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IME No-Show – Personal Knowledge
IME issues

IME No-Show – Personal Knowledge

By Jason Tenenbaum 4 min read

Key Takeaway

Radiology Today accepted the examiners' sworn no-show proof. Compare office-practice, personal-knowledge and business-record evidence in later IME cases.

This article is part of our ongoing ime issues coverage, with 150 published articles analyzing ime issues issues across New York State. Attorney Jason Tenenbaum brings 24+ years of hands-on experience to this analysis, drawing from his work on more than 1,000 appeals, over 100,000 no-fault cases, and recovery of over $100 million for clients throughout Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, and the Bronx. For personalized legal advice about how these principles apply to your specific situation, contact our Long Island office at (516) 750-0595 for a free consultation.

In Radiology Today v GEICO, the insurer proved mailing through the scheduling service and nonappearance through the medical professionals who were to conduct the IMEs. The decision accepted that evidence. It did not hold that only a doctor can ever establish a no-show, or that an employee with relevant knowledge is automatically disqualified.

Historical note — Last reviewed: September 2026. The October 2009 ruling concerns the evidence submitted on an unopposed motion; compare Lucas (2013) and the IME case directory before treating its accepted examiner statements as an exclusive proof rule.

What Radiology Today decided

Radiology Today, P.C. v GEICO Insurance Co., 25 Misc 3d 133(A), was decided October 23, 2009, by the Appellate Term, Second Department. The Civil Court had denied GEICO’s unopposed summary-judgment motion because it found the notice-mailing showing inadequate. The Appellate Term reversed and granted dismissal.

A manager at the independent medical review service described the standard office procedure used to generate and mail IME notices. The court found that procedure sufficient to establish proper addressing and mailing. The medical professionals’ affidavits and affirmations established nonappearance.

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Those were two distinct sources of proof. The decision is therefore not an example of all administrative evidence being rejected. It accepted the manager’s evidence for mailing and the examiners’ evidence for attendance. It also shows that an unopposed motion still requires the court to assess the moving party’s proof.

Jason’s original observation

Jason introduced the quoted proof discussion this way in November 2009:

For those who are unsure what satisfies the “personal knowledge” prong of an IME no-show defense, the Appellate Term in uncharacterstic fashion spelled it out:

The typo and wording are preserved as part of the historical note. The passage identified a successful example. It did not say that every later case must reproduce the same witness lineup.

Personal knowledge concerns the basis, not just the job title

The later Lucas opinion accepted sworn affidavits from the scheduled physician and his employee. The court discussed the employee’s role in the physician’s no-fault department and the physician’s knowledge of procedures when a claimant did not appear. That published explanation is inconsistent with a broad rule that office employees never matter.

An appointment coordinator, an examiner and a claims examiner may know different things. When reading an affidavit, ask what the person actually observed or how the relevant office procedure supplies the stated knowledge. Employment by the insurer or vendor is not itself an answer to every evidentiary question. Neither is possession of a medical degree.

The failed-proof comparison is Great Health Care v Hertz: IME mailing was inadequately established, and the separate EUO defense lacked personal-knowledge proof. The successful comparison is East 75th Street, where the vendor’s mailing evidence and doctors’ attendance evidence addressed different parts of the defense.

Memory and records are different foundations

A witness saying “I was present and the person did not come” presents a different foundation from a witness relying on entries in an appointment system. Neither statement should be embellished with facts absent from the actual affidavit.

CPLR 4518(a) addresses business-record admissibility: the record must meet the regular-course and timing requirements. Merely describing a file as a business record does not establish those requirements. Conversely, a genuine personal observation is not automatically defective because the witness has not recited a business-record formula.

This distinction is helpful when a doctor cannot remember an appointment unaided. It does not automatically end the defense. The actual proof, its foundation and the controlling decisions must be examined. This 2009 opinion did not adjudicate every possible records-based showing.

Time lapse: compare the actual decisions

The 2019 Satya Drug opinion supplies a caution. There, the doctor’s affirmation did not adequately explain the basis for recalling a nonappearance about sixteen months earlier, and the vendor did not establish personal knowledge either. The issue was the sufficiency of those submissions, not a sixteen-month statutory expiration date.

For a later EUO comparison, the 2026 GC Chiropractic note discusses an attorney’s affirmation accepted despite a much longer interval. The two decisions concern different examinations, witnesses and records. They do not authorize a blanket statement that elapsed time either always destroys or never affects proof.

Where notice objections fit

Proof of mailing is not the same thing as proof that the recipient read a letter. A dispute over an address, a correction or a rescheduling communication should be evaluated with the actual correspondence and competent evidence. The insurer must first establish the relevant showing; the provider must then identify a supported issue rather than rely on an abstract possibility.

