Bob Acupuncture, P.C., v. New York Central Mutual Fire Insurance Company, 2016 N.Y. Slip Op. 51434(U) plaintiff established the submission of the claim forms to defendant by virtue of the defendant, insurer’s denial. The Court said as follows: As plaintiff argues, the submission of the cl
Here is one with potential wide ranging implications. In Compas Medical, P.C., v. Travelers Insurance Company, 2016 N.Y. Slip Op. 51441(U), Plaintiff complied partially with the insurer’s verification request. The Court said as follows: Contrary to plaintiff’s contention, defen
Island Life Chiropractic, P.C., v. Travelers Insurance Company, 2016 N.Y. Slip Op. 51413(U) An affidavit by Plaintiff saying it had submitted the requested verification was sufficient to raise a triable issue of fact that it had complied with the requested verification and thereby was enough to d
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