The Board's OnBoard platform now handles prior-authorization requests (PARs) end to end, topping two million submissions, with a recent enhancement for durable medical equipment. Missing or mismatched PARs remain the top preventable comp denial — scrub every bill against its PAR before release.

No-fault discipline lives in the calendar: bills must reach the carrier within 45 days of service, insurers must pay or deny within 30 days, and verification requests must be answered — now under a hard 120-day withdrawal rule. Miss a date and the defense is lost before the merits.

New York's new district-attorney anti-fraud units target medical mills and staged claims across comp and no-fault. The defensive playbook is identical for both lines: authorized providers, documented medical necessity, correct fee-schedule pricing, and airtight verification.

The New York State Insurance Fund lowered its standard disability-benefits premium 28% for 2026 — from $24.75 to $17.68 per employee per year, with a $60 minimum still applying. Comp loss costs are reset annually by NYCIRB, effective around Oct. 1.

Allstate filed two federal RICO suits naming 10 DME companies and 9 individuals, then four more on June 30 against equipment suppliers; GEICO sued 11 DME firms over an alleged $10M no-fault scheme. Insurers say the mills inflate every driver's premium.

The Department of Financial Services approved multiple statewide auto-premium increases in 2026, driven largely by rising medical costs feeding mandatory no-fault (PIP) claims — and by more frequent severe-weather losses downstate.

A NY Supreme Court Justice barred every member of an alleged ring from Integon payouts — eight staged 2023 crashes, 100+ providers named, all routed through two clinics and a single attorney.

DFS charged two men with deliberately staging NYC highway crashes — one allegedly luring participants with cash payouts, the other driving — then billing no-fault for phantom injuries.

Carriers logged 43,811 suspected auto-fraud reports in 2025 — up 80% since 2020 — fueling Hochul's push to criminalize staged accidents and penalize complicit providers.

State Farm's $30M suit accuses a NY practice of inflated ultrasonic-guidance units and full-rate billing for unsupervised mid-levels — then a 5,200-arbitration litigation blitz when claims were cut.

Federal prosecutors charged the alleged ringleader of a no-fault network that used corrupt doctors, lawyers and financing firms to submit fraudulent insurance claims.

The Second Circuit revived GEICO's no-fault kickback case, keeping alive a fight over illegal referral and hidden-ownership arrangements that decides whether bills are payable at all.