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First Care Med. Equip., LLC v. Encompass Ins.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Apr 16, 2021
71 Misc. 3d 132 (N.Y. App. Term 2021)

Opinion

2019-904 K C

04-16-2021

FIRST CARE MEDICAL EQUIPMENT, LLC, as Assignee of Brooks, Sophia, Respondent, v. ENCOMPASS INSURANCE, Appellant.

Bruno, Gerbino. Soriano & Aitken, LLP (Nathan M. Shapiro and Susan Eisner of counsel), for appellant. The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for respondent.


Bruno, Gerbino. Soriano & Aitken, LLP (Nathan M. Shapiro and Susan Eisner of counsel), for appellant.

The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for respondent.

PRESENT: THOMAS P. ALIOTTA, P.J., MICHELLE WESTON, WAVNY TOUSSAINT, JJ.

ORDERED that the order, insofar as appealed from, is affirmed, with $25 costs.

First Care Medical Equipment, LLC (First Care) commenced this action against Encompass Insurance (Encompass) to recover assigned first-party no-fault benefits for supplies which had been provided to Sophia Brooks, who was allegedly injured in an accident on August 4, 2014. Before First Care commenced this action, Encompass had commenced a declaratory judgment action in the Supreme Court, New York County, against First Care, among other providers, alleging, insofar as is relevant, that First Care had failed to appear for duly scheduled examinations under oath. Sophia Brooks was not a named defendant in the declaratory judgment action. After the providers failed to appear in the Supreme Court action, Encompass moved in the Supreme Court for a default judgment. The Supreme Court issued a declaratory judgment, dated April 3, 2018, declaring that Encompass is "not obligated to provide any coverage, reimbursements or pay any invoices, sums or funds to First Care ... for any and all no-fault related services for which claims/bills have been or may in the future by submitted by [First Care] to [Encompass] for which an Examination Under Oath of ... First Care ... was requested and ... First Care ... failed to appear."

Thereafter, Encompass moved in the Civil Court for summary judgment dismissing First Care's complaint, contending that the Civil Court action is barred by the declaratory judgment. First Care opposed the motion and cross-moved for summary judgment. By order entered April 5, 2019, insofar as relevant to this appeal, the Civil Court denied defendant's motion.

The doctrine of res judicata, or claim preclusion, may be invoked where a party seeks to relitigate a disposition on the merits of claims or causes of action arising out of the same transaction which had been raised or could have been raised in the prior litigation by a party or those in privity with a party (see Matter of Hunter , 4 NY3d 260 [2005] ; Schuylkill Fuel Corp. v Nieberg Realty Corp. , 250 NY 304, 306-307 [1929] ; Ciraldo v JP Morgan Chase Bank, N.A. , 140 AD3d 912 [2016] ; New Millennium Med. Imaging, P.C. v American Tr. Ins. Co. , 50 Misc 3d 145[A], 2016 NY Slip Op 50259[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2016]). As the Civil Court correctly found, defendant failed to establish that the services at issue are ones for which an EUO had been timely requested and plaintiff failed to appear. Consequently, defendant did not meet its burden of demonstrating that this action is barred by res judicata based on the declaratory judgment, and, thus, its motion was properly denied.

Accordingly, the order, insofar as appealed from, is affirmed.

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


Summaries of

First Care Med. Equip., LLC v. Encompass Ins.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Apr 16, 2021
71 Misc. 3d 132 (N.Y. App. Term 2021)
Case details for

First Care Med. Equip., LLC v. Encompass Ins.

Case Details

Full title:First Care Medical Equipment, LLC, as Assignee of Brooks, Sophia…

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

Date published: Apr 16, 2021

Citations

71 Misc. 3d 132 (N.Y. App. Term 2021)
2021 N.Y. Slip Op. 50326
143 N.Y.S.3d 497