Table of Contents
Key Takeaways
- Peer review denials happen when an insurance company hires a doctor to review records and claim that treatment was not medically necessary.
- These denials are often challenged because they rely on paperwork review alone and may contain gaps, inconsistencies, or unsupported conclusions.
- Providers can fight back by closely analyzing peer review reports, identifying weaknesses, and supporting their position with qualified medical opinions.
- The Odierno Law Firm represents providers in peer review disputes, litigates denied no-fault claims, and works to overturn improper insurance determinations to recover payment owed.
Peer Review Denials
Long Island No Fault Insurance Recovery Lawyer – (631) 973-6221
A majority of our no-fault litigation is based upon peer review and post IME denials. A peer review denial is an opinion by a medical doctor hired by an insurance company that the services in question were not medically necessary and therefore not reimbursable. This doctor does not examine the injured party, but merely reviews medical records. There are numerous flaws involved in the peer review process, and our team of Long Island no-fault insurance recovery attorneys are prepared to help you challenge the denial.
Our team can contest the peer review denials by:
- Analyzing peer report and records
- Identifying deficiencies in the peer report
- Finding ways to discredit the doctor’s assessment
- Consulting reputable doctors to provide a more accurate assessment
The Odierno Law Firm, P.C. has successfully litigated thousands of peer review denial cases. We skillfully examine all details related to a claim and the reports provided by the peer review doctors. Every detail matters to us, and we take the necessary time to identify ways to overturn a denial. Your case is important, and we are prepared to put our 45 years of experience to work for you.
Free Consultations With Our Firm
Our lawyers have recovered millions of dollars for our clients. We have handled no-fault insurance claims involving peer review denials, EUOs, underpaid claims, and more. If you need a trusted legal ally to resolve your denied claim, call The Odierno Law Firm, P.C. We know how to navigate the entire claims process, including appeals and litigation. In fact, our team is always prepared to litigate a case if it means getting a better outcome for you. Fight back against unscrupulous insurance companies today. We are ready to stand up for medical providers who have been victimized by dishonest insurance practices.
Dedicated To You
We are committed to getting you the compensation you deserve for the injuries you have sustained. We are determined to fight for you. We have a no recovery, no fee policy, so you don’t pay unless we win.
The Reaction Point
Every case has its variables, including negligence, evidence, medical complexity, and stakes. The Odierno Law Firm acts as the reagent that brings these elements together and sets the reaction in motion. The result is the outcome we aim for, a favorable verdict or settlement for our clients.
We Have Recovered Over 300 Million Dollars For Our Clients
Legally Reviewed By
Scott F. Odierno
Attorney/Partner
Long Island accident lawyer Scott F. Odierno was born in Bronx, New York, in 1967, and moved to Long Island in 1973. He obtained a Bachelor of Arts in Medieval and Renaissance History from Brown University in 1989. At Brown, Scott was captain of the Baseball team and a First Team All-Ivy catcher. Scott joined The Odierno Law Firm, P.C. upon graduating from New York Law School in 1992. His practice is concentrated in two fields: Personal Injury and No-Fault litigation. He is admitted to practice in Federal Court in both the Eastern and Southern Districts of New York in addition to all New York State Courts.
