Medical necessity trial gown awryAugust 4, 2019
Parkway Hosp., Inc. v Integon Natl. Ins. Co., 2019 NY Slip Op 51187(U)(App. Term 2d Dept. 2019)
(1) ” the Civil Court found that defendant’s witness was not credible and awarded judgment to plaintiff in the principal sum of $17,388.68.”
(2) ” At a no-fault trial involving a defense of lack of medical necessity, an insurer has an initial burden to rebut the presumption of medical necessity which attaches to a claim form (see Dayan v Allstate Ins. Co., 49 Misc 3d 151[A], 2015 NY Slip Op 51751[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015]). Here, the record supports the determination of the Civil Court, based upon its assessment of the credibility of defendant’s expert witness and the proof adduced at trial, that defendant failed to demonstrate that the services rendered were not medically necessary”
I would like to see the transcript on this case.