New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
Howard Wolinsky
Howard Wolinsky is the Chicago Sun-Times medical writer who covered the historic Wilk, et al., v the AMA, et al., case and authored two detailed books on the subject: The Serpent and the Staff: The Unhealthy Politics of the American Medical Association (1994); and Contain and Eliminate: The AMA's Conspiracy to Destroy Chiropractic (2021).