New York Governor Andrew Cuomo’s administration is stepping up efforts to end no-fault auto insurance fraud. The regulatory reforms are intended to prevent medical providers from being paid for health care not actually provided and close loop holes used by fraudsters to prevent or delay claims decisions, both of which increase costs to consumers.
The reforms also would limit claims to an established fee schedule for a given service; set a 120-day deadline for providing evidence that the treatments they are providing are medically necessary; and close loopholes that allow courts and arbitrators to force insurers to pay fraudulent claims because of minor paperwork errors when processing claims.
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