Opinion
No. 2012–920 K C.
12-17-2014
CITY CHIROPRACTIC, P.C. as Assignee of Kamesha Campbell, Respondent, v. EVEREADY INS. CO., Appellant.
Opinion
Appeal from an order of the Civil Court of the City of New York, Kings County (Carol Ruth Feinman, J.), entered December 16, 2011, deemed from a judgment of the same court entered February 17, 2012 (see CPLR 5501[c] ). The judgment, entered pursuant to the December 16, 2011 order granting plaintiff's motion for summary judgment and denying defendant's cross motion for summary judgment dismissing the complaint, awarded plaintiff the principal sum of $3,087.90.
ORDERED that the judgment is reversed, with $30 costs, the order entered December 16, 2011 is vacated, plaintiff's motion for summary judgment is denied and defendant's cross motion for summary judgment dismissing the complaint is granted.
In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from an order of the Civil Court which granted plaintiff's motion for summary judgment and denied defendant's cross motion for summary judgment dismissing the complaint. A judgment was subsequently entered, from which the appeal is deemed to have been taken (see CPLR 5501[c] ).
The affidavit of defendant's no-fault claims examiner established that defendant had timely mailed its verification request and follow-up verification requests (see St. Vincent's Hosp. of Richmond v. Government Empls. Ins. Co., 50 AD3d 1123 [2008] ; Delta Diagnostic Radiology, P.C. v. Chubb Group of Ins., 17 Misc.3d 16 [App Term, 2d & 11th Jud Dists 2007] ). Defendant demonstrated that it had not received all of the verification requested, and, in opposition to defendant's cross motion, plaintiff did not show that such verification had been provided to defendant prior to the commencement of this action. Consequently, the 30–day period within which defendant was required to pay or deny the claims at issue did not begin to run (see 11 NYCRR 65–3.8 [a]; Central Suffolk Hosp. v. New York Cent. Mut. Fire Ins. Co., 24 AD3d 492 [2005] ; Hospital for Joint Diseases v. State Farm Mut. Auto. Ins. Co., 8 AD3d 533 [2004] ; D & R Med. Supply v. American Tr. Ins. Co., 32 Misc.3d 144 [A], 2011 N.Y. Slip Op 51727[U] [App Term, 2d, 11th & 13th Jud Dists 2011] ), and, thus, plaintiff's action is premature.
Accordingly, the judgment is reversed, the order entered December 16, 2011 is vacated, plaintiff's motion for summary judgment is denied and defendant's cross motion for summary judgment dismissing the complaint is granted.
PESCE, P.J., ALIOTTA and SOLOMON, JJ., concur.