No Fault Insurance:  Medical Provider Reimbursement

When a large-scale medical provider was faced with millions of dollars in denied insurance claims, Quadrino Schwartz was hired to fight back.  Abuses by the automobile insurance company were prevalent, and they were denying many small no-fault insurance claims with apparent impunity.

Instead of bring hundreds of little suits, Quadrino Schwartz aggregated millions of dollars of claims and brought them in a single case, in federal court.  When the insurance company tried to assert a counterclaim for a refund as a leverage maneuver, Quadrino Schwartz fought back.  The firm obtained a groundbreaking ruling preventing insurance companies from trying to get refunds, either by initiating suits or interposing counterclaims, based upon allegations of improper "corporate structure" of the medical providers. The insurer's arguments were made in an attempt to invalidate proper medical practices and proper billing practices.

The decision obtained by Quadrino Schwartz has been cited frequently in the no-fault insurance litigation arena and had an impact upon industry tactics.