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All Boro Psychological Servs., P.C. v. Progressive Ne. Ins. Co.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Feb 19, 2013
38 Misc. 3d 142 (N.Y. App. Div. 2013)

Opinion

No. 2011–585 K C.

2013-02-19

ALL BORO PSYCHOLOGICAL SERVICES, P.C. as Assignee of Shirell Knight, Appellant, v. PROGRESSIVE NORTHEASTERN INSURANCE CO., Respondent.


Present: PESCE, P.J., RIOS and SOLOMON, JJ.

Appeal from an order of the Civil Court of the City of New York, Kings County (Margaret A. Pui Yee Chan, J.), entered December 16, 2010, deemed from a judgment of the same court entered February 22, 2011 (see CPLR 5501[c] ). The judgment, entered pursuant to the December 16, 2010 order granting defendant's motion for summary judgment, dismissed the complaint.

ORDERED that the judgment is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from an order of the Civil Court which granted defendant's motion for summary judgment dismissing the complaint on the ground that the services rendered lacked medical necessity. A judgment was subsequently entered, from which the appeal is deemed to have been taken ( seeCPLR 5501[c] ).

On appeal, plaintiff argues, among other things, that it raised a triable issue of fact as to the medical necessity of the psychological testing at issue by submitting a letter of medical necessity and the prior trial testimony of a Dr. Franklin Porter. However, the letter of medical necessity did not meaningfully refer to, let alone rebut, the conclusions of defendant's psychologist ( 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]; see also Eastern Star Acupuncture, P.C. v. Mercury Ins. Co., 26 Misc.3d 142 [A], 2010 N.Y. Slip Op 50380[U] [App Term, 2d, 11th & 13th Jud Dists 2010] ), and Dr. Porter's testimony has no relevance to the peer review report at issue in this case. While Dr. Porter testified generally, in an unrelated trial, that certain psychological tests have utility, the peer review report relied upon by defendant in this case concluded that they were not medically necessary under the factual circumstances presented by this case. Plaintiff's remaining contentions on appeal are without merit and/or unpreserved for appellate review.

Accordingly, the judgment is affirmed.

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


Summaries of

All Boro Psychological Servs., P.C. v. Progressive Ne. Ins. Co.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Feb 19, 2013
38 Misc. 3d 142 (N.Y. App. Div. 2013)
Case details for

All Boro Psychological Servs., P.C. v. Progressive Ne. Ins. Co.

Case Details

Full title:ALL BORO PSYCHOLOGICAL SERVICES, P.C. as Assignee of Shirell Knight…

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

Date published: Feb 19, 2013

Citations

38 Misc. 3d 142 (N.Y. App. Div. 2013)
2013 N.Y. Slip Op. 50252
967 N.Y.S.2d 865

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