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Ocean Diagnostic Imaging P.C. v. Geico Ins.

Appellate Term of the Supreme Court of New York, Second Department
May 28, 2004
2004 N.Y. Slip Op. 50511 (N.Y. App. Term 2004)

Opinion

2003-1076 NC.

Decided May 28, 2004.

Appeal by plaintiff from so much of an order of District Court, Nassau County (H. Miller, J.), dated May 9, 2003, as denied its motion for summary judgment.

Order, insofar as appealed from, unanimously reversed without costs, plaintiff's motion for summary judgment granted and matter remanded for the calculation of statutory interest and an assessment of attorney's fees.

PRESENT: McCABE, P.J., RUDOLPH and ANGIOLILLO, JJ.


In this action seeking assigned first-party no-fault benefits, plaintiff health service provider established a prima facie entitlement to summary judgment by the submission of proper proof of the claim and the amount of the loss ( see Insurance Law § 5106 [a]; Damadian MRI in Elmhurst, P.C. v. Liberty Mut. Ins. Co., NYLJ, Dec. 29, 2003 [App Term, 9th 10th Jud Dists]). Defendant has failed to raise any triable issues of fact. Defendant acknowledges receiving plaintiff's proof of claim on August 15, 2001, and did not send its denial of the claim until November 17, 2001, well beyond the 30-day period within which it was required to pay or deny the claim (11 NYCRR 65.15 [g] [3]). Defendant's requests for examinations under oath did not serve to toll the 30-day period, since the applicable insurance regulation did not contain provisions requiring a claimant to submit to examinations under oath ( see A.B. Med. Servs. PLLC v. Eagle Ins. Co., NYLJ, Dec. 29, 2003 [App Term, 9th 10th Jud Dists]; Bronx Med. Servs. P.C. v. Lumbermans Mut. Cas. Co., NYLJ, June 13, 2003 [App Term, 1st Dept]). Accordingly, plaintiff's motion for summary judgment should have been granted ( see King's Med. Supply, Inc. v. Progressive Ins., Co., 2004 NY Slip 50311 [U] [App Term, 2nd 11th Jud Dists]), and the matter is remanded for the calculation of statutory interest and an assessment of attorney's fees pursuant to Insurance Law § 5106 (a) and the regulations promulgated thereunder.


Summaries of

Ocean Diagnostic Imaging P.C. v. Geico Ins.

Appellate Term of the Supreme Court of New York, Second Department
May 28, 2004
2004 N.Y. Slip Op. 50511 (N.Y. App. Term 2004)
Case details for

Ocean Diagnostic Imaging P.C. v. Geico Ins.

Case Details

Full title:OCEAN DIAGNOSTIC IMAGING P.C. A/A/O HIRAM IRIZARRY, Appellant, v. GEICO…

Court:Appellate Term of the Supreme Court of New York, Second Department

Date published: May 28, 2004

Citations

2004 N.Y. Slip Op. 50511 (N.Y. App. Term 2004)

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