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December 28, 2006

Vinings Spinal Diagnostic v Progressive Cas. Ins. Co. (2006 NY Slip Op 26539)

https://www.beynensonlaw.com/case-law/vinings-spinal-diagnostic-v-progressive-cas-ins-co-2006-ny-slip-op-26539/

Court
District Court of Nassau County, First District
Judge
Knobel, J.
Decided
December 28, 2006
Citation
2006 NY Slip Op 26539 · 15 Misc 3d 270
Posture
Other motion
Outcome
Insurer prevailed
Later treatment
Followed in 1 later decision (see Cited by)
Issues
Discovery and procedure
Cite as
Vinings Spinal Diagnostic v Progressive Cas. Ins. Co., 15 Misc 3d 270 (Dist Ct, Nassau County, 1st Dist 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.

A provider seeking discovery of its assignor's no-fault file must pay reasonable reproduction costs absent a basis to depart from the rule. The District Court, Nassau County, found no basis for an exception and granted the insurer's discovery motion to the extent of directing responses and depositions. Exercising its authority under CPLR 3103 (a) and Uniform District Court Act § 1101 (c), it required the insurer to disclose the file's page count and the provider to supply an assignor-executed HIPAA authorization. The provider could inspect and select pages for copying at 25 cents per page, inspect and photocopy at the courthouse, obtain the entire file at 25 cents per page, or pay the requested $95 reproduction fee.

Reported in New York Official Reports at Vinings Spinal Diagnostic v Progressive Cas. Ins. Co. (2006 NY Slip Op 26539)

Vinings Spinal Diagnostic v Progressive Cas. Ins. Co.
2006 NY Slip Op 26539 [15 Misc 3d 270]
December 28, 2006
Knobel, J.
District Court Of Nassau County, First District
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Wednesday, April 25, 2007

[*1]

Vinings Spinal Diagnostic, as Assignee of Mia Onorato, Plaintiff,
v
Progressive Casualty Insurance Company, Defendant.

District Court of Nassau County, First District, December 28, 2006

APPEARANCES OF COUNSEL

Freiberg & Peck, New York City, for defendant. Robert E. Dash, Syosset, for plaintiff.

OPINION OF THE COURT

Gary F. Knobel, J.

The motion by the defendant for an order inter alia compelling the plaintiff to provide discovery responses is granted to the extent that (1) the plaintiff shall provide responses to all outstanding discovery demands by January 31, 2007, and (2) the parties shall appear for depositions in room 5 of the Supreme Court courthouse, 100 Supreme Court Drive, Mineola, New York, on or before February 28, 2007, at 9:30 a.m.; the plaintiffs shall be deposed first, to be immediately followed by an individual produced by the defendant with personal knowledge of the facts.

This is an action to recover $3,905.03 in no-fault benefits provided by the plaintiff to its assignor in the form of, inter alia, nerve conduction studies. The defendant concluded that these tests were medically not necessary and consequently refused to reimburse the plaintiff for the testing and services it provided to its assignor.

The defendant does not dispute that the plaintiff is entitled to disclosure of the assignor’s no-fault file which the defendant has in its possession since these records are material and necessary to the prosecution of plaintiff’s claim (see, Allen v Crowell-Collier Publ. Co., 21 NY2d 403, 408 [1968]; Beutel v Guild, 5 AD3d 1087 [2004]; Scott v Albord, 289 AD2d 389 [2001]; Hinrichs v Tonnssen, 128 Misc 2d 196 [1985]). The defendant contends, however, that based upon this court’s holding in Westbury Med. Care, P.C. v Lumbermans Mut. Ins. Co. (5 Misc 3d 838 [2004, Asarch, J.]), it cannot produce the no-fault file without a valid authorization from the assignor complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Notwithstanding this minor issue, the parties could not resolve their dispute over a narrow question which is discussed daily between practitioners in this field but apparently has not been officially reported upon in New York: does the plaintiff have to [*2]pay the defendant for the cost incurred by the defendant in copying its no-fault file? The defendant has demanded a $95 fee for copying the file even though it has not disclosed how many pages the file contains. The plaintiff’s attorney maintains that the plaintiff is entitled to have the file reproduced at no charge, arguing that “the only firm that requests a payment for the no-fault file is defendant’s counsel.” However, plaintiff’s counsel did not cite in his brief any analogous precedent which would directly support its argument. Plaintiff’s attorney also argues that if this court imposes a fee upon the plaintiff to obtain its assignors’ no-fault file “it will set a precedent on both the plaintiff’s and defendant’s bar to charge each other for the cost of reproduction of documents” (see, Fletcher v Atex Inc., 156 FRD 45, 50 n 4 [1994]).

The court has broad discretion to set the terms and conditions of discovery (Castagnazzi v Schlecker, 159 AD2d 533 [1990]). CPLR 3103 (a) permits a court to “make a protective order . . . regulating the use of any discovery device. Such order shall be designed to prevent unreasonable annoyance, expense . . . or other prejudice to any person.” A CPLR 3103 protective order is equally available in the District Court (as well as all lower courts) pursuant to section 1101 (c) of the Uniform District Court Act (and the applicable lower court act) (see, Connors, Practice Commentaries, McKinney’s Cons Laws of NY, Book 7B, CPLR C3103:6, at 560).

