SHUR, M.D. v. UNITRIN ADVANTAGE INSURANCE COMPANY, 56 Misc.3d 136(A) Peer and IME doctors will now have to examine the the operative and MRI reports when they deny surgeries. The proponent of a summary judgment motion must make a prima facie showing of entitlement to judgment as a matter of law
Metropolitan Diagnostic Medical Care, P.C. v. Erie Insurance Company of New York, 2016 NY Slip Op 51815(U) At a nonjury trial, the sole issue was the medical necessity of the MRIs of plaintiff’s assignor’s cervical and thoracic spines. The only witness was defendant’s doctor, a b
New Horizon Surgical Center, L.L.C., v. Allstate Insurance Company, Slip Copy, 2016 WL 4021130 (Table), 2016 N.Y. Slip Op. 51124(U) New Jersey facility sued to recover a facility fee for MUA. The procedure performed at plaintiff’s facility. Denial was timely and based on lack of medical nec