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November 15, 2006

RJ Professional Acupuncturist P.C. v Geico Ins. Co. (2006 NY Slip Op 52255(U))

https://www.beynensonlaw.com/case-law/rj-professional-acupuncturist-p-c-v-geico-ins-co-2006-ny-slip-op-52255u/

Court
Appellate Term, Second Department
Decided
November 15, 2006
Citation
2006 NY Slip Op 52255(U) · 13 Misc 3d 140(A)
Posture
Article 75 petition
Outcome
Insurer prevailed
Issues
CPLR article 75 (arbitration awards)
Cite as
RJ Professional Acupuncturist P.C. v Geico Ins. Co., 13 Misc 3d 140(A), 2006 NY Slip Op 52255(U) (App Term, 2d Dept, 2d & 11th Jud Dists 2006)

Posture, outcome, issues and treatment by other decisions are Beynenson Law’s classification. Treatment labels are assigned by a language model reading the citing decision; negative and appeal-history labels are checked by a second reader.

Summary

Editorial summary by Beynenson Law, not part of the court’s decision.

An arbitration award must be confirmed under CPLR 7511 (e) when a petition to vacate it is denied. The Appellate Term, Second Department, modified the order to confirm the master arbitrator's award and otherwise affirmed, leaving the insurer's denial of benefits intact. Review of the record disclosed a rational basis for the master arbitrator's determination upholding the arbitrator's denial of the provider's claims. The court also noted that under CPLR 411 a special proceeding should terminate in a judgment rather than an order.

Reported in New York Official Reports at RJ Professional Acupuncturist P.C. v Geico Ins. Co. (2006 NY Slip Op 52255(U))

[*1]
RJ Professional Acupuncturist P.C. v Geico Ins. Co.
2006 NY Slip Op 52255(U) [13 Misc 3d 140(A)]
Decided on November 15, 2006
Appellate Term, Second Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
This opinion is uncorrected and will not be published in the printed Official Reports.
Decided on November 15, 2006

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., WESTON PATTERSON and BELEN, JJ
2005-1032 K C.
RJ Professional Acupuncturist P.C. a/a/o LOUIS RODRIGUEZ, Appellant,

against

Geico Insurance Company, Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Ellen Spodek, J.), entered March 31, 2005. The order denied the petition to vacate the master arbitrator’s award.

Order modified by adding thereto a provision confirming the master arbitrator’s award; as so modified, affirmed without costs.

Upon a review of the record, we find a rational basis for the determination of the master arbitrator upholding the arbitrator’s award which denied the petitioner’s claims for no-fault benefits (see e.g. Matter of Smith [Firemen’s Ins. Co.], 55 NY2d 224 [1982]; Matter of Petrofsky [Allstate Ins. Co.], 54 NY2d 207 [1981]; Matter of Shand [Aetna Ins. Co.], 74 AD2d 442 [1980]). Accordingly, the court below properly denied the petition to vacate the master arbitrator’s award. However, upon denying the petition, the court was required, pursuant to CPLR 7511 (e), to confirm the award (see Matter of Exclusive Med. & Diagnostic v Government Empls. Ins. Co., 306 AD2d 476 [2003]).

We note that a special proceeding should terminate in a judgment, not an order (see CPLR 411).

Pesce, P.J., Weston Patterson and Belen, JJ., concur. [*2]
Decision Date: November 15, 2006

Similar decisions

  • RJ Professional Acupuncturist, P.C. v Allstate Ins. Co. (2007 NY Slip Op 51605(U))CPLR 7511 (e) requires confirmation of an arbitration award when a petition to vacate it is denied.
  • R.J. Professional Acupuncturist, P.C. v NY Cent. Mut. Fire Ins. Co. (2008 NY Slip Op 52729(U))The master arbitrator's affirmance of denied acupuncture claims had a rational basis where fee-reduction law was unsettled.
  • RJ Professional Acupuncturist, P.C. v Country Wide Ins. Co. (2010 NY Slip Op 50579(U))The provider's petition to vacate a master arbitration award failed because its attorney's purported affirmation lacked a perjury declaration.
  • Essential Health Chiropractic, P.C. v Geico Ins. Co. (2017 NY Slip Op 51077(U))The provider's petition to vacate the master arbitrator's award was denied because the determination had a rational basis and conformed to settled law.
  • R.J. Professional Acupuncturist, P.C. v Travelers Prop. Cas. Ins. Co. (2008 NY Slip Op 50541(U))A provider establishes its prima facie no-fault claim by submitting complete proof of the fact and amount of loss and showing payment is overdue.
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