Unpaid no-fault medical bills can create a difficult administrative burden for healthcare providers. Ratsenberg & Associates, P.C. represents providers seeking reimbursement of New York no-fault benefits from our Brooklyn office.
This service is for provider collection matters. If you were injured in a collision and need advice about your own claim, visit our car accident page.
Start with the unpaid bill and claim history
A useful review begins with the services billed, the insurer’s response and the timeline of submissions. A missing payment, a request for further verification and a written denial can raise different issues. Keep the original correspondence and submission records together.
Do not assume that every unpaid bill has the same explanation or can be handled in the same way. The documents, coverage issues and procedural history need to be reviewed before deciding how to pursue payment.
Documents to organize for a provider review
- Provider identification and the relevant insurer and claim number.
- Bills and supporting records for the services at issue.
- Assignment documents, where applicable.
- Proof of submission and the dates documents were sent or received.
- Verification requests and responses.
- Denial notices, explanations of benefits and payment records.
- Information about any existing arbitration, lawsuit or prior representation concerning the bills.
Use the initial contact form to describe the issue generally. Ask us how to provide sensitive patient records securely rather than placing medical details in a public-facing message.
Understanding the available process
New York no-fault disputes can involve arbitration or litigation, depending on the circumstances and applicable requirements. The appropriate route should be assessed against the actual file. A collection review should address what was submitted, the stated reason for nonpayment and any timing issues.
The Department of Financial Services’ no-fault FAQs provide background on the system. General guidance does not resolve an individual provider’s reimbursement dispute.
Provider collection questions
Can you review both unpaid and denied bills?
Contact us with a general description of the reimbursement issue and the documents available. We can discuss whether the matter falls within our representation and what information is needed for review.
Should we wait until every document has been assembled?
You can contact us while organizing the file. Identify missing documents and any approaching deadlines rather than delaying the initial discussion.
Are the fee terms the same as an injury claim?
Do not assume that they are. Ask for the scope of the provider engagement and its fee terms before proceeding.
Our resources page includes links to official no-fault forms. Confirm the appropriate form and requirements for the particular matter.
Speak with our Brooklyn law firm
Ratsenberg & Associates, P.C. is located at 2579 East 17th Street, Suite 51, Brooklyn, NY 11235. We speak English, Russian and Georgian. Call 718-676-5757 or request a free consultation. You can also meet our attorneys before getting in touch.