NY PI attorneys: have you dealt with a difficult no-fault adjuster who refused to pay for your client’s initial PT bills, which caused them to stop treating? How did you handle this?
Did your client have to get a new referral for a different PT?

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Well ideally they are treating at a facility that knows how to deal with no fault billing, which many providers either simply do not know how to do or don’t want to be bothered with it. I have a feeling this particular PT did not submit bills properly and just doesn’t want to deal with it. Find a facility that deals with NF. I’d imagine you have referral relationships with such places already

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If the client signed an assignment of benefits with the provider the provider has to deal with the no fault denials via arb or litigation.

The adjuster can’t “refuse” to pay. The can deny bills and those bills can be challenged by the provider or your client.

Happy to speak off line if you want. Dm me. We do these for pi firms and medical providers throughout NY.

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