All Mental Care Medicine, P.C. v Allstate Ins. Co. (2007 NY Slip Op 50612(U))

Reported in New York Official Reports at All Mental Care Medicine, P.C. v Allstate Ins. Co. (2007 NY Slip Op 50612(U))

All Mental Care Medicine, P.C. v Allstate Ins. Co. (2007 NY Slip Op 50612(U)) [*1]
All Mental Care Medicine, P.C. v Allstate Ins. Co.
2007 NY Slip Op 50612(U) [15 Misc 3d 129(A)]
Decided on March 26, 2007
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This opinion is uncorrected and will not be published in the printed Official Reports.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 March 26, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., WESTON PATTERSON and RIOS, JJ
2006-483 K C.
ALL MENTAL CARE MEDICINE, P.C. a/a/o Zinaida Aulova, Appellant,

against

ALLSTATE INSURANCE COMPANY, Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Jack M. Battaglia, J.), entered February 1, 2006. The order denied plaintiff’s renewed motion for leave to enter a default judgment.

Order affirmed without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for an order granting it leave to enter a default judgment upon defendant’s failure to appear or answer the complaint. The motion was denied with leave to renew upon submission of a proper affidavit by plaintiff. Thereafter, plaintiff renewed its motion with what it deemed to be a sufficient affidavit. The motion court
again denied the motion, on the ground that plaintiff did not adequately establish submission of the claim forms. The instant appeal ensued.

CPLR 3215 (f) requires that upon any application for a default judgment, the applicant must, inter alia, file “proof of the facts constituting the claim, the default and the amount due by affidavit made by the party.” The affidavit in support of the motion must be made upon personal knowledge of the facts (see Fiorino v Yung Poon Yung, 281 AD2d 513 [2001]; Finnegan v Sheahan, 269 AD2d 491 [2000]) and must establish a prima facie case (Matter of Dyno v Rose, 260 AD2d 694 [1999]). If the court determines that the affidavit fails to establish a prima facie case, the applicant is not entitled to the requested relief, even on default (id. at 698). [*2]

In the instant action, the affidavit of plaintiff’s corporate officer, which plaintiff submitted on its renewed motion, was insufficient to establish that said officer possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s motion papers. Accordingly, plaintiff did not establish a prima facie case (see Dan Med., P.C. v New York Cent. Mut. Fire Ins. Co., 14 Misc 3d 44 [App Term, 2d & 11th Jud Dists 2006]). In any event, even if the affidavit had laid a proper foundation for the admissibility of the annexed documents, the court below correctly found that plaintiff failed to establish that it submitted the claim forms to defendant (see Magnezit Med. Care, P.C. v New York Cent. Mut. Fire Ins. Co., 11 Misc 3d 135[A], 2006 NY Slip Op 50473[U] [App Term, 2d & 11th Jud Dists]; see also PDG Psychological P.C. v Progressive Cas. Ins. Co., 12 Misc 3d 144[A], 2006 NY Slip Op 51432[U] [App Term, 2d & 11th Jud Dists]).

Accordingly, since plaintiff did not demonstrate a prima facie entitlement to judgment as a matter of law, the court below properly denied plaintiff’s renewed motion for leave to enter a default judgment.

Pesce, P.J., Weston Patterson and Rios, JJ., concur.
Decision Date: March 26, 2007

Capri Med., P.C. v Allstate Ins. Co. (2007 NY Slip Op 50611(U))

Reported in New York Official Reports at Capri Med., P.C. v Allstate Ins. Co. (2007 NY Slip Op 50611(U))

Capri Med., P.C. v Allstate Ins. Co. (2007 NY Slip Op 50611(U)) [*1]
Capri Med., P.C. v Allstate Ins. Co.
2007 NY Slip Op 50611(U) [15 Misc 3d 129(A)]
Decided on March 26, 2007
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 March 26, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., WESTON PATTERSON and RIOS, JJ
2006-461 Q C.
CAPRI MEDICAL, P.C. a/a/o Valter Chokolashvili, Respondent,

against

ALLSTATE INSURANCE COMPANY, Appellant.

