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What is no-fault acupuncture treatment in New York?



No-fault acupuncture treatment in New York refers to acupuncture services provided to individuals who have been injured in motor vehicle accidents and are covered under New York's no-fault insurance system. This system ensures that individuals receive necessary medical treatments, including acupuncture, regardless of who was at fault in the accident.

Key Points About No-Fault Acupuncture in New York:

  1. Coverage: Acupuncture is covered as long as it is deemed medically necessary for accident-related injuries.

  2. Billing: The acupuncturist submits claims directly to the no-fault insurance carrier of the injured person.

  3. Pre-Approval: While acupuncture does not always require pre-approval, insurers may request documentation of medical necessity.

  4. Fee Schedule: No-fault insurance follows a set fee schedule, and reimbursement rates may be lower than private pay rates.

  5. Filing Deadline: Claims must be submitted within 45 days of treatment to be eligible for reimbursement.

  6. Denials & Appeals: If a claim is denied, acupuncturists or patients can appeal the decision with supporting medical documentation.

No-fault acupuncture treatment in New York provides a way for individuals injured in motor vehicle accidents to receive necessary acupuncture care without worrying about immediate out-of-pocket expenses. As long as the treatment is deemed medically necessary and properly billed within the required timeframe, acupuncturists can receive reimbursement directly from the no-fault insurance provider. While the process involves strict documentation and compliance with fee schedules, it offers a valuable service for accident victims seeking pain relief and recovery through acupuncture.


This information is only educational and should not be construed as medical advice. 

Everything must be balanced, and the suggestions may not apply to you.

A specialist doctor should be consulted for any medical advice or diagnosis.


Acupuncture near me at Forest Hill, New York 

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Dr. Phumlarp Caulo LA,c, MAc. OM, DAHM

Doctor of Acupuncture/Chinese Medicine 

Caulo Care Acupuncture 


 
 
 

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