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Complete Radiology v. Geico Ins. Co.

Appellate Term of the Supreme Court of New York, Second Department
Dec 10, 2010
2010 N.Y. Slip Op. 52158 (N.Y. App. Term 2010)

Opinion

2009-2050 Q C.

Decided December 10, 2010.

Appeal from an order of the Civil Court of the City of New York, Queens County (Rudolph E. Greco, Jr., J.), entered July 24, 2009. The order, insofar as appealed from, denied defendant's cross motion for summary judgment dismissing the complaint.

ORDERED that the order, insofar as appealed from, is reversed, without costs, and defendant's cross motion for summary judgment dismissing the complaint is granted.

PRESENT: PESCE, P.J., GOLIA and STEINHARDT, JJ.


In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for summary judgment and defendant cross-moved for summary judgment dismissing the complaint. The Civil Court found that plaintiff had established its prima facie case, that defendant had demonstrated that it had timely denied plaintiff's claim and that the sole issue for trial was the medical necessity of the services rendered to plaintiff's assignor. Defendant appeals from so much of the order as denied its cross motion for summary judgment dismissing the complaint.

In support of its cross motion, defendant submitted, among other things, an affirmed medical peer review report, which set forth a factual basis and medical rationale for the doctor's determination that there was a lack of medical necessity for the medical services at issue. Defendant's showing that such services were not medically necessary was unrebutted by plaintiff.

In light of the foregoing, and the Civil Court's CPLR 3212 (g) finding that defendant "established that it issued a timely and proper denial," a finding which plaintiff does not dispute, defendant's cross motion for summary judgment dismissing the complaint should have been granted ( see Delta Diagnostic Radiology, 24 Misc 3d 136[A], 2009 NY Slip Op 51502[U] [App Term, 2d, 11th 13th Jud Dists 2009]; Delta Diagnostic Radiology, P.C. v American Tr. Ins. Co. , 18 Misc 3d 128[A], 2007 NY Slip Op 52455[U] [App Term, 2d 11th Jud Dists 2007]; A. Khodadadi Radiology, P.C. v NY Cent. Mut. Fire Ins. Co. , 16 Misc 3d 131[A], 2007 NY Slip Op 51342[U] [App Term, 2d 11th Jud Dists 2007]).

Pesce, P.J., Golia and Steinhardt, JJ., concur.


Summaries of

Complete Radiology v. Geico Ins. Co.

Appellate Term of the Supreme Court of New York, Second Department
Dec 10, 2010
2010 N.Y. Slip Op. 52158 (N.Y. App. Term 2010)
Case details for

Complete Radiology v. Geico Ins. Co.

Case Details

Full title:COMPLETE RADIOLOGY, P.C. as Assignee of JEANENE McGREGOR, Respondent, v…

Court:Appellate Term of the Supreme Court of New York, Second Department

Date published: Dec 10, 2010

Citations

2010 N.Y. Slip Op. 52158 (N.Y. App. Term 2010)