No-Fault Arbitration Lawyer in Floral Park, NY
Floral Park hospitals, physician groups, EMS/ambulance providers, rehabilitation centers, and pharmacies that provide medical care to car accident victims under New York’s no-fault auto insurance claims program deserve prompt payment for their services.
If you are a medical provider who is running into roadblocks when you file for insurance payments under New York’s no-fault personal injury protection (PIP) or Motor Vehicle Accident Indemnification Corporation (MVAIC) coverage, the legal team at The Tadchiev Law Firm, P.C., can help you. Our Floral Park, NY, no-fault arbitration lawyers focus on helping medical providers pursue the collection of unpaid no-fault claims.
Our firm offers Floral Park medical providers experienced guidance in navigating arbitration requirements when no-fault auto accident claims go unpaid. In addition to providing advocacy during arbitration hearings, we can assist with your claims administration, including mailing invoices to insurance carriers, tracking claim payments, and responding to insurance carrier verification requests.
What Is New York’s No-Fault Auto Insurance Program?
New York insurance law mandates that anyone who is injured in a motor vehicle accident shall receive payment for medical care costs, lost earnings, and other reasonable expenses incurred because of the accident. Car owners are required to obtain auto insurance coverage that pays the policyholder regardless of who was at fault for the accident. Personal injury protection (PIP) coverage is provided by private insurance companies. The state of New York provides Motor Vehicle Accident Indemnification Corporation (MVAIC) coverage and pays when the policyholder is involved in an accident with an uninsured or underinsured driver.
New York’s no-fault insurance program was meant to make it easier for victims to receive the care they require by eliminating the need to prove liability for car accidents. Unfortunately, nothing prevents insurance carriers from disputing valid claims. When there is a dispute, most claims are resolved through arbitration.
What Is New York’s No-Fault Arbitration Process?
If you submit a no-fault claim to an insurance company and the insurer denies the claim or does not respond to your claim within 30 days of its receipt, your options are to:
- File a written complaint with the N.Y. Department of Financial Services.
- File for no-fault arbitration.
- Take the insurer to court.
Arbitration is typically the most efficient and cost-effective route to resolving a disputed no-fault insurance claim. Litigation is more expensive since it may require costly discovery and an attorney’s appearance at multiple hearings. A complaint to the Department of Financial Services puts it in the hands of an understaffed government bureaucracy.
Arbitration is a form of alternative dispute resolution (ADR) in which an impartial referee (the arbitrator) hears and resolves a legal matter. In no-fault insurance arbitration, each party must have legal representation to present their case to the arbitrator.
New York no-fault insurance claims that go to arbitration are administered by the American Arbitration Association (AAA).
To take a claim to arbitration, you must:
- Receive a denial of your claim from the insurance company (form NF-10), or a response from the insurer must be more than 30 days overdue.
- File an arbitration request with the American Arbitration Association, which requires a $40 fee. You may use Form AR1 or file online.
- When filing to request arbitration, you will need to provide a variety of information, preferably including the following:
- Cover sheet with a breakdown of bills in chronological order
- Dates, description of services, and amounts
- Bills in chronological order
- Medical reports and test results in chronological order
- Completed Assignment of Benefits Form with the injured party’s signature
- Case law and prior arbitration awards.
As the filing party, you are responsible for sending a copy of your intention to request arbitration to the respondent. The Tadchiev Law Firm can handle the paperwork and represent you throughout the arbitration process.
A request for arbitration will first go through conciliation, an attempt to settle the claim. The conciliator assigned to the case has up to 90 days to discuss the dispute with the parties involved and determine whether a settlement can be reached. A settlement resolves the case, but when one cannot be reached, the conciliator refers the case to arbitration.
A case that is not settled in conciliation goes to arbitration, which is conducted according to AAA rules. Once the arbitrator has heard the case, they will issue an award.
How We Can Help with Your No-Fault Arbitration
New York’s no-fault insurance program for car accidents can lead to complications and delays that busy medical providers do not have time to address. An experienced no-fault arbitration attorney with The Tadchiev Law Firm, P.C., in Floral Park, NY, can help you.
Our firm can:
- Respond to insurance company requests for verification. Insurance companies may make a wide range of requests for information. While requests must be answered, they are also subject to certain restrictions. Our lawyers can help you respond appropriately.
- Help you gather key documents the AAA will require to hear your case, including essential forms and billing records. Our lawyers can handle everything required to file for arbitration and manage your case from start to finish.
No-fault insurance law is complex, and insurance carriers can use it to frustrate those who do not understand it well. Our talented lawyers have a deep knowledge of the law and the claims process. When you face off with insurers at an arbitration hearing, you can put our legal knowledge and experience to work for you.
Contact Our Floral Park No-Fault Arbitration Lawyers
If you are a medical provider in Floral Park, NY, dealing with insurance company delays or denials of your claims, contact The Tadchiev Law Firm, P.C., today. Our team has a deep knowledge of the claims process. We can help you manage the claims process, from mailing your insurance bills to aggressively advocating for you in the arbitration of disputed claims.
If an insurance company has denied your no-fault claim, do not wait to get the legal help – and payment – you need. Contact Tadchiev Law Firm, P.C., to schedule your consultation with a no-fault arbitration attorney.