Appeal from an order of the Civil Court of the City of New York, Queens County (Howard G. Lane, J.), entered October 27, 2005, deemed an appeal from a judgment entered on February 2, 2006 (see CPLR 5501 [c]). The judgment, entered pursuant to the October 27, 2005 order granting plaintiff’s motion for summary judgment, awarded plaintiff the principal sum of $7,831.65.

Judgment reversed without costs, order granting plaintiff’s motion for summary judgment vacated and plaintiff’s motion for summary judgment denied.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff’s motion for summary judgment was supported by an affirmation from plaintiff’s
counsel, an affidavit by a corporate officer of plaintiff and various documents annexed thereto. The affidavit executed by plaintiff’s corporate officer stated in a conclusory manner that the documents attached to plaintiff’s motion papers were plaintiff’s business records. In opposition, defendant argued, inter alia, that the affidavit by plaintiff’s corporate officer failed to lay a proper foundation for the documents annexed to plaintiff’s moving papers and that, as a result, plaintiff failed to establish a prima facie case. The court below granted plaintiff’s motion for summary judgment and the instant appeal by defendant ensued. [*2]

Inasmuch as the affidavit submitted by plaintiff’s corporate officer was insufficient to establish that said officer possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s moving papers, plaintiff failed to make a prima facie
showing of its entitlement to summary judgment (see Dan Med., P.C. v New York
Cent. Mut. Fire Ins. Co., 14 Misc 3d 44 [App Term, 2d & 11th Jud Dists, 2006]). Consequently, the judgment should be reversed, the order granting plaintiff’s motion for summary judgment vacated and plaintiff’s motion for summary judgment denied. Pesce, P.J., Weston Patterson and Rios, JJ., concur.
Decision Date: March 26, 2007

Fair Price Med. Supply Corp. v Allstate Ins. Co. (2007 NY Slip Op 50608(U))

Reported in New York Official Reports at Fair Price Med. Supply Corp. v Allstate Ins. Co. (2007 NY Slip Op 50608(U))

Fair Price Med. Supply Corp. v Allstate Ins. Co. (2007 NY Slip Op 50608(U)) [*1]
Fair Price Med. Supply Corp. v Allstate Ins. Co.
2007 NY Slip Op 50608(U) [15 Misc 3d 129(A)]
Decided on March 26, 2007
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 March 26, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT:: PESCE, P.J., WESTON PATTERSON and RIOS, JJ
2006-358 K C.
FAIR PRICE MEDICAL SUPPLY CORP. a/a/o Tetyana Nikolayeva, Appellant,

against

ALLSTATE INSURANCE CO., Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Delores J. Thomas, J.), entered January 26, 2006. The order denied plaintiff’s motion for summary judgment

Order affirmed without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff’s motion for summary judgment was supported by an affirmation from plaintiff’s counsel, an affidavit by a corporate officer of plaintiff and various documents annexed thereto. The affidavit executed by plaintiff’s corporate officer stated in a conclusory manner that the documents attached to plaintiff’s motion papers were plaintiff’s business records. In opposition, defendant argued, inter alia, that the affidavit by plaintiff’s corporate officer failed to set forth facts sufficient to demonstrate personal knowledge of the facts set forth therein and that, as a result, plaintiff failed to establish a prima facie case. Plaintiff appeals from the denial of its motion for summary judgment.

Inasmuch as the affidavit submitted by plaintiff’s corporate officer was insufficient to establish that said officer possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s moving papers, plaintiff failed to make a prima facie showing of its entitlement to summary judgment (see Dan Med., P.C. v New York Cent. Mut. Fire Ins. Co., 14 Misc 3d 44 [*2][App Term, 2d & 11th Jud Dists 2006]). Consequently, plaintiff’s motion for summary judgment was properly denied.

