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Evan H. Krinick

The Appellate Term, First Department, and the Appellate Term, Second Department, are divided on an issue of law that carries tremendous implications for the automobile insurance industry as well as for policyholders injured in auto accidents and health care providers who treat them. The issue in the cases that has led to the conflict arises under the state’s no-fault insurance law and involves the amount that an insurance company can be required to pay after it disputes a health care provider’s claim for no-fault benefits so that it can investigate the claim for potential fraud or for other reasons.

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