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No-Fault Regulation 68

Selected Opinions of The Office of General Counsel: No-Fault

2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009

For The Year of 2000

Opinion NumberSubjectDate Issued
00-01-02

No-Fault Burden of Proof

01/11/2000
00-05-03No-Fault Payments for Medical Transportation Services05/08/2000

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For The Year of 2001

Opinion NumberSubjectDate Issued
01-02-13

No-Fault benefits; PC billing for services rendered by independent contractor providers

* See also Opinion # 02-02-03, Opinion # 05-03-21 & Opinion # 06-09-13 on this topic

02/21/2001
01-03-10

No-Fault Medical Examinations

03/12/2001
01-05-01

No-Fault Inter-company Loss Transfer

05/02/2001
01-06-03

No-Fault Benefits

06/07/2001
01-06-07

No-Fault Health Service Reimbursement

06/11/2001
01-10-03

Copy Fees for Verification Requests

10/05/2001
01-10-12

Fraud and Misrepresentation Endorsement

10/12/2001
01-10-15

No-Fault Additional Verification

10/18/2001

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For The Year of 2002

Opinion NumberSubjectDate Issued
02-01-04

No-Fault NF-10 Forms

01/03/2002
02-01-34

No-Fault Claims Adjusting and N.Y. Comp. Codes R. & Regs. tit. 11, 420.0-420.24 (2001) (Regulation 169)

01/28/2002
02-02-02

No-Fault Arbitration: Decedent Healthcare Providers

02/04/2002
02-02-03

No-Fault Billings, Independent Contractors

* See also Opinion # 01-02-13, Opinion # 05-03-21 & Opinion # 06-09-13 on this topic

02/05/2002
02-02-11

Minimum automobile insurance requirements

02/12/2002
02-03-10

No-Fault fees; Independent Contractor/Professional Corp

03/11/2002
02-04-19

No-Fault Insurer Medical Examinations

* See also Opinion # 03-02-12 & Opinion # 05-02-21 on this topic

04/12/2002
02-04-26

Health service billings by medical professional corporations

04/24/2002
02-07-22

Prompt Pay

* See also Opinion # 06-06-03 on this topic

07/24/2002
02-09-02

Assignment of No-Fault benefits to a doctor from an eligible injured person

09/04/2002
02-09-24

No-Fault Medical Fees

09/25/2002
02-10-01

Hospital Billing Under No-Fault

10/01/2002
02-10-14

EUO Standards Under No-Fault

10/15/2002
02-10-22

Regulation 68 Effective Dates

10/22/2002
02-12-13

No-Fault Cases and the Health Insurance Portability and Accountability Act of 1996 ("HIPAA")

12/17/2002
02-12-22

Priority of Payments in a No-Fault Claim

12/24/2002
02-12-25

No-Fault Benefits – Pre-Approval of Biofeedback

12/30/2002

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For The Year of 2003

Opinion NumberSubjectDate Issued
03-01-11

"Splitting" a cause of action under No-Fault laws

01/06/2003
03-01-26

No-Fault Assignment of Benefits 11 NYCRR 65 (Regulation 68)

01/13/2003
03-01-35

No-Fault Billing for Ambulette Services 11 NYCRR 65 (Regulation 68)

01/16/2003
03-01-38

No-Fault Additional Personal Injury Protection

01/17/2003
03-02-08

Effect of a defective assignment on the payment of a No-Fault health service claim

02/06/2003
03-02-12

Failure to Attend a No-Fault IME

* See also Opinion # 20-41-21 & Opinion # 05-02-21 on this topic

02/11/2003
03-02-13

Time requirement to submit medical proof of claim to insurer

02/11/2003
03-02-18

Assignments & Authorizations to Pay No-Fault Benefits

02/18/2003
03-02-28

Concurrent Care Involving Physical Therapy

02/25/2003
03-02-31

Attorney’s Fees Reimbursable under No-Fault

02/26/2003
03-03-26

Health Service Billings Under No-Fault

03/07/2003
03-04-02

Right of the United States to recover from a No-Fault insurer the reasonable cost to the United States of health services provided to a member of the Armed Forces at a Army hospital

