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Actual Chiropractic, P.C. v. Mercury Cas. Co.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Sep 27, 2016
2016 N.Y. Slip Op. 51435 (N.Y. App. Term 2016)

Opinion

No. 2014–1226 K C.

09-27-2016

ACTUAL CHIROPRACTIC, P.C., as Assignee of Alexander Leitsey, Respondent, v. MERCURY CASUALTY COMPANY, Appellant.


ORDERED that the order is reversed, with $30 costs, defendant's motion for summary judgment dismissing the complaint is granted and plaintiff's cross motion for summary judgment is denied.

In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from an order of the Civil Court which denied defendant's motion for summary judgment dismissing the complaint on the ground that plaintiff's assignor had failed to appear for duly scheduled examinations under oath (EUOs), and granted plaintiff's cross motion for summary judgment.

The proof submitted by defendant established that it had timely mailed both the EUO scheduling letters and the denial of claim forms at issue (see St. Vincent's Hosp. of Richmond v. Government Empls. Ins. Co., 50 AD3d 1123 [2008] ), and that plaintiff's assignor had failed to appear for the duly scheduled EUOs (see Stephen Fogel Psychological, P.C. v. Progressive Cas. Ins. Co., 35 AD3d 720 [2006] ; Ortho Prods. & Equip., Inc. v. Interboro Ins. Co., 41 Misc.3d 143[A], 2013 N.Y. Slip Op 52054[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2013] ). We note that, contrary to the conclusion of the Civil Court, "the failure to set forth the dates of the scheduled examinations in the denial of claim form[s] did not render the denial[s] conclusory, vague, or without merit as a matter of law" (Quality Psychological Servs., P.C. v. Avis Rent–A–Car Sys., LLC, 47 Misc.3d 129[A], 2015 N.Y. Slip Op 50378[U], *1 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015] ).

Accordingly, the order is reversed, defendant's motion for summary judgment dismissing the complaint is granted and plaintiff's cross motion for summary judgment is denied.

PESCE, P.J., ALIOTTA and SOLOMON, JJ., concur.


Summaries of

Actual Chiropractic, P.C. v. Mercury Cas. Co.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Sep 27, 2016
2016 N.Y. Slip Op. 51435 (N.Y. App. Term 2016)
Case details for

Actual Chiropractic, P.C. v. Mercury Cas. Co.

Case Details

Full title:Actual Chiropractic, P.C., as Assignee of ALEXANDER LEITSEY, Respondent…

Court:SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

Date published: Sep 27, 2016

Citations

2016 N.Y. Slip Op. 51435 (N.Y. App. Term 2016)
46 N.Y.S.3d 473

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