Pesce, P.J., Weston Patterson and Rios, JJ., concur.
Decision Date: March 26, 2007

Vista Surgical Supplies, Inc. v Nationwide Mut. Ins. Co. (2007 NY Slip Op 50605(U))

Reported in New York Official Reports at Vista Surgical Supplies, Inc. v Nationwide Mut. Ins. Co. (2007 NY Slip Op 50605(U))

Vista Surgical Supplies, Inc. v Nationwide Mut. Ins. Co. (2007 NY Slip Op 50605(U)) [*1]
Vista Surgical Supplies, Inc. v Nationwide Mut. Ins. Co.
2007 NY Slip Op 50605(U) [15 Misc 3d 129(A)]
Decided on March 26, 2007
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 March 26, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., GOLIA and RIOS, JJ
2006-293 K C.
Vista Surgical Supplies, Inc. a/a/o Anolina Medina, Respondent,

against

Nationwide Mutual Insurance Co., Appellant.

Appeal from an order of the Civil Court of the City of New York, Kings County (George J. Silver, J.), entered December 8, 2005, deemed an appeal from a judgment entered on January 5, 2006 (see CPLR 5501 [c]). The judgment, entered pursuant to the December 8, 2005 order granting plaintiff’s motion for summary judgment, awarded plaintiff the principal sum of $2,354.

Judgment reversed without costs, order entered December 8, 2005 vacated, and plaintiff’s motion for summary judgment denied.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for summary judgment. The court below granted the motion and the instant appeal by defendant ensued.

On appeal, defendant raises for the first time that the affidavit by plaintiff’s corporate officer, submitted in support of the motion, failed to lay a proper foundation for the documents annexed to plaintiff’s moving papers and that, as a result, plaintiff failed to establish a prima facie case. The affidavit submitted by plaintiff’s corporate officer was insufficient to establish that said officer possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s moving papers. Accordingly, plaintiff failed to make a prima facie showing of its entitlement to summary judgment (see Bath Med. Supply, Inc. v Deerbrook Ins. Co., 14 Misc 3d 135[A], 2007 NY Slip Op 50179[U] [App Term, 2d & 11th Jud Dists]; Dan Med., P.C. v New York Cent. Mut. [*2]Fire Ins. Co., 14 Misc 3d 44 [App Term, 2d & 11th Jud Dists 2006]). Consequently, the judgment is reversed, the order entered December 8, 2005 is vacated, and plaintiff’s motion for summary judgment denied.

Pesce, P.J., Golia and Rios, JJ., concur.
Decision Date: March 26, 2007

Delta Diagnostic Radiology, P.C. v Allstate Ins. Co. (2007 NY Slip Op 50604(U))

Reported in New York Official Reports at Delta Diagnostic Radiology, P.C. v Allstate Ins. Co. (2007 NY Slip Op 50604(U))

Delta Diagnostic Radiology, P.C. v Allstate Ins. Co. (2007 NY Slip Op 50604(U)) [*1]
Delta Diagnostic Radiology, P.C. v Allstate Ins. Co.
2007 NY Slip Op 50604(U) [15 Misc 3d 129(A)]
Decided on March 26, 2007
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 March 26, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : WESTON PATTERSON, J.P., RIOS and BELEN, JJ
2006-264 K C.
Delta Diagnostic Radiology, P.C. a/a/o Troy Meusa, Appellant,

against

Allstate Insurance Company, Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Eileen Nadelson, J.), dated December 6, 2005. The order, insofar as appealed from, denied plaintiff’s motion for summary judgment.

Order, insofar as appealed from, affirmed without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff’s motion for summary judgment was supported by an affirmation from plaintiff’s counsel, an affidavit by an officer of plaintiff, and various documents annexed thereto. The affidavit executed by plaintiff’s officer stated in a conclusory manner that the documents attached to plaintiff’s motion papers were plaintiff’s business records. The
court below denied the motion on the ground, inter alia, that plaintiff failed to make a prima facie case because the affidavit executed by plaintiff’s corporate officer was legally insufficient. Plaintiff appeals from the denial of its motion for summary judgment.

