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Important Info
Our No-Fault Brochure

Learn more about Michigan's No-Fault Law. Authored by George T. Sinas, Timothy J. Donovan and Stephen H. Sinas.
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The Auto Network No-Fault Blog

A blog designed to allow those who have been injured in motor vehicle accidents an opportunity to discuss their experience with the Michigan No-Fault System.
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Health Care Providers

Detroit, Michigan No-Fault Insurance Attorneys – Victims' and Health Care Providers' Rights

In the last several years, a new trend has developed in the way Michigan No-Fault auto insurance companies process claims for No-Fault benefits in cases involving serious auto accident injuries.  With increasing frequency, insurance companies are hiring case managers to become directly involved in the day-to-day medical care of patients.  However, Michigan No-Fault law is not a managed care system, and victims and health care providers alike have very clear rights with regard to case management.  At Sinas, Dramis, Brake, Boughton & McIntyre, P.C., serving clients throughout the State of Michigan, including Detroit, our team of No-Fault insurance attorneys knows the law and will fight to protect the crucial relationship between patient and care provider.

Case Managers and Michigan's No-Fault Act

Under Michigan No-Fault insurance law, case managers are not gatekeepers through whom benefits are pre-authorized.  In truth, victims have all of the power; neither insurance companies nor case managers have the legal authority to dictate to patients which health care providers they are authorized to visit.  In reality, claimants are not, by law, obligated to deal with case managers at all.  Nonetheless, more and more insurance companies are making the use of case managers a pre-condition for the payment of benefits.

 

Insurance adjusters or case managers who state that they have the authority to require pre-authorization in order for treatment to be compensable under the No-Fault statute are engaging in conduct that is as unethical as it is illegal.  Serving individuals in Detroit and throughout the  State of Michigan, our No-Fault insurance attorneys provide aggressive representation for auto accident victims and their families.  We will stand up to those insurance companies that continue to take unlawful advantage of claimants, and we will help victims obtain the benefits owed to them by Michigan law.

Health Care Providers and Michigan's No-Fault Act

Auto accident victims have the legal right to choose their health care providers.  Those providers, in turn, have the right to bill their patients' insurance companies for services rendered with the expectation that those services will then be reimbursed.  When insurers fail to compensate health care providers for their services, they have the right to take legal action to recover the costs of their patient care.

 

Click here to learn more about Claims By Medical Providers

Click here to learn more about Medical Providers and the No-Fault Law

 

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Contact Our Team of Michigan No-Fault Insurance Attorney Experts

Though Michigan's No-Fault insurance law is complex, it is very clear on the roles of insurance adjusters or case managers, claimants, and health care providers in the benefits process.  If you or a loved one has been injured in a serious auto accident, contact Sinas, Dramis, Brake, Boughton & McIntyre, P.C., representing clients throughout Michigan on these types of cases, including Detroit, Ann Arbor, Flint, Lansing, Jackson, Grand Rapids, and Kalamazoo, to consult with our experienced attorneys who handle No-Fault insurance cases. Don't jeopardize your compensation.  Our lawyers will protect your rights and ensure you receive the benefits you are entitled to by law.