidents are heavily litigated. Litigation is a lengthy process however in some instances, it is more profitable as cases earn 2% interest per month from the date of filing . Unlike arbitration trial dates are drawn out on a longer period of time. No fault litigation cases are brought in local Civil Courts across the state. A No Fault claim can be brought in any county’s civil court where an insurance company transacts business.

Civil court judges follow case precedent in deciding no-fault collection matters, during the case a doctor usually testifies on behalf of insurance companies to prove that rendered medical treatment was not medically necessary. Our team of attorneys consistently cross examine insurance company doctors and find flaws with their medical reasoning of denying the rendered treatment.

We understand the our doctors have very busy schedules so we don’t ask them to appear at trial and instead we use their medical reports, our expert lawyering skills and experience to rebut the insurance company doctor’s argument on trial to win the cases.

Contact us for further questions at (212)-400-4000 or email us at info@mlawfirm.com

Documentation required for No Fault Litigation:

  • Assignment of Benefits
  • Outstanding Bills / Associated Medical
  • Proof of Mail / All Denials
  • Medical Records (before and after bills in dispute)

If the bill has been denied on medical necessity the following medical records are needed:

Chiropractor

Initial report, treatment notes, any diagnostic testing and follow up examinations.

Acupuncture

Initial report, treatment notes and follow up examinations.

Physician

Initial report, treatment notes and follow up examinations.

Physical Therapist (P/T)

Initial report, treatment notes, any diagnostic testing and follow up examinations.

MRI Facility

Initial and follow up report prior to the date of service of the MRI from the referring physician. Followup report that details how MRI findings help the doctor to customize the patients future course of treatment.

Diagnostic Test

Initial and follow up reports prior to date of service of Diagnostic Test. MRI results, P/T, Accu, Chiropractor and follow up reports that details how the test findings help the doctor to customize the patients future course of treatment.

Pain Management

Initial, all follow up reports, test results, P/T, Accu, and Chiropractor reports shows the extent of injury and why pain management procedures are medically necessary.

Orthopedic Surgeon

All conservative treatment notes prior to meeting orthopedist test results initial consult with surgeon, surgical reports and all post surgical reports.

Surgery Centers & Hospitals

Initial and followup report from the surgeon, all diagnostic testing and surgical reports.