Is New York a no-fault insurance state?

Yes. New York is a no-fault state, meaning your own auto insurance pays for medical bills and lost wages after a covered accident, regardless of who caused it, up to the policy's PIP limit.

What is AAA no-fault arbitration in New York?

AAA arbitration is the mandatory forum for disputing denied or underpaid New York no-fault claims. A neutral arbitrator reviews the file and issues a binding award, typically faster and cheaper than court.

Who do you work with?

We support NYC law firms, medical providers, billing companies, and individual claimants on no-fault arbitration files, IME and peer review rebuttals, fee-schedule defenses, and Workers' Compensation coordination — in English and French.

Defending a Fee-Schedule Overbilling Allegation

The Problem

Carrier reduced payment to 30% of billed, citing fee-schedule violations and unit inflation.

Recovery Strategy

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Our Approach

Audited each CPT code against the NY Workers' Compensation Fee Schedule
Identified actual schedule-permissible amounts vs. carrier's reductions
Issued a corrected demand with a side-by-side reconciliation

The Result

Carrier accepted a 92% settlement to avoid arbitration. Provider also adopted a new code-validation step at intake.

Key Takeaways

A clean fee-schedule reconciliation often resolves cases pre-hearing
Code validation at intake is the single highest-ROI process change for providers

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Defending a Fee-Schedule Overbilling Allegation

The Problem

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