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Healing Art Acupuncture, P.C. v. Allstate Ins. Co.

Supreme Court, Appellate Term, Second Dept., 2, 11 & 13 Judicial Dist.
Nov 13, 2015
2015 N.Y. Slip Op. 51670 (N.Y. App. Term 2015)

Opinion

No. 2013–878KC.

11-13-2015

HEALING ART ACUPUNCTURE, P.C. as Assignee of Stephanie Willis, Appellant, v. ALLSTATE INSURANCE COMPANY, Respondent.


Opinion

Appeal from an order of the Civil Court of the City of New York, Kings County (Harriet L. Thompson, J.), entered February 22, 2013. The order, insofar as appealed from, denied plaintiff's motion for summary judgment and, upon a search of the record, granted partial summary judgment to defendant dismissing so much of the complaint as sought to recover for services rendered after November 20, 2009.

ORDERED that the order, insofar as appealed from, is modified by striking the provision granting partial summary judgment to defendant dismissing so much of the complaint as sought to recover for services rendered after November 20, 2009; as so modified, the order, insofar as appealed from, is affirmed, without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for summary judgment. In opposition, defendant argued that it had timely denied plaintiff's claims on the grounds of lack of medical necessity and that the amount charged exceeded the amount permitted by the workers' compensation fee schedule. By order entered February 22, 2013, the Civil Court denied plaintiff's motion for summary judgment, but held that pursuant to CPLR 3212(g), plaintiff and defendant had established their prima facie cases and that the sole issue for trial would be the propriety of defendant's defense which was based upon the workers' compensation fee schedule. The Civil Court also, upon searching the record, held that plaintiff had failed to rebut defendant's independent medical examination report which defendant had annexed to its papers in opposition to plaintiff's motion for summary judgment and awarded defendant partial summary judgment dismissing so much of the complaint as sought to recover for services rendered after November 20, 2009. Plaintiff appeals.

While the court has the power to award summary judgment to a nonmoving party predicated upon a motion for that relief by another party (see Dunham v. Hilco Constr. Co., 89 N.Y.2d 425 1996 ), here the issue of medical necessity was not the subject of plaintiff's motion for summary judgment (see Mary Immaculate Hosp. v. Allstate Ins. Co., 5 AD3d 742 2004 ). As a result, the court improvidently exercised its discretion when it searched the record and awarded defendant summary judgment dismissing the complaint insofar as it sought to recover for services rendered after November 20, 2009 (see Whitman Realty Group, Inc. v. Galano, 52 AD3d 505 2008; Ey v. Mecca, 41 AD3d 534 2007; Jillsunan Corp. v. Wallfrin Indus., 79 A.D.2d 943 1981; Delta Diagnostic Radiology, P.C. v. Progressive Cas. Ins. Co., 20 Misc.3d 144[A], 2008 N.Y. Slip Op 51852 [App Term, 2d & 11th Jud Dists 2008] ).

Plaintiff's remaining contentions are not properly before this court, as these arguments are being raised for the first time on appeal, and we decline to consider them (see Joe v. Upper Room Ministries, Inc., 88 AD3d 963 2011; Gulf Ins. Co. v. Kanen, 13 AD3d 579 2004 ).

Accordingly, the order, insofar as appealed from, is modified by striking the provision granting partial summary judgment to defendant dismissing so much of the complaint as sought to recover for services rendered after November 20, 2009.

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


Summaries of

Healing Art Acupuncture, P.C. v. Allstate Ins. Co.

Supreme Court, Appellate Term, Second Dept., 2, 11 & 13 Judicial Dist.
Nov 13, 2015
2015 N.Y. Slip Op. 51670 (N.Y. App. Term 2015)
Case details for

Healing Art Acupuncture, P.C. v. Allstate Ins. Co.

Case Details

Full title:HEALING ART ACUPUNCTURE, P.C. as Assignee of Stephanie Willis, Appellant…

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

Date published: Nov 13, 2015

Citations

2015 N.Y. Slip Op. 51670 (N.Y. App. Term 2015)
26 N.Y.S.3d 724
2015 WL 7304126