Inasmuch as the affidavit submitted by plaintiff’s corporate officer was insufficient to establish that said officer possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s moving papers, plaintiff failed to make a prima facie showing of its entitlement to summary judgment (Alvarez v Prospect Hosp., 68 NY2d 320 [1986]; see Dan Med., P.C. v New [*2]York Cent. Mut. Fire Ins. Co., 14 Misc 3d 44,
2006 NY Slip Op 26483 [App Term, 2d & 11th Jud Dists]). Consequently, plaintiff’s motion for summary judgment was properly denied.

Weston Patterson, J.P., Rios and Belen, JJ., concur.
Decision Date: March 26, 2007

City Wide Social Work & Psychological Servs., PLLC v GEICO Gen. Ins. Co. (2007 NY Slip Op 50603(U))

Reported in New York Official Reports at City Wide Social Work & Psychological Servs., PLLC v GEICO Gen. Ins. Co. (2007 NY Slip Op 50603(U))

City Wide Social Work & Psychological Servs., PLLC v GEICO Gen. Ins. Co. (2007 NY Slip Op 50603(U)) [*1]
City Wide Social Work & Psychological Servs., PLLC v GEICO Gen. Ins. Co.
2007 NY Slip Op 50603(U) [15 Misc 3d 128(A)]
Decided on March 26, 2007
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 March 26, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., WESTON PATTERSON and RIOS, JJ
2006-186 K C.
City Wide Social Work and Psychological Services, PLLC a/a/o Pratt Arona, Appellant,

against

GEICO General Ins. Co., Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (George J. Silver, J.), entered May 27, 2005. The order, insofar as appealed from, denied plaintiff’s motion for summary judgment upon a claim seeking the sum of $1,061.63.

Order, insofar as appealed from, affirmed without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff’s motion for summary judgment was supported by an affirmation from plaintiff’s counsel, affidavits by an employee of plaintiff and various documents annexed thereto. The affidavits executed by plaintiff’s employee stated in a conclusory manner that the documents attached to plaintiff’s motion papers were plaintiff’s business records. Defendant argued in opposition that plaintiff’s employee failed to lay a proper foundation for the documents annexed to plaintiff’s moving papers and that, as a result plaintiff failed to establish a prima facie case. Plaintiff appeals from so much of an order as denied its motion for summary judgment upon a claim in the sum of $1,061.63.

Inasmuch as the affidavits submitted by plaintiff’s employee were insufficient to establish that said employee possessed personal knowledge of plaintiff’s business practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to [*2]plaintiff’s moving papers, plaintiff failed to make a prima facie showing of its entitlement to summary judgment (see Dan Med., P.C. v
New York Cent. Mut. Fire Ins. Co., 14 Misc 3d 44 [App Term, 2d & 11th Jud Dists 2006]).

In view of the foregoing, we reach no other issue.

Pesce, P.J., Weston Patterson and Rios, JJ., concur.
Decision Date: March 26, 2007

Dan Med., P.C. v New York Cent. Mut. Ins. Co. (2007 NY Slip Op 50602(U))

Reported in New York Official Reports at Dan Med., P.C. v New York Cent. Mut. Ins. Co. (2007 NY Slip Op 50602(U))

Dan Med., P.C. v New York Cent. Mut. Ins. Co. (2007 NY Slip Op 50602(U)) [*1]
Dan Med., P.C. v New York Cent. Mut. Ins. Co.
2007 NY Slip Op 50602(U) [15 Misc 3d 128(A)]
Decided on March 26, 2007
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 March 26, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : WESTON PATTERSON, J.P., RIOS and BELEN, JJ
2006-44 Q C.
Dan Medical, P.C., a/a/o Rose Diogene, Appellant,

against

New York Central Mutual Insurance Co., Respondent.

Appeal from an order of the Civil Court of the City of New York, Queens County (Diccia T. Pineda-Kirwan, J.), entered October 24, 2005. The order partially granted defendant’s unopposed motion to compel disclosure and denied plaintiff’s cross motion for summary judgment.

Appeal from so much of the order as partially granted defendant’s motion to compel disclosure dismissed.

Order, insofar as reviewed, affirmed without costs.

