No-Fault Arbitration Lawyer in Queens, NY
As a medical provider, you give the care, attention and healing that an injury victim needs after a no-fault accident. But sometimes the insurance companies refuse to pay you the compensation you deserve. Insurance companies may deny your claim, make verification demands or refuse to give you the resources you need to run your business.
At The Tadchiev Law Firm, P.C., our legal team is focused on helping medical providers pursue the collection of unpaid no-fault claims. We can mail insurance bills to insurance carriers, track payments for claims, respond to insurance carrier verification requests, and handle arbitration of your claim. When it comes to no-fault insurance, our firm is the “one-stop shop” you need.
Our attorneys have an in-depth knowledge of no-fault accident compensation. We are ready to help you navigate your claim from start to finish. With the personalized service and aggressive advocacy that you deserve, our Queens no-fault lawyers are here to stand up for you.
Learn more about how a Queens no fault lawyer from The Tadchiev Law Firm, P.C., can fight for you. Contact us today by phone or online.
What is a No-Fault Arbitration Process?
Arbitration is often used when a car accident claim is disputed because the claimant’s demand is either ignored or denied. A no-fault arbitration (also called Alternative Dispute Resolution or “ADR”) is a legal proceeding in which, before an impartial third party referred as a neutral referee (arbitrator), information is presented by all the involved parties to resolve a legal matter within 90 days. Each party must be represented at the hearing, and the presiding officer is usually an attorney.
If you are considering arbitration in a no-fault accident case, it is important to know the steps that are involved:
- You must receive a denial of your claim from the insurance company before you can file a request for arbitration. You can also file a request for arbitration when an insurance company simply fails to respond to your claim and the response is overdue. This denial, or failure to respond, must occur before you can start the arbitration process.
- Forms must be completed and filed with the American Arbitration Association (AAA). These forms may include pages of the NF-10 that you may have received from the insurance company. Alternatively, you can fill out the Form AR-1, which is a request for arbitration. A filing fee of $40 must accompany the filing.
- As part of your filings, you must include key information on the forms. When our office is requesting arbitration, we need these documents:
- A cover sheet showing disputed dates of service and balances
- A fully executed assignment of benefits form (AOB)
- All NF-3 forms or bills in dispute
- Medical reports
- The NF-10 form indicating the reason for denial (if denial was issued)
- The request will pass through a process known as conciliation. In this process, the parties submit their evidence. Then the conciliator has up to 90 days to hold discussions with the parties and see if they can settle the dispute. If a settlement can be reached, then the matter is resolved. If a settlement cannot be reached, the conciliator will refer the case to arbitration.
- The case goes through several stages of arbitration, including the appointment of an arbitrator and hearings held according to AAA rules. The parties may make their case to the arbitrators over the phone, through written documents or in person. Once the arbitrators have heard the case, they will issue an award.
No-Fault Arbitration Claim vs. Litigation
Arbitration is generally more cost-effective than litigation, and it typically provides a faster resolution for no-fault claims. Litigation may involve multiple rounds of filings with a court that may take a significant amount of time to schedule. Litigation is often more expensive since it may require costly discovery and an attorney’s appearance at multiple hearings.
Arbitration is often the optimal path to success in resolving no-fault claims. Our legal team can help ensure you have the documents needed to file your no-fault claims. That will allow you to begin the arbitration process as soon as possible. If it appears your case may benefit from litigation rather than arbitration, a no-fault insurance attorney can review your case and help determine your best path forward.
How Our Queens No-Fault Lawyers Can Help You
New York state no-fault accidents can lead to complications for medical providers. If you are dealing with insurance company denials of your no-fault claims, contact The Tadchiev Law Firm, P.C., and an experienced no-fault attorney in Queens, NY, will assist you. The attorney can:
- Help you gather key documents you need for your case, including essential forms and billing records. This may include AAA required forms, medical records, billing statements, the denial and many other documents.
- Respond to requests for verification from insurance companies. In some cases, insurers may ask for additional information to verify a claim. These requests are subject to the law and its restrictions. Our lawyers can review the request, let you know your options and respond accordingly.
- Provide in-depth knowledge around New York no-fault law. No-fault law can be complex and frustrating for medical providers. Our talented lawyers have a deep knowledge of the law and the claims process. They can put their knowledge to work for you.
- File arbitration requests and prepare arguments for your claim. Our lawyers can handle everything you need to file for arbitration and manage your case from start to finish.
