No-Fault Collections Attorney In New York

When medical providers administer car accident victim’s under New York’s No-Fault Laws, it is given in good faith that the insurance carriers will reimburse the providers.

However, many times the insurance companies do not pay the providers what is owed in a timely fashion or may not pay at all. New York’s No-Fault Laws were originally designed to ensure the people who were injured in car accidents could get medical treatment coverage without having to go through the additional legwork of proving fault, but insurance companies have used these laws to their advantage by stalling or outright denying claims based on technicalities.

Often,  these medical providers are left with the decision to waste valuable time and money pursuing the insurance companies through endless bureaucratic processes or write the outstanding balances off as a loss. This dilemma puts an unfair burden on hard-working medical providers and is the reason our No-Fault collections attorneys in New York have dedicated themselves to fighting for the providers.

Contact The Sigalov Firm Today For a Free Consultation About Collecting Unpaid Claims

If you are a medical provider who has not been reimbursed for services provided to a car accident victim, you require an experienced No-Fault collections lawyer on your side. At The Sigalov Firm PLLC, we have the experience necessary to take on the insurance companies and collect the money rightfully owed to you.

We understand the No-Fault Laws and how to work within the system to get medical providers the reimbursement they are owed in a timely fashion. Contact us today to schedule a free consultation, so we can assess your case and develop a plan of action moving forward.

Common Reasons Insurers Deny No-Fault Claims From Medical Providers

The following are examples of how an insurance company can deny claims from health care providers by obfuscating the information or omitting essential details from their reviews.

Medical Necessity Denials

The most common reason insurers give for denying claims from medical providers is services  not being medically necessary. In order to avoid paying these claims, insurance companies will often hire medical experts to review the case and determine if the services in question were actually necessary.

In many cases, experts are either not qualified to determine the necessity of the services or will side with the insurance companies  because it is in their best financial interest. If your claim has been denied based on a determination of medical necessity, our attorneys can help you combat the decision and receive the reimbursement you are owed. We often find the peer review doctors rely on logical fallacies, fail to provide sources for claims in their review, or ignore positive findings that do not support the denial.

Our attorneys review the peer review report and, if necessary, hire our own medical experts to provide an objective opinion about the services in question. We have a network of highly qualified medical experts we work with on a regular basis. Our attorneys understand how to use their testimony to effectively fight for our clients.

Independent Medical Exam Denials

Another common tactic insurers use against healthcare providers is working with IME (Independent Medical Exam) doctors who are financially motivated like the peer review doctors to find reasons to deny a claim on behalf of the insurer. In our work with medical providers seeking No-Fault compensation, we often find the IME doctor overlooks obvious medical issues in order to claim that the victim has full range of motion, is not suffering from any disability, and will not need long-term care. These findings are easily contradicted by the victim’s own records.

If you have been denied reimbursement based on an IME report, our attorneys will review the report and work with our network of medical experts to demonstrate the errors and inaccuracies. We know how to effectively use evidence to have wrongfully denied claims paid.

Another common reason insurers use to deny claims is claiming the services were not provided within the timeframe required by New York law. In many cases this is not true, and the insurer is using this as an excuse to avoid paying a claim. Our attorneys will review your records to determine if the services in question were actually rendered within the appropriate window. If services were provided in the appropriate window, we will fight to have your claim paid.

The Benefits Of Working With a No-Fault Collections Attorney New York

There are several benefits to working with a No-Fault collections attorney in New York, but perhaps the most important is you will have an experienced professional on your side who understands how to navigate the No-Fault system and get results.

At The Sigalov Firm PLLC, we have a proven track record of success helping medical providers receive the reimbursement they are owed. We will work tirelessly on your behalf to ensure you receive the money you are owed in a timely fashion.

We understand how frustrating and stressful it is to deal with insurance companies who are delaying or denying claims. We will do everything in our power to ensure your claim is processed quickly and efficiently.

In addition, we handle all paperwork and negotiations with the insurance companies on your behalf, so you are able to focus on what you do best; providing quality care to your patients.

Here To Help Healthcare Providers Take On the Insurance Carriers

If you have been denied reimbursement for No-Fault benefits, or if you are having trouble getting your No-Fault claims paid in a timely fashion, contact us today to schedule a free consultation with one of our experienced New York No-Fault collections attorneys. We will review your case and help you understand your options for moving forward. Working with insurance companies is a frustrating and time-consuming process, but with our help you can receive the reimbursement you are owed.