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.
Phil Souza
Phil Souza is executive vice president of sales and marketing for Chiroflow Inc., a Toronto-based corporation. He can be reached with questions and comments at phil.s@mediflow.com.