Matter of American Tr. Ins. Co. v Midland Pharm. Yonkers Corp.
A master arbitration award must be affirmatively confirmed when a petition to vacate it is denied under CPLR 7511 (e).
2026 NY Slip Op 06193
For New York no-fault healthcare providers
Tech Driven
New York No-Fault Collections
We represent medical practices, therapy practices, imaging centers, pharmacies and DME suppliers in collecting denied no-fault claims, at arbitration and in court, with our own billing software and data on how arbitrators, insurers and courts decide.
The No-Fault Claim, Step by Step
Every deadline in a New York no-fault claim, from the accident to arbitration and court: what the insurer must do and when, what a missed deadline costs each side, and the regulation and decisions behind each rule.
- The 30-day rule, verification, IMEs and EUOs, no-shows and the department splits
- A calculator that works out the deadlines for your claim's dates
- Every rule linked to 11 NYCRR Part 65 and the leading cases
Who We Represent
Medical practicesPhysicians, orthopedics, pain management, surgery centers
Therapy practicesPhysical therapy, chiropractic, acupuncture
Imaging and diagnosticsMRI, radiology, diagnostic testing
Pharmacies and DME suppliersPharmacies, medical equipment and supply companies
What We Do for Providers
Arbitration of denied claims
We file and argue denied no-fault claims in arbitration, prepared with data on the arbitrator and the insurer.
Court collections
Actions in Civil Court on denied claims, and appeals.
Billing support
Billing and claim submission through our in-house software, with procedures built on analysis of past collection outcomes.
EUO and RICO defense
Representation at Examinations Under Oath requested by insurers, and in civil RICO and fraud litigation.
Know Where Your Claims Stand
Our reporting is built from New York no-fault arbitration awards and typically updated daily.
Provider Report
Choose a provider and see their arbitration results month by month:
- cases won, total cases decided, principal awarded and approximate interest
- awards and win rate per month over the past 36 months
- a breakdown by attorney, for the past month and the past 36 months
- a breakdown by insurance company, with win rates against each
Arbitrator ScorecardEvery arbitrator active in the last 30 days: awards written and the share awarded, denied or dismissed.
Arbitrator / Carrier DataAwards, amounts awarded and outcome rates per arbitrator and insurer, month by month.
Provider / Carrier DataThe same figures per provider and insurer.
Provider / Attorney DataThe same figures per provider and the provider’s attorney.
Which insurers end up in arbitration
Share of New York no-fault arbitration awards by insurer, per month. Denial rates and settlement habits differ between insurers, so this shows business trends rather than auto insurance market share. Daily award volume
Notable Recent Decisions
Recent rulings from the appellate and trial courts on no-fault claims, with whether the provider or the insurer prevailed.
November 2026 in no-fault law
- Res judicata. The First Department held that a default judgment declaring no coverage barred a provider's coverage claims under res judicata, which can apply to default judgments where collateral estoppel generally does not. An arbitration award issued and affirmed before that judgment did not defeat preclusion, since the declaratory judgment action was filed nearly two months before the arbitration claim (Hereford v Orthopaedics, Spine & Sports Med.).
- Continued EUOs. Applying the First Department's burden under Alicea and Delacruz, Civil Court, Bronx County, found the specific objective justification of 11 NYCRR 65-3.5 (e) shown by the initial EUO transcript, where defense counsel said the accident and treatment remained and the assignor's representative agreed to continue, so scheduling letters stating only that a continuance was needed did not matter (360 Wellness PT).
Our summary of the month’s decisions, not the courts’ words.
Matter of American Tr. Ins. Co. v Pfeffer
The provider's attorney fee award was reversed because neither the court nor the record supplied a basis for the amount awarded.
2026 NY Slip Op 06113
Medical Imaging of Bronx, P.C., Inc. v MVAIC
The provider failed to justify the four-month delay between another insurer's denials and submission of its claims to MVAIC. The parties stipulated that MVAIC timely denied the claims under the 45-day rule and limited trial to reasonable justification under 11 NYCRR 65-3.3 (e).
2026 NY Slip Op 26160