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Complete Radiology, P.C. v. Geico Ins. Co.

Supreme Court, Appellate Term, Second Dept., 2nd, 11th, & 13th Judicial Districts
Mar 6, 2012
950 N.Y.S.2d 607 (N.Y. App. Div. 2012)

Opinion

No. 2010–2098 Q C.

2012-03-6

COMPLETE RADIOLOGY, P.C. as Assignee of Jerrell Jacobs, Appellant, v. GEICO INSURANCE COMPANY, Respondent.


Present: WESTON, J.P., RIOS and ALIOTTA, JJ.

Appeal from an order of the Civil Court of the City of New York, Queens County (Jodi Orlow, J.), entered May 17, 2010, deemed from a judgment of the same court entered June 14, 2010 (see CPLR 5501[c] ). The judgment, entered pursuant to the May 17, 2010 order denying plaintiff's motion for summary judgment and granting defendant's cross motion for summary judgment, dismissed the complaint.

ORDERED that the judgment is reversed, without costs, so much of the order as granted defendant's cross motion for summary judgment dismissing the complaint is vacated and defendant's cross motion for summary judgment is denied.

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

Although defendant established its prima facie entitlement to summary judgment on the ground of lack of medical necessity ( see A. Khodadadi Radiology, P.C. v. N.Y. Cent. Mut. Fire Ins. Co., 16 Misc.3d 131[A], 2007 N.Y. Slip Op 51342 [U] [App Term, 2d & 11th Jud Dists 2007] ), the affirmed letter of medical necessity submitted by plaintiff's assignor's treating physician was sufficient to demonstrate that there is a triable issue of fact as to medical necessity ( see Quality Psychological Servs., P.C. v. Mercury Ins. Group, 27 Misc.3d 129[A], 2010 N.Y. Slip Op 50601[U] [App Term, 2d, 11th & 13th Jud Dists 2010]; cf. 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] ).

Accordingly, the judgment of the Civil Court is reversed, so much of the order as granted defendant's cross motion for summary judgment dismissing the complaint is vacated and defendant's cross motion for summary judgment is denied.

WESTON, J.P., RIOS and ALIOTTA, JJ., concur.


Summaries of

Complete Radiology, P.C. v. Geico Ins. Co.

Supreme Court, Appellate Term, Second Dept., 2nd, 11th, & 13th Judicial Districts
Mar 6, 2012
950 N.Y.S.2d 607 (N.Y. App. Div. 2012)
Case details for

Complete Radiology, P.C. v. Geico Ins. Co.

Case Details

Full title:COMPLETE RADIOLOGY, P.C. as Assignee of Jerrell Jacobs, Appellant, v…

Court:Supreme Court, Appellate Term, Second Dept., 2nd, 11th, & 13th Judicial Districts

Date published: Mar 6, 2012

Citations

950 N.Y.S.2d 607 (N.Y. App. Div. 2012)