Opinion
No. 2014–918 Q C.
09-22-2017
XVV, INC., as Assignee of Wilby Lyndor, Appellant, v. FARMINGTON CASUALTY COMPANY, Respondent.
Law Offices of Ilona Finkelshteyn, P.C. (Marina Josovich, Esq.), for appellant. Law Offices of Aloy O. Ibuzor (Medgine Bernadotte, Esq.), for respondent.
Law Offices of Ilona Finkelshteyn, P.C. (Marina Josovich, Esq.), for appellant.
Law Offices of Aloy O. Ibuzor (Medgine Bernadotte, Esq.), for respondent.
Present: MICHAEL L. PESCE, P.J., THOMAS P. ALIOTTA, MARTIN M. SOLOMON, JJ.
ORDERED that the order is modified by providing that defendant's cross motion for summary judgment dismissing the complaint is denied; as so modified, the order is affirmed, without costs.
In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from an order of the Civil Court which denied plaintiff's motion for summary judgment, and granted defendant's cross motion for summary judgment dismissing the complaint on the ground of a lack of medical necessity.
Contrary to plaintiff's argument on appeal, the peer review report submitted by defendant sufficiently set forth a factual basis and medical rationale for the peer reviewer's determination that there was a lack of medical necessity for the supplies at issue. However, as plaintiff further argues, the medical affidavit that plaintiff submitted in opposition was sufficient to raise a triable issue of fact as to medical necessity.
Accordingly, the order is modified by providing that defendant's cross motion for summary judgment dismissing the complaint is denied.
PESCE, P.J., ALIOTTA and SOLOMON, JJ., concur.