April 9, 2010

Riu Chiropractic, P.C. v AutoOne Ins. Co. (2010 NY Slip Op 50653(U))

Headnote

The court considered the motion for summary judgment by the plaintiff, Riu Chiropractic, P.C., as assignee of Dorothy Braxton, to recover first-party no-fault benefits from defendant, AutoOne Insurance Company. Defendant had cross-moved for summary judgment dismissing the complaint on the grounds that Braxton had failed to appear for scheduled independent medical examinations (IMEs). The court granted plaintiff's motion for summary judgment and denied defendant's cross motion. However, the Appellate Term reversed the judgment, vacated the order, denied plaintiff's motion for summary judgment, and granted defendant's cross motion for summary judgment dismissing the complaint. Defendant established its prima facie case through the submission of an affidavit by its litigation specialist and a supplemental affirmation from its examining physician stating that Braxton had failed to appear for the scheduled IMEs. Therefore, the judgment in favor of the plaintiff was reversed.

Reported in New York Official Reports at Riu Chiropractic, P.C. v AutoOne Ins. Co. (2010 NY Slip Op 50653(U))

Riu Chiropractic, P.C. v AutoOne Ins. Co. (2010 NY Slip Op 50653(U)) [*1]
Riu Chiropractic, P.C. v AutoOne Ins. Co.
2010 NY Slip Op 50653(U) [27 Misc 3d 131(A)]
Decided on April 9, 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This opinion is uncorrected and will not be published in the printed Official Reports.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 April 9, 2010

SUPREME COURT OF THE STATE OF NEW YORK

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


PRESENT: : GOLIA, J.P., WESTON and RIOS, JJ
2009-441 Q C.
RIU Chiropractic, P.C. as assignee of DOROTHY BRAXTON, Respondent,

against

AutoOne Insurance Company, Appellant.

Appeal from an order of the Civil Court of the City of New York, Queens County (Diane A. Lebedeff, J.), entered February 3, 2009, deemed from a judgment of the same court entered March 4, 2009 (see CPLR 5501 [c]). The judgment, entered pursuant to the February 3, 2009 order granting plaintiff’s motion for summary judgment and denying defendant’s cross motion for summary judgment, awarded plaintiff the principal sum of $1,099.94.

ORDERED that the judgment is reversed without costs, the order entered February 3, 2009 is vacated, plaintiff’s motion for summary judgment is denied and defendant’s cross motion for summary judgment dismissing the complaint is granted.

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 that plaintiff’s assignor had failed to appear for scheduled independent medical examinations (IMEs). The Civil Court granted plaintiff’s motion for summary judgment and denied defendant’s cross motion for summary judgment. This appeal by defendant ensued. A judgment was subsequently entered, from which the appeal is deemed to be taken (see CPLR 5501 [c]).

Inasmuch as defendant raises no issue on appeal with respect to plaintiff’s prima facie case, we do not pass on the propriety of the determination of the Civil Court with respect thereto.

In opposition to plaintiff’s motion for summary judgment and in support of its cross motion for summary judgment, defendant submitted an affidavit by its litigation specialist which established that the letters scheduling the IMEs had been timely sent pursuant to defendant’s standard office practice or procedure designed to ensure that such items were properly addressed and mailed (see Stephen Fogel Psychological, P.C. v Progressive Cas. Ins. Co., 35 AD3d 720 [2006]; Residential Holding Corp. v Scottsdale Ins. Co., 286 AD2d 679 [2001]). Thereafter, defendant submitted a supplemental affirmation, pursuant to the instructions of the Civil Court, from its examining physician. The physician stated therein that plaintiff’s assignor had failed to appear for scheduled IMEs. As a result, defendant established its prima facie case. Accordingly, the judgment is reversed, the order entered February 3, 2009 is vacated, plaintiff’s motion for summary judgment is denied and defendant’s cross motion for summary judgment dismissing the [*2]complaint is granted.

Golia, J.P., Weston and Rios, JJ., concur.
Decision Date: April 09, 2010