January 29, 2010

All Borough Group Med. Supply, Inc. v Travelers Ins. Co. (2010 NY Slip Op 50153(U))

Headnote

The court considered the fact that the plaintiff was seeking to recover assigned first-party no-fault benefits, and that the defendant had filed a cross motion for summary judgment based on lack of medical necessity. The main issue decided was whether the affidavits submitted by the defendant were sufficient to prove the timely mailing of the denial of claim form. The holding of the court was that the affidavits submitted by the defendant were indeed sufficient to establish that the denial of claim form was timely mailed in accordance with the defendant's standard office practice and procedure. As a result, the court affirmed the order without costs. The court also noted that the plaintiff's remaining contentions were improperly raised for the first time on appeal.

Reported in New York Official Reports at All Borough Group Med. Supply, Inc. v Travelers Ins. Co. (2010 NY Slip Op 50153(U))

All Borough Group Med. Supply, Inc. v Travelers Ins. Co. (2010 NY Slip Op 50153(U)) [*1]
All Borough Group Med. Supply, Inc. v Travelers Ins. Co.
2010 NY Slip Op 50153(U) [26 Misc 3d 135(A)]
Decided on January 29, 2010
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This opinion is uncorrected and will not be published in the printed Official Reports.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 January 29, 2010

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd, 11th and 13th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., WESTON and RIOS, JJ
2009-260 K C.
All Borough Group Medical Supply, Inc. a/a/o KEVIN RICKETTS, Appellant,

against

Travelers Insurance Company, Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Kathy J. King, J.), entered August 12, 2008. The order, insofar as appealed from as limited by the brief, granted defendant’s cross motion for summary judgment dismissing the complaint.

ORDERED that the order, insofar as appealed from, is affirmed without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for summary judgment, and defendant cross-moved for summary judgment dismissing the complaint on the ground of lack of medical necessity. In opposition to defendant’s cross motion, plaintiff argued that the affidavits submitted by defendant were insufficient to prove the timely mailing of the denial of claim form. The Civil Court denied plaintiff’s motion for summary judgment and granted defendant’s cross motion for summary judgment dismissing the complaint. As limited by its brief, plaintiff appeals from so much of the order as granted defendant’s cross motion for summary judgment dismissing the complaint.

Contrary to plaintiff’s contention, the affidavits submitted by defendant were sufficient to establish that defendant’s denial of claim form, which denied plaintiff’s claim on the ground of lack of medical necessity, was timely mailed in accordance with defendant’s standard office practice and procedure (see Residential Holding Corp. v Scottsdale Ins. Co., 286 AD2d 679 [2001]; Delta Diagnostic Radiology, P.C. v Chubb Group of Ins., 17 Misc 3d 16 [App Term, 2d & 11th Jud Dists 2007]). Plaintiff’s remaining contentions were improperly raised for the first time on appeal.

Accordingly, the order, insofar as appealed from, is affirmed.

Pesce, P.J., Weston and Rios, JJ., concur.
Decision Date: January 29, 2010