New York No-Fault Arbitration Lawyer

If you are a medical provider working in New York State, you may already be painfully aware of how frustrating and difficult it can be to recover payment from an insurance company after providing legitimate medical care to a car accident victim. Although originally designed to streamline the insurance claims process and ensure comprehensive medical care to victims, New York’s No-Fault laws have evolved into a loophole-filled system that benefits insurance companies at the expense of both medical providers and victims alike.

The Sigalov Firm is here to fight for you. We are a team of experienced New York No-Fault arbitration lawyers who understand the system and know how to get results. We work with healthcare providers to recover payments for care administered through No-Fault insurance claims, and we can assist you too.

If you are a medical provider who has been struggling to receive payment from an insurance company, contact us today for a free consultation. We can review your case and determine what options are available to you. If we believe you have a strong case, we will fight aggressively to obtain the compensation you deserve.

Understanding No-Fault Insurance

No-Fault insurance is a type of insurance that covers medical expenses and other damages regardless of who is at fault for an accident. In New York, all drivers are required to have No-Fault insurance, and this insurance is intended to cover medical expenses, lost wages, and other damages resulting from a car accident.

There are two main types of No-Fault insurance coverage in New York: personal injury protection (PIP) and coverage provided by the Motor Vehicle Accident Indemnification Corporation (MVAIC). PIP coverage is provided by your own insurance company and covers your medical expenses and lost wages up to a certain amount. MVAIC coverage is provided by the state of New York, and covers damages if you are involved in an accident with an uninsured or underinsured driver.

No-Fault insurance was designed to streamline the claims process and ensure victims of car accidents would receive prompt and comprehensive medical care. By eliminating the need to prove who was at fault for an accident, No-Fault insurance was created to make it easier and faster for victims to receive the care they required. 

Unfortunately, the system has not worked as planned. In practice, No-Fault insurance has become a bureaucratic nightmare for both medical providers and car accident victims. Insurance companies routinely deny valid claims, leaving both victims and providers struggling to obtain the care and compensation they need and deserve.

The Sigalov Firm is here to help. We are experienced New York No-Fault arbitration lawyers who understand the system and know how to get results for our healthcare provider clients.

Seeking Payment for Legitimate Medical Treatment Through Arbitration

One of the major problems with New York’s No-Fault system is that insurance companies often deny valid claims for medical treatment. In many cases, denials are unjustified and based on technicalities or errors. Because the system is complicated and confusing, medical providers often do not have the capacity to challenge these denials, and write the unpaid debts off as a loss or pass the costs on to the patients themselves.

If your No-Fault claim has been denied, you have the right to file for arbitration. Arbitration is a type of dispute resolution in which an impartial third party (an arbitrator) hears both sides of the case and makes a decision. In most cases, the decision of the arbitrator is binding, which means the insurance company will be required to pay the claim if the arbitrator rules in your favor.

After dealing with reports from “impartial” IME or peer review doctors, which are typically leveraged by the insurance company as a reason to deny your claim for payment, the notion of working with yet another third party can be frustrating.

However, working with an arbitrator is much different than relying on reports from doctors who are directly benefiting from denying claims due to the substantial fees they collect from their insurers. These doctors are partial to the insurers, but an arbitration attorney will not be in the pockets of the insurer. They will oversee the process and consider both sides equally while determining whether or not payment for services is warranted.

When you are being represented by The Sigalov Firm PLLC, you can be confident your No-Fault attorney will present a clear and comprehensive case to the arbitrator on your behalf.

Why Go Through Arbitration?

There are several reasons why you might consider going through arbitration:

It’s Binding

Unlike mediation (another type of dispute resolution), the decision of an arbitrator is binding. This means if the arbitrator rules in your favor, the insurance company will be required to pay the claim.

It’s Fast

Arbitration is typically faster than going to court, which means you can get the money you are owed for the services you provided in a shorter time than waiting on court schedules.

What You Need to Know About Arbitration in New York

If you are considering arbitration, there are a few things you should know:

  • You should have an attorney. Unlike mediation, which is typically an informal process, arbitration is a formal legal proceeding. This means you should have an attorney represent you in order to ensure your rights are protected.
  • The arbitrator’s decision is binding. As mentioned above, the decision of the arbitrator is binding, which means if they rule in your favor, the insurance company will be required to pay the claim.
  • The arbitration process can be complex. Because arbitration is a legal proceeding, it can be complex and confusing. This is why it is so important to have an experienced attorney on your side who can guide you through the process and make sure your rights are protected.

Contact The Sigalov Firm Today To Discuss Your Options For No-Fault Arbitration

If you have provided care to a car accident victim and your No-Fault claim to the insurer has been denied, you have the right to file for arbitration. The Sigalov Firm PLLC can help you navigate the complicated arbitration process and fight for the compensation you deserve. Contact us today to schedule a consultation.