Gentle Acupuncture, P.C. v Tri-State Consumer Ins. Co., 2017 NY Slip Op 50706(U), Slip Copy, 55 Misc.3d 147(A) In this action by a provider to recover no fault benefits, Plaintiff appeals from a District Court Order wherein its complaint was dismissed. Plaintiff’s claims were
ACUPUNCTURE HEALTHCARE PLAZA I, P.C., v. METLIFE AUTO & HOME, NYLJ 2/28/17, 2017 NY Slip Op 50207(U) At the start of a nonjury the parties stipulated that plaintiff had established its prima facie case and that defendant had timely denied the claims at issue. The parties agreed that the only
Easy Care Acupuncture, P.C. v. ELRAC, Inc., Slip Copy, 54 Misc.3d 144(A), 2017 WL 706587 (Table), 2017 N.Y. Slip Op. 50234(U) Plaintiff-provider established prima facie that its no-fault claims in the amount of $2,958.13 were overdue, since they were not “denied or paid” within the prescribed 3
Bronx Acupuncture Therapy, P.C., v. Hereford Ins. Co., Slip Copy, 2017 WL 416732 (Table), 2017 N.Y. Slip Op. 50101(U) Provider billed for 97039 and 99199 of the workers’ compensation fee schedules. Plaintiff submitted three claim forms to defendant which included charges for moxibustion, under
Liberty Chiropractic, P.C., v. 21st Century Insurance Company, 2016 N.Y. Slip Op. 51409(U) Is this the standard of proof for a carrier when invoking the 8 unit defense? The Court said: Plaintiff properly argues on appeal that defendant failed to establish its defense, that the fees charged exce
High Quality Medical Supplies, Inc., v. Mercury Ins. Group, 2016 N.Y. Slip Op. 51444(U) It appears that the Plaintiff medical supply company billed for something not specifically set forth in the fee schedule the Court said as follows in a short decision: In this action by a provider to recover ass