Opinion
No. 2011–252 Q C.
2013-11-26
ALEV MEDICAL SUPPLY, INC. as Assignee of Jarea T. Cook, Respondent, v. PRAETORIAN INSURANCE COMPANY, Appellant.
In support of its motion, defendant submitted a sworn peer review report which set forth a factual basis and medical rationale for the reviewer's determination that there was no medical necessity for the medical supplies at issue. In opposition, plaintiff submitted an affirmation by a doctor which failed to meaningfully refer to, let alone rebut, the conclusions set forth in the peer review report ( see Pan Chiropractic, P.C. v. Mercury Ins. Co., 24 Misc.3d 136[A], 2009 N.Y. Slip Op 51495[U] [App Term, 2d, 11th & 13th Jud Dists 2009] ). In view of the foregoing, and as plaintiff has not challenged the Civil Court's finding, in effect, that defendant is otherwise entitled to judgment, the order is reversed and defendant's motion for summary judgment dismissing the complaint is granted ( see A. Khodadadi Radiology, P.C. v. N.Y. Cent. Mut. Fire Ins. Co., 16 Misc.3d 131[A], 2007 N.Y. Slip Op 51342 [U] [App Term, 2d & 11th Jud Dists 2007] ).