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Alleviation Med. Servs., P.C. v. N.Y. Cent. Mut. Fire Ins. Co.

Supreme Court, Appellate Term, Second Dept. 2, 11 & 13 Judicial Dist.
Jul 21, 2017
63 N.Y.S.3d 304 (N.Y. App. Term 2017)

Opinion

No. 2014–1308KC.

07-21-2017

ALLEVIATION MEDICAL SERVICES, P.C., as Assignee of Pierre, James, Respondent, v. NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY, Appellant.


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

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.

Contrary to defendant's contention, the Civil Court properly held that defendant had failed to establish the timely and proper mailing of the independent medical examination (IME) scheduling letters. Defendant's moving papers stated that IME scheduling letters are sent to the address the assignor puts on the NF–2 form or to the address which is provided by the assignor's counsel. While defendant further stated that a copy of the NF–10 denial of claim form is sent to the plaintiff's assignor, the address to which the IME scheduling letter was sent was "East 107th St," while the NF–10 form stated that the assignor resided on "East 106th St." A presumption of receipt arises only where there is proof of a proper mailing (see Residential Holding Corp. v. Scottsdale Ins. Co., 286 A.D.2d 679 [2001] ; Infinity Health Prods., Ltd. v. Redland Ins. Co., 39 Misc.3d 140[A], 2013 N.Y. Slip Op 50751[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2013] ). To the extent that copies of the IME scheduling letters were sent to an attorney, there is nothing in the record to suggest that plaintiff's assignor was represented by that attorney. Consequently, defendant's moving papers failed to demonstrate that the IMEs had been properly scheduled (see Great Health Care Chiropractic, P.C. v. Citiwide Auto Leasing, 43 Misc.3d 127[A], 2014 N.Y. Slip Op 50476[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2014]; Infinity Health Prods., Ltd., 39 Misc.3d 140[A], 2013 N.Y. Slip Op 50751[U] ; cf. Star Med. Servs., P.C. v. Allstate Ins. Co., 11 Misc.3d 131[A], 2006 N.Y. Slip Op 50344[U] [App Term, 2d Dept, 2d & 11th Jud Dists 2006] ) and, thus, that it is entitled to summary judgment dismissing the complaint.

Accordingly, the order is affirmed.

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


Summaries of

Alleviation Med. Servs., P.C. v. N.Y. Cent. Mut. Fire Ins. Co.

Supreme Court, Appellate Term, Second Dept. 2, 11 & 13 Judicial Dist.
Jul 21, 2017
63 N.Y.S.3d 304 (N.Y. App. Term 2017)
Case details for

Alleviation Med. Servs., P.C. v. N.Y. Cent. Mut. Fire Ins. Co.

Case Details

Full title:ALLEVIATION MEDICAL SERVICES, P.C., as Assignee of Pierre, James…

Court:Supreme Court, Appellate Term, Second Dept. 2, 11 & 13 Judicial Dist.

Date published: Jul 21, 2017

Citations

63 N.Y.S.3d 304 (N.Y. App. Term 2017)