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 Results for ("N.J.S.A. 39:6a-5.1")   16 to 30 of 51 results. Run time: 0.771 seconds | Search time: 0.764 seconds    
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16 PETER A. LIQUARI, III v. JENNIFER COMBS -- rank: 772
... of either arbitration or review by a medical review organization. N.J.S.A. 39:6A-5.1, -5.2. An insured who prevails in such a proceeding ... PIP benefits to the alternative dispute resolution procedures provided by N.J.S.A. 39:6A-5.1. The evident purpose of this provision is to establish an ... of the statutorily mandated alternative dispute resolution procedure provided by N.J.S.A. 39:6A-5.1. [Endo Surgi Ctr., 391 N.J. Super. at 594-95 ...
docket: a3924-15
court: NJ Superior Court Appellate Division
decided: 2018-02-02
status: unpublished
citation:
Document Size: 64996
17 COMPREHENSIVE PAIN SOLUTIONS OF NEW JERSEY PC v. OMNI INSURANCE COMPANY c/o GOOD 2 GO AUTO INSURANCE -- rank: 758
... a no-fault PIP arbitration proceeding against Omni pursuant to N.J.S.A. 39:6A- 5.1. N.J.S.A. 39:6A-5.1 grants parties the authority to elect arbitration to remedy '[a ... medical expense benefits or other benefits provided under [PIP] coverage.' N.J.S.A. 39:6A-5.1(a). If a party elects the arbitration process, the PIP ... that '[a]ll decisions of the [arbitrator] shall be binding.' N.J.S.A. 39:6A-5.1(c). Plaintiff submitted the dispute to Forthright, an entity that ...
docket: a0862-22
court: NJ Superior Court Appellate Division
decided: 2024-03-07
status: Unpublished
citation:
Document Size: 27139
18 PALISADES INSURANCE COMPANY , v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY -- rank: 739
... 2830-19 10 the implementing regulations contemplate that arbitration under N.J.S.A. 39:6A-5.1 will include health insurers'). Consequently, the No-Fault statutes do ...
docket: a2830-19
court: NJ Superior Court Appellate Division
decided: 2021-07-27
status: Published
citation:
Document Size: 29518
19 NATIONWIDE MUTUAL FIRE INSURANCE COMPANY v. NICHOLAS FIOURIS, et al. -- rank: 712
... issue of such fraud to PIP arbitration. We conclude that N.J.S.A. 39:6A-5.1, which provides for arbitration of disputes regarding PIP benefits, does ... 1996). The statute requiring the arbitration of PIP claims is N.J.S.A. 39:6A-5.1(a), which provides: Any dispute regarding the recovery of medical ... the [provisions of] the insurance contract" relating to PIP benefits, N.J.S.A. 39:6A-5.1 only comes into play when there is a dispute regarding ... Thus, Sabato and Molino are consistent with our conclusion that N.J.S.A. 39:6A-5.1 only requires arbitration of disputes regarding entitlement to or the ... issue of the validity of the policy. Our conclusion that N.J.S.A. 39:6A-5.1 does not mandate submission of an issue of fraud in ... A. 39:6A-5c, which was replaced in 1998 by N.J.S.A. 39:6A-5.1. L. 1998, c. 21, §§ 23, 24. The ...
docket: a5458-05
court: njappellate
decided: 2007-07-27
status: published
citation: 395 N.J. Super. 156
Document Size: 36716
20 LIBERTY MUTUAL INSURANCE COMPANY v. BRUNSWICK SURGICAL CENTER, PC -- rank: 709
... on its insureds and their assignees. As permitted by statute, N.J.S.A. 39:6A-5.1, Liberty Mutual elected to submit PIP coverage disputes to a ...
docket: a4083-06
court: njappellate
decided: 2008-07-18
status: unpublished
citation: *CITE_PENDING*
Document Size: 55590
21 PEN MRI and IMAGING OF ROCHELLE PARK v. MERCURY INSURANCE GROUP -- rank: 701
... of the policy in accordance with PMI , the DRP held: N.J.S.A. 39:6A-5.1 specifically references the PIP statute, which states that only those ... PIP disputes arising under the PIP statute may be arbitrated. N.J.S.A. 39:6A-5.1 and N.J.A.C. 11:3-5.2 define ... of the statutorily mandated alternative dispute resolution procedure provided by N.J.S.A. 39:6A-5.1." Id. at 595-96. We therefore reverse the judge's ...
docket: a5760-09
court: NJ Superior Court Appellate Division
decided: 2011-07-14
status: published
citation: 421 N.J. Super. 160 22 A.3d 1007
Document Size: 26300
22 Christina DiProspero v. Barbara J. Penn, et al. -- rank: 687
... new dispute resolution procedure concerning personal injury protection (PIP) benefits, N.J.S.A. 39:6A-5.1, and a new “basic automobile insurance policy” that limited medical ...
