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.
James Metzger, DC, CCSP
Dr. James Metzger graduated from New York Chiropractic College in 1987 and has been in private practice in North Haven, Conn., since 1990.