Solorzano found mailing and no-show evidence competent, but the short opinion did not publish a universal minimal affidavit. Brand’s Lynn Carter dispute addressed a different question: whether newly offered evidence about a pseudonym would change an earlier result on renewal. Keeping those issues separate prevents a scheduling irregularity from being mistaken for a complete answer to attendance proof.

This note concerns assigned no-fault benefits. It does not decide a patient’s tort damages or promise payment because one affidavit is weak. Its value is as an early example of evidence that succeeded, connected to later examples explaining why a different record may not.

Connect to the Encyclopedia

The IME no-show case directory connects notice, attendance, timing and procedural decisions:

For review of a particular no-fault claim or motion record, contact the Law Office of Jason Tenenbaum, P.C. and read about our no-fault defense practice.

Legal Context

Why This Matters for Your Case

New York law is among the most complex and nuanced in the country, with distinct procedural rules, substantive doctrines, and court systems that differ significantly from other jurisdictions. The Civil Practice Law and Rules (CPLR) governs every stage of civil litigation, from service of process through trial and appeal. The Appellate Division, Appellate Term, and Court of Appeals create a rich and ever-evolving body of case law that practitioners must follow.

Attorney Jason Tenenbaum has practiced across these areas for over 24 years, writing more than 1,000 appellate briefs and publishing over 2,353 legal articles that attorneys and clients rely on for guidance. The analysis in this article reflects real courtroom experience — from motion practice in Civil Court and Supreme Court to oral arguments before the Appellate Division — and a deep understanding of how New York courts actually apply the law in practice.

Frequently Asked Questions

Common Questions About This Topic

5 answers from the firm's New York personal-injury and employment-law practice. Click any question to expand.

What constitutes adequate personal knowledge in an IME no-show case?

Radiology Today accepted a scheduling-service manager's mailing evidence and the medical professionals' statements establishing nonappearance. It did not announce a doctor-only rule. The witness must explain the relevant knowledge or admissible record foundation for the fact being proved; Lucas provides a later comparison involving physician and employee affidavits.

Can an insurance company use scheduling records to prove a no-show?

Records can support proof when an appropriate witness establishes their foundation and explains what they show. A schedule identifying an appointment does not by itself establish that the patient failed to attend. Mailing, scheduling and nonappearance should be examined separately rather than treating every office record as automatically sufficient or inadmissible.

What happens if the medical professional cannot remember the specific appointment?

A lack of specific recollection requires attention to the other proposed evidence and its foundation. Satya rejected the inadequate recollection and record showing before it; it did not establish a fixed expiration date for testimony. The later GC Chiropractic EUO decision accepted a different attorney affirmation despite a substantial time lapse.

How does this ruling affect patients who legitimately missed IME appointments?

A genuine missed examination can affect no-fault benefits when the insurer establishes the applicable requirements. Radiology Today does not excuse nonattendance or promise that a documentation objection will defeat a denial. The notices, dates, communications and proof submitted in the particular dispute need review.

What should patients do if they believe they are wrongfully accused of missing an IME?

Keep the notices, appointment communications, proof of attendance or attempts to reschedule, and the denial. Identify the exact appointment in dispute and obtain legal review promptly. A disagreement about an office record should be tied to evidence, not an assumption that only the examiner could provide admissible testimony.

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Disclaimer: This article is published by the Law Office of Jason Tenenbaum, P.C. for informational and educational purposes only. It does not constitute legal advice, and no attorney-client relationship is formed by reading this content. The legal principles discussed may not apply to your specific situation, and the law may have changed since this article was last updated.

New York law varies by jurisdiction — court decisions in one Appellate Division department may not be followed in another, and local court rules in Nassau County Supreme Court differ from those in Suffolk County Supreme Court, Kings County Civil Court, or Queens County Supreme Court. The Appellate Division, Second Department (which covers Long Island, Brooklyn, Queens, and Staten Island) and the Appellate Term (which hears appeals from lower courts) each have distinct procedural requirements and precedents that affect litigation strategy.

If you need legal help with a ime issues matter, contact our office at (516) 750-0595 for a free consultation. We serve clients throughout Long Island (Huntington, Babylon, Islip, Brookhaven, Smithtown, Riverhead, Southampton, East Hampton), Nassau County (Hempstead, Garden City, Mineola, Great Neck, Manhasset, Freeport, Long Beach, Rockville Centre, Valley Stream, Westbury, Hicksville, Massapequa), Suffolk County (Hauppauge, Deer Park, Bay Shore, Central Islip, Patchogue, Brentwood), Queens, Brooklyn, Manhattan, the Bronx, Staten Island, and Westchester County. Prior results do not guarantee a similar outcome.

Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

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Jason Tenenbaum, Esq.

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
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24+ Years
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2,353+ Published
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