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Psychology Yme, P.C. v. Travelers Ins.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Nov 1, 2019
65 Misc. 3d 146 (N.Y. App. Term 2019)

Opinion

2018-1073 K C

11-01-2019

PSYCHOLOGY YME, P.C., as Assignee of Josie Gonzalez, Respondent, v. TRAVELERS INSURANCE, Appellant.

Law Office of Aloy O. Ibuzor (Gregory W. Broido of counsel), for appellant. Zara Javakov, P.C. (Zara Javakov of counsel), for respondent.


Law Office of Aloy O. Ibuzor (Gregory W. Broido of counsel), for appellant.

Zara Javakov, P.C. (Zara Javakov of counsel), for respondent.

PRESENT: MICHAEL L. PESCE, P.J., THOMAS P. ALIOTTA, BERNICE D. SIEGAL, JJ

ORDERED that the order is reversed, with $30 costs, defendant's motion for summary judgment dismissing the complaint is granted and plaintiff's cross motion for summary judgment is denied.

In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from an order of the Civil Court denying defendant's motion which had sought summary judgment dismissing the complaint based on plaintiff's failure to provide requested verification within 120 days of the initial verification request (see 11 NYCRR 65-3.5 [o] ), and granting plaintiff's cross motion for summary judgment.

Defendant's proof was sufficient to demonstrate prima facie that it had timely mailed initial and follow-up verification requests (see St. Vincent's Hosp. of Richmond v Government Empls. Ins. Co. , 50 AD3d 1123 [2008] ); that it had not received the requested verification; and that it had timely denied the claim on that ground. In opposition, plaintiff failed to raised a triable issue of fact.

Accordingly, the order is reversed, defendant's motion for summary judgment dismissing the complaint is granted and plaintiff's cross motion for summary judgment is denied.

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


Summaries of

Psychology Yme, P.C. v. Travelers Ins.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Nov 1, 2019
65 Misc. 3d 146 (N.Y. App. Term 2019)
Case details for

Psychology Yme, P.C. v. Travelers Ins.

Case Details

Full title:Psychology YME, P.C., as Assignee of Josie Gonzalez, Respondent, v…

Court:SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

Date published: Nov 1, 2019

Citations

65 Misc. 3d 146 (N.Y. App. Term 2019)
2019 N.Y. Slip Op. 51798
119 N.Y.S.3d 679

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