Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co., 2013 NY Slip Op 50199(U)(App. Term 2d Dept. 2013)
“With respect to the claims seeking the sums of $1,109.05, $3,227.26 and $1,153, the affidavit by defendant’s no-fault litigation supervisor established that the initial and follow-up verification requests for additional verification had been timely mailed (see St. Vincent’s Hosp. of Richmond, 50 AD3d 1123; Delta Diagnostic Radiology, P.C., 17 Misc 3d 16) and that plaintiff had failed to provide all of the requested additional verification”
There was a discussion regarding the failure to establish as a matter of law the fee schedule defense. I suspect it was a code reduction that was not backed up with an expert affidavit. Juast Keycite Rogy Medical v. Mercury…
See also: Viviane Etienne Med. Care, P.C. v GEICO Gen. Ins. Co., 2013 NY Slip Op 50196(U)(App. Term 2d Dept. 2013)
One Response
CW and additional verification is a sham. They ask for the exact same shit on every case to delay payment not to verify anything. If the dept of finance wants to look into no fault fraud why don’t they look into this. It’s a joke and a mockeryof the regsI and they get away with it on a daily basis.