04/01/2003
03-04-03

No-Fault claim for physical therapy services performed outside of the United States

04/01/2003
03-04-06

Workers’ Compensation and No-Fault Coverage

04/01/2003
03-04-24

No-Fault Insurance; Coordination with Workers’ Compensation

04/17/2003
03-04-35

No-Fault Lien - Out of State Accident

04/30/2003
03-04-36

Insurance Regulation No. 68 No-Fault Benefits

04/30/2003
03-05-03

Nonpayment of Initial Premium

05/05/2003
03-05-07

No-Fault Notice of Accident Requirement

05/07/2003
03-05-24

No-Fault Insurance, Transfer of Health Information from Hospital to Insurer: Privacy Requirements

05/28/2003
03-07-05

No-Fault: Waiving of Interest on Denied or Overdue Claims

07/07/2003
03-07-11

Health Insurance Portability and Accountability Act (HIPAA) Privacy Requirements; No-Fault and Workers’ Compensation

07/08/2003
03-08-04

No-Fault OBEL Coverage and Loss Transfer

08/01/2003
03-08-06

No-Fault Assignments for Durable Medical Equipment

08/01/2003
03-08-07

No-Fault: Reimbursement for Court Filing Costs

08/01/2003
03-09-21

Submission of No-Fault Assignments Via Facsimile Transmission

09/29/2003
03-10-04

No-Fault Attorney Fees for Multiple Provider Bills

10/08/2003
03-10-21

Time Frame for Payment or Denial of Automobile Claims

10/28/2003
03-10-22

No-Fault Billing for Services Provided at Hospitals by Independent Contractors

10/29/2003
03-11-18

No-Fault Lost Wages-Overtime

11/20/2003
03-12-22

Family Deductibles for No-Fault Insurance

12/29/2003

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For The Year of 2004

Opinion NumberSubjectDate Issued
04-01-01

No-Fault Benefits – Reimbursement for Acupuncture Services* see also Opinion # 04-10-03 on this topic

01/05/2004
04-02-12

Written notice to the No-Fault insurer in the event of an accident applicable to the Regulation 68-A mandatory personal injury protection endorsement

02/18/2004
04-02-24

Disclosure of Expert Witness In No-Fault Arbitration

02/24/2004
04-03-08

Submission of No-Fault Claims

03/10/2004
04-03-10

Medical Specialty No-Fault IMEs

03/12/2004
04-03-32

No-Fault Coverage - Out-of-State Vehicle

03/31/2004
04-04-23

No-Fault Lump-Sum Settlements for Medical Settlements

04/26/2004
04-05-14

No-Fault First Party Benefits, Coordination of Medical Care

05/13/2004
04-05-23

Date of Issuance of No-Fault Denial

05/25/2004
04-06-05

Protected Health Information, No-Fault Inter-company Loss Transfer

06/08/2004
04-06-11

No-Fault Fees for Durable Medical Equipment

06/16/2004
04-07-04

No-Fault Loss of Earnings of Per Diem Worker

07/08/2004
04-08-04

No-Fault Claim Documents And Social Security Numbers

08/17/2004
04-08-16

No-Fault, Coordination of Benefits

08/18/2004
04-08-31

Videotaping & Use of Props at No-Fault Examination Under Oath

08/25/2004
04-09-03

No-Fault Denials

09/02/2004
04-10-01

No-Fault Peer Review Organizations

10/04/2004
04-10-02

Attorney’s Fees Reimbursable under No-Fault

10/06/2004
04-10-03

No-Fault Fee Schedule Billings for Licensed Acupuncturists* see also Opinion # 04-04-01 on this topic

10/06/2004
04-12-08

Statute of Limitations/No-Fault Subrogation & Inter-company Loss Transfer Arbitration

12/09/2004

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For The Year of 2005

Opinion NumberSubjectDate Issued
05-01-08

Pharmacy Billing Under No-Fault

01/13/2005
05-01-13

Automobile Insurance Coverage for Loading and Unloading of Persons Being Transported by an Ambulance