Appellate courts have required a party to pay a reasonable cost for the reproduction of medical records, regardless of whether a party or nonparty is in possession of those records (Colon v City of New York, 285 AD2d 523, 524 [2001] [defendants to reproduce plaintiff’s medical records at a cost to the plaintiff at 25c per page]; McCrossan v Buffalo Heart Group, 265 AD2d 875, 876 [1999] [nonparty health care provider cannot charge more than 75c per page for paper copies of records pursuant to Public Health Law § 18 (2) (e)]; Badach v Caggiano, 255 AD2d 919 [1998] [plaintiffs to pay for half the cost of obtaining duplicate copies of records and reports of treating and examining physicians which were acquired by the defendant through the authorizations provided by the plaintiffs]; Castagnazzi v Schlecker, 159 AD2d 533 [1990] [plaintiff to pay a reproduction fee of 25c per page plus $50 to the defendant for a duplicate copy of hospital records he obtained pursuant to the authorizations of the plaintiff]; Matter of McDonald v State Univ. of N.Y., Downstate Med. Ctr. [Univ. Hosp.], 129 AD2d 798 [1987] [petitioner must either pay the fee sought by the appellant for the reproduction of the medical records, or photocopy the record herself; if the latter option is chosen, she must pay a reasonable sum for the time spent by a hospital employee in supervising the copying]). Indeed, the rule in the Second Department—that “the party seeking discovery of documents . . . should pay the cost of their [reproduction]”—is based upon the principle that “each party should shoulder the initial burden of financing his own suit” (Rubin v Alamo Rent-A-Car, 190 AD2d 661, 663 [1993]; see also, Schroeder v Centro Pariso Tropical, 233 AD2d 314 [1996]; Lipco Elec. Corp. v ASG Consulting Corp., 4 Misc 3d 1019[A], 2004 NY Slip Op 50967[U] [2004]; Siegel, NY Prac § 353, at 578 [4th ed 2005]). However, the Legislature contemplated that the party who ultimately prevails on the merits is permitted at that later time to tax as disbursements the [*3]expenses incurred in connection with disclosure and recover them from the losing side (see, e.g., CPLR 8301 [a] [1], [9]; Connors, Practice Commentaries, McKinney’s Cons Laws of NY, Book 7B, CPLR C3103:5, at 559). The court can also exercise its protective powers under CPLR 3103 (a) in cases where there is a disparity in the parties’ economic resources, or where the expense of the disclosure greatly exceeds the small monetary recovery sought by the party (see, Connors, Practice Commentaries, supra at 559, 561).

After applying these principles to the facts and contentions at bar, the court concludes that the plaintiff has failed to demonstrate any basis upon which there should be a deviation here from the precedent and general rule in this department. Accordingly, the court directs the defendant to immediately inform the plaintiff’s attorney of the actual number of pages contained in the assignor’s no-fault file, and also directs the plaintiff to (1) provide the defendant’s attorney, by January 31, 2007, with a HIPAA authorization executed by plaintiff’s assignor (see, Westbury Med. Care, P.C. v Lumbermans Mut. Ins. Co., supra), and (2) exercise in writing to defendant’s attorney by January 31, 2007 four options: (a) to inspect the no-fault file at defendant’s counsel’s office and designate the pages to be reproduced at 25c per page, or (b) to inspect the no-fault file at the Supreme Court courthouse on the day designated for the depositions of the parties and photocopy in the courthouse the file or the designated portions thereof, or (c) to have the defendant photocopy the no-fault file at a cost to the plaintiff of 25c per page, and furnish the reproduced file to plaintiff’s attorney by February 7, 2007, or (d) to pay the defendant the sum of $95 to photocopy and reproduce the no-fault file.

Cited in this decision

A label shows how this decision treated the case it cites.

  • Westbury Med. Care, P.C. v Lumbermans Mut. Ins. Co. (2004 NY Slip Op 24387) FollowedThe provider's assignment did not authorize disclosure of the insurer's entire no-fault file under HIPAA. The District Court, Nassau County, granted the insurer's CPLR 3103 (a) protective-order motion in part.

Cited by

A label shows how the later decision treated this one.

  • MD Imaging, P.C. v Progressive N. Ins. Co. (2008 NY Slip Op 28434) FollowedA provider may obtain relevant medical records from an insurer upon supplying a valid assignment or authorization for disclosure.
  • Vinings Spinal Diagnostic v Progressive Cas. Ins. Co. (2008 NY Slip Op 51534(U))The provider's discovery appeal was dismissed because the challenged order decided a motion that had not been made on notice.

Similar decisions

  • Country-Wide Ins. Co. v Hackensack Surgery Ctr., LLC (2023 NY Slip Op 50207(U))The insurer waived discovery objections other than privilege or palpable impropriety by responding after the 20-day deadline.
  • Vinings Spinal Diagnostic v Travelers Prop. Cas. Ins. Co. (2006 NY Slip Op 50999(U))The provider failed to establish overdue benefits despite the insurer's failure to comply with a discovery stipulation.
  • Elmont Open MRI & Diagnostic Radiology, P.C. v New York Cent. Mut. Fire Ins. Co. (2007 NY Slip Op 27156)A radiology provider need not produce a deposition witness on medical necessity absent proof its personnel have personal knowledge.
  • East 75th St. Diagnostic Imaging v Clarendon Natl. Ins. Co. (2011 NY Slip Op 21315)The diagnostic provider showed that records underlying the insurer's peer reviews were needed to oppose summary judgment.
  • AVA Acupuncture, P.C. v AutoOne Ins. Co. (2010 NY Slip Op 51350(U))The insurer justified corporate financial discovery on fraudulent incorporation, but failed to justify the owner's personal tax and banking records.
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