Plaintiff commenced this action to recover first-party no-fault benefits for health care services rendered to its assignor. After defendant moved to compel disclosure, plaintiff cross-moved for summary judgment. Plaintiff did not address defendant’s motion to compel disclosure. By order entered October 24, 2005, the court below denied plaintiff’s cross motion and granted defendant’s motion to compel disclosure to the extent of requiring plaintiff to appear by a treating physician for an examination before trial. The instant appeal by plaintiff ensued.

On appeal, defendant raises for the first time that the affidavit by plaintiff’s corporate officer, submitted in support of the motion, failed to lay a proper foundation for the documents [*2]annexed to plaintiff’s moving papers and that, as a result, plaintiff failed to establish a prima facie case. The affidavit submitted by plaintiff’s corporate officer was insufficient to establish that said officer possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s moving papers. Accordingly, plaintiff failed to make a prima facie showing of its entitlement to summary judgment (see Bath Med. Supply, Inc. v Deerbrook Ins. Co., 14 Misc 3d 135[A], 2007 NY Slip Op 50179[U] [App Term, 2d & 11th Jud Dists]; Dan Med., P.C. v New York Cent. Mut. Fire Ins. Co., 14 Misc 3d 44 [App Term, 2d & 11th Jud Dists 2006]). Consequently, plaintiff’s cross motion for summary judgment was properly denied.

Since plaintiff failed to submit written opposition to defendant’s motion to compel disclosure, that branch of the order which granted defendant’s motion to the extent of requiring plaintiff to appear by a treating physician for an examination before trial was entered on default and no appeal lies therefrom by the defaulting party (see CPLR 5511; Coneys v Johnson Controls, Inc., 11 AD3d 576 [2004]; Marino v Termini, 4 AD3d 342 [2004]; Adamson v Evans, 283 AD2d 527 [2001]). As a result, the appeal from so much of the order as granted defendant’s motion to compel disclosure is dismissed.

Weston Patterson, J.P., Rios and Belen, JJ., concur.
Decision Date: March 26, 2007

Great Wall Acupuncture v American Tr. Ins. Co. (2007 NY Slip Op 50538(U))

Reported in New York Official Reports at Great Wall Acupuncture v American Tr. Ins. Co. (2007 NY Slip Op 50538(U))

Great Wall Acupuncture v American Tr. Ins. Co. (2007 NY Slip Op 50538(U)) [*1]
Great Wall Acupuncture v American Tr. Ins. Co.
2007 NY Slip Op 50538(U) [15 Misc 3d 127(A)]
Decided on March 19, 2007
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 March 19, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., GOLIA and RIOS, JJ
2006-340 K C.
Great Wall Acupuncture a/a/o JANETT TEJADA, JENNIFER ALTMAN, OSVALDO GONZALES and LUIS PEREZ-SEPULVEDA, Appellant,

against

American Transit Ins. Co., Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Arlene Bluth, J.), entered November 10, 2005. The order denied plaintiff’s motion for summary judgment.

Order affirmed without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff’s motion for summary judgment was supported by an “affirmation” from plaintiff’s counsel, an affidavit by an employee of plaintiff, and various documents annexed thereto. The affidavit executed by plaintiff’s employee stated in a conclusory manner that the documents attached to plaintiff’s motion papers were plaintiff’s
business records. The court below denied the motion on the ground that plaintiff failed to make a prima facie case because the affidavit executed by plaintiff’s employee was legally insufficient. Plaintiff appeals from the denial of its motion for summary judgment.

Inasmuch as the affidavit submitted by plaintiff’s employee was insufficient to establish that said employee possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s moving papers, plaintiff failed to make a prima facie showing of its entitlement to summary [*2]judgment (Alvarez v Prospect Hosp., 68 NY2d 320 [1986]; see Dan Med., P.C. v New York Cent. Mut. Fire Ins. Co., 14 Misc 3d 44 [App Term, 2d & 11th Jud Dists 2006]). Consequently, plaintiff’s motion for summary judgment was properly denied.

Pesce, P.J., Golia and Rios, JJ., concur.

