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GL Acupuncture, P.C. v. Praetorian Ins. Co.

Supreme Court, Appellate Term, Second Dept., 2, 11 & 13 Judicial Dist.
Nov 19, 2015
2015 N.Y. Slip Op. 51698 (N.Y. App. Term 2015)

Opinion

No. 2013–753KC.

11-19-2015

GL ACUPUNCTURE, P.C. as Assignee of Clive Elcock, Appellant,- v. PRAETORIAN INS. CO., Respondent.


Opinion

Appeal from an order of the Civil Court of the City of New York, Kings County (Dawn Jimenez Salta, J.), entered January 18, 2013. The order denied plaintiff's motion for summary judgment and granted defendant's cross motion for summary judgment dismissing the complaint.

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

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for summary judgment, and defendant cross-moved for summary judgment dismissing the complaint, arguing that it had properly paid plaintiff for the services at issue in accordance with the workers' compensation fee schedule. The Civil Court denied plaintiff's motion and granted defendant's cross motion.

Contrary to plaintiff's contention, defendant established that the denial of claim form at issue had been timely mailed (see St. Vincent's Hosp. of Richmond v. Government Empls. Ins. Co., 50 AD3d 1123 2008 ). Defendant further demonstrated that it had fully paid plaintiff for the services at issue in accordance with the workers' compensation fee schedule for acupuncture services performed by chiropractors (see Great Wall Acupuncture, P.C. v. Geico Ins. Co., 26 Misc.3d 23 [App Term, 2d, 11th & 13th Jud Dists 2009] ).

Accordingly, the order is affirmed.

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


Summaries of

GL Acupuncture, P.C. v. Praetorian Ins. Co.

Supreme Court, Appellate Term, Second Dept., 2, 11 & 13 Judicial Dist.
Nov 19, 2015
2015 N.Y. Slip Op. 51698 (N.Y. App. Term 2015)
Case details for

GL Acupuncture, P.C. v. Praetorian Ins. Co.

Case Details

Full title:GL ACUPUNCTURE, P.C. as Assignee of Clive Elcock, Appellant,- v…

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

Date published: Nov 19, 2015

Citations

2015 N.Y. Slip Op. 51698 (N.Y. App. Term 2015)
26 N.Y.S.3d 724
2015 WL 7628533