NY A06360

Providers treating patients within 72 hours of a motor vehicle accident are automatically presumed to have accepted assignment of no-fault benefits, provided there is no fraud by the claimant

Healthcare providers who mistakenly bill a non-no-fault insurer must return those fees and resubmit claims to the correct no-fault insurer upon receiving proof of applicable coverage

The deadline for submitting invoices to an insurer is calculated from when the invoice was first submitted to any insurer, protecting providers from timing penalties due to billing the wrong insurer

Insurers who pay for emergency treatment of a covered person have the right to seek reimbursement directly from the no-fault insurer, limited to state-promulgated fee schedule amounts

No-fault insurers cannot exclude reimbursement for first-party benefits that were initially paid by another compensation provider