Capri Med., P.C. v New York Cent. Mut. Ins. Co. (2007 NY Slip Op 50536(U))

Reported in New York Official Reports at Capri Med., P.C. v New York Cent. Mut. Ins. Co. (2007 NY Slip Op 50536(U))

Capri Med., P.C. v New York Cent. Mut. Ins. Co. (2007 NY Slip Op 50536(U)) [*1]
Capri Med., P.C. v New York Cent. Mut. Ins. Co.
2007 NY Slip Op 50536(U) [15 Misc 3d 127(A)]
Decided on March 19, 2007
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 March 19, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : WESTON PATTERSON, J.P., RIOS and BELEN, JJ
2006-29 Q C.
Capri Medical, P.C. A/A/O SVETLANA MIRZOYAN, Appellant,

against

New York Central Mutual Insurance Co., Respondent.

Appeal from an order of the Civil Court of the City of New York, Queens County

(Johnny Lee Baynes, J.), entered July 7, 2005. The order denied plaintiff’s motion for
summary judgment.

Order affirmed without costs.

Plaintiff commenced this action to recover first-party no-fault benefits for medical services rendered to its assignor. The court below denied plaintiff’s motion for
summary judgment, holding that there was an issue of fact as to whether the injuries
alleged by plaintiff’s assignor were caused by a covered accident. The instant appeal
by plaintiff ensued.

On appeal, defendant raises for the first time that the affidavit by plaintiff’s corporate officer, submitted in support of the motion, failed to lay a proper foundation for the documents annexed to plaintiff’s moving papers and that, as a result, plaintiff failed to establish a prima facie case. The affidavit submitted by plaintiff’s corporate officer was insufficient to establish that said officer possessed personal knowledge of plaintiff’s practices and procedures so as to lay a foundation for the admission, as business records, of the documents annexed to plaintiff’s moving papers. Accordingly, plaintiff failed to make a prima facie showing that it submitted its claim forms to defendant thereby entitling it to summary judgment (see Bath Med. Supply, Inc. v [*2]Deerbrook Ins. Co., ___ Misc 3d ___, 2007 NY Slip Op_____ [App Term, 2d & 11th Jud Dists]; Dan Med., P.C. v New York Cent. Mut. Fire Ins. Co., ___ Misc 3d ___, 2006 NY
Slip Op 26483 [App Term, 2d & 11th Jud Dists]). Consequently, plaintiff’s motion for summary judgment was properly denied. In light of the foregoing, we reach no other issue.

Weston Patterson, J.P., Rios and Belen, JJ., concur.
Decision Date: March 19, 2007

New Way Med., P.C. v Kemper Ins. Co. (2007 NY Slip Op 50535(U))

Reported in New York Official Reports at New Way Med., P.C. v Kemper Ins. Co. (2007 NY Slip Op 50535(U))

New Way Med., P.C. v Kemper Ins. Co. (2007 NY Slip Op 50535(U)) [*1]
New Way Med., P.C. v Kemper Ins. Co.
2007 NY Slip Op 50535(U) [15 Misc 3d 127(A)]
Decided on March 19, 2007
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 March 19, 2007

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., RIOS and BELEN, JJ
2005-1842 K C.
New Way Medical, P.C. a/a/o JUAN ORELLANA, Appellant,

against

Kemper Ins. Co., Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Peter Paul Sweeney, J.), entered September 15, 2005. The order denied plaintiff’s motion for summary judgment.

Order affirmed without costs.

In this action to recover first-party no-fault benefits for services rendered to its assignor, plaintiff moved for summary judgment, and defendant opposed. The lower court denied plaintiff’s motion and this appeal ensued.

Under the circumstances presented, we find that plaintiff’s motion was properly denied, as defendant raised a triable issue which was “premised on the fact or founded belief that the alleged injury…[did] not arise out of an insured incident” (Central Gen. Hosp. v Chubb Group of Ins. Cos., 90 NY2d 195, 199 [1997]). Accordingly, the order is affirmed.

Pesce, P.J., Rios and Belen, JJ., concur.
Decision Date: March 19, 2007