- Stand up for your rights in any arbitration proceedings. Arbitration is run according to detailed rules promulgated by the NYS Department of Financial Services. Our lawyers can manage the process and fight for you during the proceedings.
Medical Professionals We Represent in No-Fault Arbitration Claims
Medical professionals routinely deal with no-fault claims. Our firm has deep understanding of the claims process and its impact on medical providers. We help these medical professionals and these medical facilities with no-fault claims:
- Ambulatory surgical centers
- Orthopedic surgeons
- Pain management physicians
- Physical therapists
- Multi-specialty practices
- DME suppliers
- MRI facilities
- Many other types of healthcare providers
If you need to learn more about no-fault claims, no-fault forms, fee schedules, and other no-fault resources, look no further. Our firm has put together the following list of resources to help you understand no-fault insurance and manage your claim. We hope these resources will help you move forward with your no-fault claim.
- Complete set of no-fault forms
- Arbitration Request Form (AR-1)
- New York Motor Vehicle No-Fault Insurance Law Cover Letter
- Application For Motor Vehicle No-Fault Benefits (NF-2)
- Verification Of Treatment By Attending Physician Or Other Provider Of Health Service (NF-3)
- Verification Of Hospital Treatment (NF-4)
- Hospital Facility Form (NF-5)
- Employer’s Wage Verification Report (NF-6)
- Verification Of Self-Employment Income (NF-7)
- Agreement To Pursue Social Security Disability Benefits (NF-8)
- Agreement To Pursue Workers’ Compensation Or N.Y.S. Disability Benefits (NF-9)
- Denial Of Claim Form (NF-10)
- Additional PIP Subrogation Agreement (NF-11)
- Lump-Sum Settlement Agreement (NF-12)
- Election Of Option – Optional Basic Economic Loss Coverage (NF-13)
- No-Fault Insurance Law Assignment Of Benefits Form (AOB)
- HIPPA Authorization for Release of Health Information
- Affidavit of No Insurance
- New York State Department of Motor Vehicles Accident Report (MV 104)
- New York State Workers’ Compensation Board Employee’s Claim for Compensation (C-3)
Fee schedule resources
- New Jersey Fee Schedule Rates
- New Jersey Fee Schedule Text
- New Jersey Fee Schedule FAQ
- New York DME Fee Schedule
- New York No-Fault Fee Schedule FAQ
- Purchase 2012 New York Workers’ Compensation Board Medical Fee Schedule
- Purchase 2018 New York Workers’ Compensation Board Medical Fee Schedule
- Purchase 2020 New York Workers’ Compensation Board Medical Fee Schedule Updates
- Workers’ Compensation Enhanced Ambulatory Patient Group (EAPG) FAQ
- APG Provider Manual
- EAPG Groupings
- EAPG Base Weights
- EAPG Base Rates
- EAPG Capital Add-on fees
- EAPG Modifiers
- 3M EAPG Presentation
- EAPG Crosswalk Codes (2019)
- EAPG Crosswalk Codes (2018)
- EAPG Crosswalk Codes (2017)
- FAQ’s about Regulation 83 and the No-Fault Fee Schedule
- Add-on Code Edits
- National Correct Coding Initiative (NCCI) Edits
- How to use NCCI Coding Tools
- New York Department of Health
- American Medical Association (AMA)
- Web MD
- New York Academy of Medicine
- Healthcare Financial Management Association
- Suggested Methods for New Case Filings
- New York Codes, Rules, & Regulations
- History of the No-Fault Fee Schedule Regulation
- Legal history of No-Fault Regulation 68
- FAQs for Applicants from the American Arbitration Association (AAA)
- Insurance Codes and Insurance Company Contacts
- American Arbitration Association (AAA) Arbitration Rules
- Best Practices for Parties – Preparing Document Submissions (audio)
Learn no-fault law:
- No Fault Law Fundamentals
- Understanding New York’s No-Fault System
- Understanding No-Fault Claims and Litigation (Audio)
- Verification Requests/Responses
Talk to a Queens No-Fault Lawyer Now
If you are a medical provider dealing with insurance company denials of your claims in Queens, contact The Tadchiev Law Firm, P.C., today. Our team has a deep knowledge of the claims process, and we can help with every part of your claim, from the mailing of insurance bills to aggressive advocacy for you in no-fault arbitration. From start to finish, we will provide the personalized service you need.
If an insurance company has denied your no-fault claim, do not wait to get the legal help you need. Contact Tadchiev Law Firm, P.C., to schedule your consultation with a no-fault attorney in Queens.