Can I Reverse a No-Fault Denial or Re-Open a No-Fault File Which Was Closed?
Yes. Your doctor says you need surgery for an injury sustained in a car accident but you can’t get it because you have been denied medical benefits when your no-fault file was closed. However, there are several ways that your no-fault file can be reopened.
You can file a lawsuit against the no-fault insurance company. However, this is not recommended if you have a personal injury lawsuit because if you lose, the decision can be used against you and could get your personal injury lawsuit dismissed.
Another method is to file an arbitration demand against the no-fault insurance company. However, this is also not recommended if you have a lawsuit for personal injuries. Again, if you lose, the arbitration decision can be used against you and could get your personal injury lawsuit dismissed.
A third method is to get your doctor to file a lawsuit or arbitration demand against the no-fault insurance company. This will not get you into trouble because the doctor is not a party to your lawsuit. Many doctors use a lawyer to whom they routinely submit a no-fault denials.
The fourth and best method is to force the no-fault insurance company to reverse a no-fault file, without resorting to arbitration or a lawsuit So there is no risk to your car accident lawsuit. I have successfully forced several no-fault insurance companies to reverse a no-fault denial. Unfortunately, I can’t disclose here how to do that. However, if you have been denied no-fault benefits after being examined by the insurance company doctor, there is a good chance that we can reopen your no-fault file.