Lancer Acupuncture, P.C. v. Amica Mut. Ins. Co.

Full title: LANCER ACUPUNCTURE, P.C., a/a/o Aleksandr Muzis, Plaintiff–Appellant, v…

Court: Supreme Court, Appellate Term, First Department, New York.

Date published: Apr 13, 2016

36 N.Y.S.3d 407 (N.Y. App. Term 2016)

Opinion

No. 570895/15.

04-13-2016

LANCER ACUPUNCTURE, P.C., a/a/o Aleksandr Muzis, Plaintiff–Appellant, v. AMICA MUTUAL INS. CO., Defendant–Respondent.

PER CURIAM.

Order (Gerald Lebovits, J.), entered April 16, 2015, modified by reinstating plaintiff's claim for first-party no-fault benefits billed under CPT code 99302; as modified, order affirmed, with $10 costs.

Defendant's documentary submissions failed to eliminate all triable issues as to whether it properly denied plaintiff's no-fault claim for $54.74, billed under CPT code 99203 (initial evaluation), thus precluding summary judgment dismissing this claim (see Easy Care Acupuncture, P.C. v. Nationwide Gen. Ins. Co., 50 Misc.3d 127[A], 2015 N.Y. Slip Op 51849[U][App Term, 1st Dept.2015] ).

In the absence of any prejudice, Civil Court properly exercised its discretion under CPLR 2001, to allow defendant to correct the defect in form of the IME report of its acupuncturist/chiropractor.

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.

I concur