Injury and Malpractice Resources

  • Securing Payment of Unpaid No-Fault Benefits

    Oftentimes, a no-fault insurance company fails to pay benefits within the 30 day time period prescribed by law. In some instances, it is simply oversight or inefficiency. However, on too many occasions, insurance carriers wrongfully withhold payment, despite the fact that their insured paid pricey premiums for no-fault benefits. The two other promine...
  • Car Insurance Industry Oversight/Inefficiency

    The no-fault insurance company has 30 days to make payment on a properly submitted claim. Their failure to do so will result in interest penalties. There is no excuse for late payment by the insurance company. Everybody has deadlines to which they must adhere when paying their obligations. Insurance companies should not be treated any differently. To...
  • The Insurance Medical Examination Cut-Off in Car Accident Cases

    An insurance company cannot deny payment to a treating physician, unless the insurance company first obtains a report by a physician stating that treatment was not reasonable, related, or necessary. Without such a report, the insurance company who discontinues payment is in violation of the No-Fault laws and a lawsuit is appropriate. Even wi...
  • Denial Based on Medical Review Companies

    More and more insurance companies are submitting their insured's medical bills to a medical review company to determine whether the charges are reasonable and necessary. Unfortunately, insurance companies continue to unilaterally reduce properly submitted medical claims based on medical review company’s opinion. Some of...
  • Insurance Medical Examinations

    Whenever the physical or mental condition of an insured person covered by No-Fault Insurance is “material” to any claim for benefits, the insurance company can require the patient to submit to an insurance medical examination (IME). No-Fault insurance companies unilaterally select physicians. It is important to note that the rights of the insu...