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Nyack Hosp. v. Allstate Ins. Co.

Supreme Court, Appellate Division, Second Department, New York.
Feb 5, 2014
114 A.D.3d 650 (N.Y. App. Div. 2014)

Opinion

2014-02-5

NYACK HOSPITAL, as assignee of Christine M. Haskell, et al., respondents, v. ALLSTATE INSURANCE COMPANY, appellant.

McDonnell & Adels, PLLC, Garden City, N.Y. (Jannine A. Gordineer of counsel), for appellant. Joseph Henig, P.C., Bellmore, N.Y., for respondents.


McDonnell & Adels, PLLC, Garden City, N.Y. (Jannine A. Gordineer of counsel), for appellant. Joseph Henig, P.C., Bellmore, N.Y., for respondents.

In an action to recover no-fault benefits under three separate policies of automobile insurance, the defendant appeals from a judgment of the Supreme Court, Nassau County (Brandveen, J.), entered December 1, 2011, which, upon an order of the same court dated October 21, 2011, granting that branch of the plaintiffs' motion which was for summary judgment on the second cause of action, is in favor of the plaintiff Richmond University Medical Center, as assignee of Arnold Sealey, and against it in the total sum of $6,698.56.

ORDERED that the judgment is affirmed, with costs.

By failing to timely contest, at the claims stage, the adequacy of the claim forms used by the plaintiff Richmond University Medical Center, as assignee of Arnold Sealey, to establish proof of claim, the defendant waived its right to rely on any deficiencies in those forms at the litigation stage ( see Hospital for Joint Diseases v. Travelers Prop. Cas. Inc. Co., 9 N.Y.3d 312, 318, 849 N.Y.S.2d 473, 879 N.E.2d 1291; Fair Price Med. Supply Corp. v. Travelers Indem. Co., 10 N.Y.3d 556, 563, 860 N.Y.S.2d 471, 890 N.E.2d 233; Viviane Etienne Med. Care, P.C. v. Country–Wide Ins. Co., 114 A.D.3d 33, 977 N.Y.S.2d 292, [2d Dept.2013]; Westchester Med. Ctr. v. Safeco Ins. Co. of Am., 40 A.D.3d 984, 984, 837 N.Y.S.2d 207). Accordingly, by submitting evidence in admissible form that the prescribed statutory billing form had been mailed to and received by the defendant insurer, which failed to either pay or deny the claim within the requisite 30–day period, the plaintiffs established their prima facie entitlement to judgment as a matter of law on the second cause of action ( see Viviane Etienne Med. Care, P.C. v. Country–Wide Ins. Co., 114 A.D.3d 33, 977 N.Y.S.2d 292; Westchester Med. Ctr. v. Hereford Ins. Co., 95 A.D.3d 1306, 1306–1307, 944 N.Y.S.2d 900).

We note that the defendant does not contend on appeal that it raised a triable issue of fact in opposition to the plaintiffs' prima facie showing, but only that the plaintiffs failed to meet their prima facie burden. Therefore, we do not address the issue of whether the defendant raised a triable issue of fact in opposition.

Accordingly, we affirm the judgment appealed from.

MILLER, J., concurs in the result on constraint of this Court's opinion and order in Viviane Etienne Med. Care, P.C. v. Country–Wide Ins. Co., 114 A.D.3d 33, 977 N.Y.S.2d 292 [2d Dept.2013]. DILLON, J.P., BALKIN and CHAMBERS, JJ., concur.


Summaries of

Nyack Hosp. v. Allstate Ins. Co.

Supreme Court, Appellate Division, Second Department, New York.
Feb 5, 2014
114 A.D.3d 650 (N.Y. App. Div. 2014)
Case details for

Nyack Hosp. v. Allstate Ins. Co.

Case Details

Full title:NYACK HOSPITAL, as assignee of Christine M. Haskell, et al., respondents…

Court:Supreme Court, Appellate Division, Second Department, New York.

Date published: Feb 5, 2014

Citations

114 A.D.3d 650 (N.Y. App. Div. 2014)
114 A.D.3d 650
2014 N.Y. Slip Op. 641

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