Our client, Hartford Insurance Company, properly denied claims in the amount of $228,813 for lost wages and medical services allegedly sustained by the applicant in connection with a motor vehicle accident. The claims were denied based upon a condition precedent to coverage under New York no-fault law (failure of applicant to appear for scheduled Examination Under Oath), and lack of medical necessity as determined by a peer review.
Seeking to recover the amount denied, applicant filed for arbitrations with the American Arbitration Association. Our firm submitted Hartford’s response and the arbitrator subsequently ruled in Hartford’s favor, denying applicant’s claims. To review a copy of the arbitration awards, please select Arbitration Award (00578853) or Arbitration Award (00569546)