docket: a-66-03
court: New Jersey Supreme Court
decided: 2004-11-29
status:
citation:
Document Size: 73117
23 JACOB BOYD v. PLYMOUTH ROCK ASSURANCE CORPORATION -- rank: 684
... initiative of any party to the dispute, as hereinafter provided. [ N.J.S.A. 39:6A-5.1(a); see also N.J.A.C. 11:3-5 ... resolution on the initiative of any party to the dispute." N.J.S.A. 39:6A-5.1(a) (emphasis added). We interpreted that section in a seminal ... that historical backdrop, we concluded that the word "may" in N.J.S.A. 39:6A-5.1(a) was intended to give either party an absolute right ... to the trial court's interpretation, the word "may" in N.J.S.A. 39:6A-5.1(a) does not imply that either party can require litigation ...
docket: a1379-12
court: NJ Superior Court Appellate Division
decided: 2013-05-28
status: unpublished
citation:
Document Size: 26830
24 CITIZENS UNITED RECIPROCAL EXCHANGE v. NORTHERN NJ ORTHO SPECIALISTS -- rank: 676
... ourt failed to properly apply the standards as established by N.J.S.A. 39:6A-5.1 when considering the rebuttable presumption and the submission of additional ... and amount of PIP coverage is determined in 'dispute resolution.' N.J.S.A. 39:6A- 5.1(a); see Citizens United Reciprocal Exch., supra, 445 N.J ... fair and independent review process, including the use of MROs. N.J.S.A. 39:6A-5.1(d). Specifically, N.J.S.A. 39:6A- 5.1(d) states '[t]he determination of the medical review organization ...
docket: a1669-15
court: NJ Superior Court Appellate Division
decided: 2017-06-01
status: unpublished
citation:
Document Size: 20581
25 STATE FARM GUARANTY INSURANCE COMPANY v. HEREFORD INSURANCE COMPANY -- rank: 663
... with respect to the conduct of the dispute resolution proceedings.' N.J.S.A. 39:6A- 5.1(b). In exercising that authority, the Commissioner enacted regulations applicable ...
docket: a3749-16
court: NJ Superior Court Appellate Division
decided: 2018-03-14
status: published
citation: 454 N.J.Super. 1 183 A.3d 946
Document Size: 41265
26 SELECTIVE INSURANCE COMPANY OF AMERICA v. ARTHUR C. ROTHMAN -- rank: 652
... test. The matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The Dispute Resolution Professional (DRP) issued a report dated November ... claim, the matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The decision of the DRP is "binding upon the parties ...
docket: a5289-08
court: NJ Superior Court Appellate Division
decided: 2010-07-13
status: published
citation:
Document Size: 39717
27 SELECTIVE INSURANCE COMPANY OF AMERICA v. ARTHUR C. ROTHMAN, M.D., Ph.D, P.A. -- rank: 652
... test. The matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The Dispute Resolution Professional (DRP) issued a report dated November ... claim, the matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The decision of the DRP is "binding upon the parties ...
docket: a5290-08
court: NJ Superior Court Appellate Division
decided: 2010-07-13
status: published
citation:
Document Size: 39730
28 SELECTIVE INSURANCE COMPANY OF AMERICA v. ARTHUR C. ROTHMAN, M.D., Ph.D, P.A. -- rank: 641
... test. The matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The Dispute Resolution Professional (DRP) issued a report dated November ... claim, the matter was submitted to dispute resolution pursuant to N.J.S.A. 39:6A-5.1. The decision of the DRP is "binding upon the parties ...
docket: a5288-08
court: New Jersey Superior Court Appellate Division
decided: 2010-07-13
status: Published
citation: 414 N.J.Super. 331 998 A.2d 523
Document Size: 38974
29 AMBULATORY SURGICAL CENTER OF SOMERSET v. ALLSTATE FIRE CASUALTY INSURANCE COMPANY -- rank: 638
... proceedings in the class action lawsuit pending arbitration pursuant to N.J.S.A. 39:6A-5.1 of plaintiffs' challenge to defendant's denial of their reimbursement request.3 3 N.J.S.A. 39:6A-5.1 provides for the arbitration of disputes 'regarding the recovery of ... medical expense benefits or other benefits provided under [PIP] coverage.' N.J.S.A. 39:6A-5.1(a). A-1998-19T3 4 Plaintiffs filed a demand for ...
docket: a1998-19
court: NJ Superior Court Appellate Division
decided: 2020-11-12
status: Unpublished
citation:
Document Size: 26500
30 VINCENT GRIECO v. TRAVELERS OF NEW JERSEY INSURANCE COMPANY -- rank: 630
... which was presented to a DRP pursuant to APDRA. See N.J.S.A . 39:6A-5.1; N.J.A.C. 11:3-5.6. Before the ... by a physician from a medical review organization (MRO), see N.J.S.A. 39:6A-5.1(d), who compared an MRI study of the lumbar spine ... that the MRO's physician's determination was correct, see N.J.S.A. 39:6A-5.1(d). Because of these two failures in his proofs, the ... opinion unless rebutted by a preponderance of the evidence, see N.J.S.A. 39:6A-5.1(d), because such decision is "akin to [an] arbitrator []," and ...
docket: a6157-12
court: NJ Superior Court Appellate Division
decided: 2015-02-26
status: unpublished
citation:
Document Size: 24006
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