The Michigan no-fault act contains many important deadlines. If any of these deadlines are missed, a medical provider may be unable to collect payment for the services provided to a patient eligible for no-fault benefits. First, written notice of the injury must be provided to the responsible no-fault insurer within 1 year of the date […]
On August 25, 2022, the Michigan Court of Appeals issued its decision in Ellen M. Andary et al v. USAA Casualty Insurance Company et al., a case with significant implications for medical providers seeking payment of legacy no-fault claims. The bottom line of the Court’s ruling: the No-Fault Fee Schedule rules that went into effect […]
As discussed in our last alert, the Michigan Supreme Court reinforced the principle that no-fault insurers cannot deny payment of a claim based on priority. However, the importance of a claimant’s initial investigation to locate the proper insurer cannot be overemphasized. Although a claimant’s initial investigation need not be perfect, failing to exercise due diligence […]
The no fault act contains rules of insurance priority for persons who are injured in motor vehicle accidents. And for any given accident there may be several no fault insurers who are in the order of priority to pay the injured person’s no fault benefits. But it is not always clear which insurer is highest […]
The 2019 amendments to Michigan’s no-fault law resulted in many changes. One of the most important impacts how much a no-fault insurer must pay to a medical provider for treatment provided to an injured person following a motor vehicle accident. Under the new no-fault law, a medical provider’s no-fault payment for a particular service is […]
On June 10, 2022, the Michigan Supreme Court issued a unanimous decision in Mecosta County Medical Center v. Metropolitan Group Insurance Company, a case handled by Miller Johnson’s Med Recovery Group with significant implications for medical providers seeking payment of no-fault claims. The essence of the Court’s decision: although providers now enjoy the independent and […]
One of the major changes that occurred in the recent amendment of the no-fault act gave consumers the option to choose the level of coverage for their no-fault benefits. These coverage levels include: $50,000.00 for drivers with Medicaid $250,000.00 $500,000.00 Unlimited Consumers with Medicare can opt-out of no-fault medical benefits When encountering an injured person […]
For Michigan no fault policies sold or renewed after July 1, 2020 consumers may select a PIP medical benefit coverage level that works best for their situation. Generally, the options are $50,000, if the person is enrolled in Medicaid, $250,000.00, $500,000.00 or traditional unlimited. But purchasing a capped medical no fault policy is an important […]
On June 11, 2019, the Michigan Legislature made sweeping changes to the no-fault act. One of those changes is the order of payment priority for patients injured in motor vehicle accidents as motor vehicle occupants or pedestrians. Under the old law, no-fault insurers would pay medical providers in the following order of priority: the injured […]
The Michigan Court of Appeals issued an opinion on March 24, 2022 that serves as a reminder and a warning to medical providers awaiting payment on no-fault claims: 1 year means 1 year. The case, Archangel Physical Therapy, LLC v State Farm, involved a dispute over no-fault benefits owing to a medical provider. Archangel had […]
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