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Question regarding no fault claims

New York State- Patient comes to see physician due to motor vehicle accident. The patient signs assignment of benefits form giving us permission to bill insurance carrier for services. The patient is...

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Re: Question regarding no fault claims

If the IME states that no further treatment (related to the auto accident) is necessary, then the health plan should cover the care as regular medical care. In my opinion, the doctor should appeal.

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Re: Question regarding no fault claims

I would appeal the health insurance carrier too.

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Re: Question regarding no fault claims

I have appealed with the New York State Insurance Board and the insurance company but no luck. I have even written letters to the patient's lawyer in order to get them paid. The only thing our doctor...

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