MRI Facilities No-Fault Collection Lawyer in NY
There are various ranges of applications and uses for an MRI scan. Frequently, after a motor vehicle accident, one or more MRI scans may be ordered by healthcare providers to help diagnose and treat the injured party. While it’s not uncommon for car accident victims to undergo more than one MRI following the accident, in many cases, the bills for the MRI services are denied by the No-Fault insurance companies on the grounds that they are not ‘medically necessary ‘. In some cases, this is a legitimate denial, but this is also one of the many ways insurance companies avoid paying full and fair payment to a No-Fault MRI facility.
Here at The Sigalov Firm PLLC, we understand that providers of MRIs and other imaging services have difficulty billing No-Fault insurance for their services. Usually, these providers have limited access to medical records, sometimes only getting a prescription from the prescribing doctors. That leaves the MRI facilities at a real disadvantage when they have to confront the insurance companies that have received records from every provider and facility.
Like in other No-Fault cases we handle at The Sigalov Firm PLLC, we’ll help you obtain rebuttals to the insurance company’s medical peer reviews, if necessary. When appropriate, our team will also reach out to other medical providers to obtain records that help substantiate the patients’ medical condition.
Our No-Fault Process
As an MRI facility, it’s your priority to offer the highest level of service to all of your patients. However, No-Fault insurance companies make it extremely difficult to receive payments. They’ll try various methods to delay or deny your expenses, even if claims are lawfully owed to you.
Diagnostic facilities are not treating doctors, but they are subject to strict constraints regarding performing the test as it is prescribed. Our No-Fault collection attorneys know the pressures on our MRI facilities clients, so we can deal with the insurance companies while you focus on running your business and spend more time on billable services.
During the free initial consultation, our legal team will inform you of the legal rights and solutions available to MRI facilities under New York State Insurance Law. We’ll dedicate our time and experience to ensure that the No-Fault collection process will be as effortless as possible. In order to begin the No-Fault claim, we may need the following documents:
- Assignment of benefits
- Corresponding denials
- A billing ledger or proof of mailing, if available
- All medical reports, records, notes, or exams related to the motor vehicle accident
- A letter of medical necessity for an MRI scan
- Rebuttal letter to the peer review
- IME (optional, but strongly recommended)
When you contact The Sigalov Firm PLLC, you can have peace of mind that a committed attorney is fighting to analyze the claim, review any deferrals and denials, and hold the insurance companies accountable for their obligations. We will also review the peer reviewer’s report and expose possible issues, such as the following:
- A peer reviewer’s inadequate credentials
- Failure to address positive findings and to submit publications accordingly
- Failure to articulate medical standards
- Logical fallacies
These are just a few of the many approaches we have years of experience and knowledge using. Moreover, the monetary amount we have recovered for our healthcare provider clients proves the significance of experience and skills when handling No-Fault claims in New York. Contact us today to learn more and get a free case evaluation.
Let the No-Fault Collection Lawyers at The Sigalov Firm PLLC Reduce Your Stress
Across the state, healthcare providers and medical suppliers have chosen our law firm to help them navigate the complex and confusing No-Fault insurance company claims. That is why our attorneys provide tailored services, aggressive advocacy, and strategic representation.
At The Sigalov Firm PLLC, we are focused on helping MRI facilities and medical providers pursue the collection of unpaid No-Fault claims. From mailing insurance bills to insurance companies, tracking payments for claims, handling arbitration of your No-Fault claim, or countering IME-based denials, our No-Fault collection attorneys are honored to put their experience to work for you. We are the one-stop law firm you need.
We understand the significance of being paid for the medical services and facilities you have provided. That’s why we’ll work tirelessly on your behalf to ensure you receive the total compensation you are entitled to. While the legal process and claim can be confusing, you don’t have to worry. We will take the time to work closely with you so that you fully understand the process that may determine your business’s future.
If you have provided care or MRI scans to a car accident victim and your No-Fault claim to the insurer has been denied, you have the right to file for arbitration. Do not be intimidated by insurance companies that try to deny or delay your claim. Let us navigate the complicated arbitration process and pursue the financial compensation you fully deserve. Contact us at (347) 489-7830 to schedule a free consultation with a No-Fault collection attorney in New York.