Coordinated No-Fault Benefits: No More Payment Delays For Medical Providers

Michigan Court of Appeals decision makes it faster and easier for medical providers to claim PIP benefits under a coordinated no-fault policy. In St. John Macomb Oakland Hospital v State Farm Mutual Automobile Ins Co (Docket No. 329056, issued 12/8/2016), the Court of Appeals held that medical providers are not required to appeal a health insurer’s denial of benefits before seeking payment of no-fault personal protection insurance (PIP) benefits for the services they've rendered. The St. John decision clarifies last year's ruling in Farm Bureau Ins Co v Blue Cross Blue Shield, 314 Mich App 12 (2015), where the Court said that,...

14 December

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What Is “Reasonable Proof” Under The Michigan No-Fault Act?

Posted by lmurphy

in Auto No-Fault

Since being enacted more than 40 years ago, the Michigan No-Fault Act has been rather difficult to understand and apply. But despite the Act's overall complexities, there are some no-fault concepts that have retained their elegant simplicity -- and one of these is “reasonable proof." Under the Michigan No-Fault Act, an insurance company is required to pay personal protection insurance (PIP) claims within 30 days of receiving “reasonable proof of the fact and of the amount of loss sustained.” If an insurer fails to do this, it is liable for 12% annual penalty interest. Liability for penalty interest is strict and requires...

08 December

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Where Are The Most Dangerous Roads In Michigan?

Posted by lmurphy

in Motor Vehicle Crashes

I-496 Near US-127 Trowbridge Road exit Lansing, Michigan

Michigan roadways present many challenges for motorists, especially during the busy summer travel season and the treacherous winter months. Do you know which roads are considered some of the most dangerous in Michigan? In an effort to educate the public about the most dangerous roads in Michigan, Sinas Dramis has launched a campaign called "Understanding Dangerous Roads." Throughout the campaign, our attorneys will identify the most dangerous roads in Michigan by collecting and analyzing car crash statistics and other data. Videos are also created that highlight the particular roadways, with a thorough explanation of the unique risks associated with each highway. The "Understanding...

Coordinated No-Fault Benefits: No More Payment Delays For Medical Providers

What Is “Reasonable Proof” Under The Michigan No-Fault Act?

Where Are The Most Dangerous Roads In Michigan?

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