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Only (No-Fault) “N-F 5” Form Triggers 30-Day Period to Deny or Pay a Claim

The Second Department, in a full-fledged opinion by Justice Austin, determined that the UB-04 (no-fault form) was not the functional equivalent of the N-F 5 (no-fault form).  Therefore, receipt by the no-fault carrier of the UB-04 form from the heath care provider did not trigger the 30-day period in which a no-fault insurer is required to pay or deny a claim.  Sound Shore Med Ctr v Ne York Cent Mut Fire Ins Co, 2013 NY Slip Op 02390, 2011-04975, Index No 7148/09, 2nd Dept, 4-10-13

 

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