Our Process

Occasionally, disputes over medical bills, replacement services and/or wage loss benefits arise between you and your insurance company after your automobile accident. New York No-Fault Arbitration is designed to provide you and your insurance company with a method of resolving their differences faster and more economically than litigation.

Arbitration is a less formal and much quicker process than litigation. A dispute is given to a neutral arbitrator, and each party is given the opportunity to present its side of the dispute at a scheduled hearing. After the hearing, the arbitrator determines how the matter is to be resolved.



After the lower No-Fault Award

Within 21 days of the mailing of the lower No-Fault award, appeal by a party is made to the Master Arbitrator.

Initiation

Case is entered into the AAA system, assigned to a Master Arbitrator and an initiation letter (brief schedule) is mailed.

Appellant’s Brief

Appellant has 30 days from initiation letter to submit brief to Master Arbitrator and opposing counsel.

Respondent’s Brief

Respondent has 15 days from the date that the Appellant’s Brief was submitted.

Master Arbitration Review and Decision

Master Award is due 45 days after Respondent Brief is due.


The arbitration process begins, or is initiated, when we file a Petition for Arbitration with the American Arbitration Association. We can do that either once your benefits have been denied by the insurance company, or if the insurance company fails to pay benefits within thirty days after a claim has been presented to them. The administrative filing fee to do this is $40.00 which we pay to the AAA at the time the Petition is filed.

You are considered the Claimant in this process. The AAA will send a letter to the insurance company, informing the claims representative that an arbitration has been initiated by Claimant. The insurance company is billed for the appropriate administrative fee ($130). The AAA then sends a list of four randomly selected qualified arbitrators to the parties. Each party may cross off one of the arbitrators and put the remaining three in order of preference. The AAA will invite the most acceptable arbitrator to serve on the case. The arbitrator is bound by the Code of Ethics to disclose any relationships which might indicate bias or a conflict of interest in the case. A copy of any disclosure made by the arbitrator is sent to each of the parties. If the arbitrator accepts the appointment, the parties are notified, and calendars circulated. A hearing is scheduled in accordance with the Rules, using the most mutually agreeable date based upon calendars submitted by us as the Claimant’s attorney, the insurance company, and the arbitrator.

An Award is the arbitrator’s legally binding decision made after an arbitration hearing. The arbitrator has the authority to award the total amount claimed, a partial amount, or deny the claim based on the evidence presented. The award also includes the amount of the arbitrator’s compensation and the party responsible for paying this compensation, and addresses the matter of how the parties’ filing fees shall be borne.

Prior to filing a case, we review it to determine possible defense points and an overall strategy. Every word in every document is carefully scrutinized to find any failure to comply with the regulations on the insurance company's behalf. We search for possible legal precedents and attach copies to the case for each of our points. Upon receiving the defense package from an insurance company, our defense points are re-evaluated and matched to their weaknesses.

The arbitration date will usually be scheduled within four to six months from the date of filing. This is to give both sides an opportunity to gather information and prepare for the hearing. This process is usually much quicker than filing a lawsuit which in the metro area can take one to two years to come up for trial.

At the time of the hearing we implement our strategy, deliver our points to the arbitrator and dispute the opposing counsel with respect to the validity of the claim and you're right to get paid, allowing the arbitrator to make the just decision.

Our law firm concentrates 100% of our resources in medica providers like you in the collection of its No-Fault collections. Our attorneys are well versed in all phases of the administrative process, from inception through judgement. We are fluent in the law, established and respected within the legal community and are among some of the most skillfull, proficient and aggressive companies in the state.

Our fee is determined by several factors such as age of the accounts, total A/R dollars, total claims, payer distribution, and the overall size and scop of the project. Payment of our fee is spread out over the time frame set for the project, so that the revenue needed to pay for the A/R recovery project will come from the revenue that is recovered that is recovered by the project. We expect the revenue needed to pay for A/R cleanup come from the money that would probably be lost because the claims were sitting in A/R balance with no one working with them. We handle No-Fault and none No-Fault cases.