01/18/2005
05-02-01

The Provision for Other Expenses under the New York Prescribed No-Fault Endorsement's Basic Economic Loss Section

02/02/2005
05-02-21

No-Fault Benefits Cutoff Date After Negative IME Finding

* see also Opinion # 20-41-21Opinion # 03-02-12 on this topic

02/14/2005
05-03-11

Requirement of Submission of Additional Application (NF-2) for No-Fault Benefits by Insurer

03/15/2005
05-03-21

Payment for Physician Independent Contractors / Leased Employees, No-Fault

* See also Opinion # 02-02-03, Opinion # 05-03-21 & Opinion # 06-09-13 on this topic

03/21/2005
05-03-36

No-Fault Inter-Company Loss Transfer Claims - Statutory Offsets

03/23/2005
05-05-29

Physician Acceptance of No-Fault Fee Schedule

05/28/2005
05-07-02

No-Fault: Preferred Providers Organization (PPO)

07/01/2005
05-09-24

Minimum Requirement for No Fault Transportation Benefits Claim

09/28/2005
05-10-02

No-Fault Coverage for New York Resident Injured Outside New York

10/03/2005
05-10-15

The City of New York’s Exemption from the Motor Vehicle Financial Security Act

10/21/2005

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For The Year of 2006

Opinion NumberSubjectDate Issued
06-02-08

No-Fault Explanation of Benefits

02/09/2006
06-05-07

No-Fault Assignment

05/12/2006
06-06-03

Interest payments on No-Fault claims: General Counsel Opinion 02-07-22

* See also Opinion # 02-07-22 on this topic

06/08/2006
06-07-12

No-Fault Loss Transfer Claims

07/24/2006
06-08-14

No-Fault Request for Additional Verification

08/22/2006
06-09-03

No-Fault Reimbursement for services rendered by Independent Contractor Health Service Providers

* See also Opinion # 01-02-13, Opinion # 02-02-03 & Opinion # 05-03-21 on this topic

09/05/2006
06-10-05

Electronic Record Retenton of No-Fault Insurance Claim Forms

10/25/2006
06-12-16

No-Fault: Examination Under Oath

12/22/2006

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For The Year of 2007

Opinion NumberSubjectDate Issued
07-01-07Short-Rate Cancellation Penalty & No-Fault Subrogation/Surcharge01/26/2007
07-06-09Reconsideration of Office of General Counsel Informal Opinion #02-11-19 Concerning Recovery of Workers’ Compensation Loss Awards under No-Fault Inter-company Loss Transfer06/13/2007
07-10-04Right of Recovery for Used Sick Leave Credits under No-Fault Law10/11/2007
07-11-11No-Fault Documentation and Social Security Numbers11/21/2007

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For The Year of 2008

Opinion NumberSubjectDate Issued
08-01-08HMO as No-Fault Subrogee01/28/2008
08-04-16Provider Billing Patient Directly Where the Patient Executed an Assignment of No-Fault Benefits Form04/08/2008
08-05-17No-Fault Insurance Policy Additional Personal Injury Protections05/15/2008
08-06-01NF-2 Submission Timeframe06/02/2008
08-07-28No-Fault Medical Fees After Exhaustion of Benefits07/30/2008
08-07-29No-Fault Deductible07/30/2008
08-10-10No-Fault Lost Earnings Claim10/27/2008

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For The Year of 2009

Opinion NumberSubjectDate Issued
09-02-06Frequency Rules for No-Fault Durable Medical Equipment Fee Schedule02/20/2009
09-04-02Applicability of Workers' Compensation Board Directive to Durable Medical Equipment Fee Schedule in No-Fault Claims04/06/2009
09-05-01Limit on Charges by Providers of Health Services Under the No-Fault Law05/15/2009
09-05-04No-Fault Lost Wage Claim05/14/2009
09-11-05Limitations on No-Fault Attorney Fees11/30/2009

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Helpful No-Fault Links

Updated 10/03/2011