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.
Trevor Shaw, DC, MS, DACRB, CSCS
Dr. Trevor Shaw is a Florida-licensed DC and strength and conditioning specialist. He also has a master’s degree in exercise science and is an associate professor at Palmer - Florida, running the rehab and sports performance department for the Palmer Clinic.