Key Takeaway
Ortho-Med rejected an unsupported signature objection without reaching the reply papers. Jason's original case account is preserved with current context.
This article is part of our ongoing hypo-technical defects coverage, with 187 published articles analyzing hypo-technical defects 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.
Last reviewed: September 2026
Ortho-Med rejected a signature objection that supplied no factual basis. The Appellate Term expressly did not reach the insurer’s reply papers, so this decision should not be cited as approving new evidence first submitted in reply.
Historical note: Ortho-Med did not decide the reply-evidence issue; read its 2010 signature dispute with the current CPLR 2106 guide rather than as a universal execution rule.
The holding was narrower than the reply dispute
In Ortho-Med Surgical Supply v Mercury Casualty, 2010 NY Slip Op 50587(U), decided March 31, 2010, the insurer supported its medical-necessity motion with an affirmed peer review. The provider’s sole objection was that the physician had not personally signed it.
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The court distinguished a properly supported signature challenge from the unexplained assertion before it. Because the provider gave no reason for believing the signature was stamped or a facsimile, it raised no factual issue. The judgment dismissing the complaint was affirmed without deciding the reply questions.
Jason’s account below supplies his recollection of the motion and appeal. It is preserved separately from the published holding.
What remains to check on a modern submission
The broader affirmation option now appears in CPLR 2106. State Technology Law 304(2) also recognizes electronic signatures unless law specifically provides otherwise. Neither provision makes authenticity or evidentiary sufficiency irrelevant.
Explain the actual basis of an execution objection. Conversely, do not assume an unsupported objection means any later reply material may be considered. Ortho-Med avoided that question; Park Slope addressed a record warranting a limited signature hearing.
Jason’s original commentary
Jason’s original April 2010 account follows, including its existing wording. The published court expressly left the reply issues undecided.
In another care where I was the Respondent – I sometimes win these motions in the Civil Courts – Plaintiff appealed the finding of the Civil Court that I presented admissible evidence to demonstrate the supplies were not medically appropriate. However, you will not get the full history of the case from reading the opinion. I will give it to you here.
I moved for summary judgment on the basis that the supplies lacked medical necessity. The propounded medical evidence consisted of an affirmed peer report and the documents that were relied upon. A separate affirmation attesting to the fact that the peer review was the doctor’s executed document was not included. This was inadvertent on my part.
Plaintiff opposed on the sole ground that the peer doctor’s signature was faxed or computer generated.
I replied and included an affirmation of the peer review doctor saying otherwise.
Civil Court granted me summary judgment based upon my tendering of admissible evidence to demonstrate that the supplies were not medically appropriate.
Plaintiff appealed. His main contention on appeal was that the reply consisted of new evidence that should not have been considered. My answering brief said that Plaintiff was wrong, and I included cases that were on point.
The Appellate Term affirmed the finding of the Civil Court, but for reasons that were different from those of the Civil Court. The Appellate Term quoted a case that they decided after the submission of the briefs in the case, entitled “Eden Med., P.C. v Eveready Ins. Co.”.
Consequently, Plaintiff’s objections to the evidence set forth in the Reply was rendered academic since he failed to offer evidence stating that the peer reviewer’s signature on the underlying peer review was not holographic.
Connect to the Encyclopedia
Start with the CPLR 2001 mistakes and irregularities hub.
- Park Slope: a properly raised signature dispute
- Manhattan Medical: an unexplained signature objection
- Amercure: a withdrawn publication
- Bacon & Seiler: corrected form and missing proof
- Current CPLR 2106: affirmation form, amendments and exceptions
For review of a particular motion or no-fault defense record, contact the office.
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.
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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.
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