Securing Payment of Unpaid No-Fault Benefits

Oftentimes, a no-fault insurance company fails to pay benefits within the 30 day time period prescribed by law. In some instances, it is simply oversight or inefficiency. However, on too many occasions, insurance carriers wrongfully withhold payment, despite the fact that their insured paid pricey premiums for no-fault benefits. The two other prominent excuses include (1) an examination by the insurance doctor determined that further care would not be reasonable, related or necessary, and (2) reductions of charges after submission of bills to “medical review” companies who determine that the charges are not reasonable or necessary. In all three events – oversight/inefficiency; compulsory medical examination cut-offs; and the reduction due to medical reviews; it may be necessary to file a lawsuit to secure lawfully due no-fault benefits. When the medical provider and/or patient prevail in the no-fault lawsuit, they are entitled to recover attorney fees, interest and costs from the insurance company.