Key Takeaway
New York court upholds admission of doctor's peer review testimony on medical necessity despite hearsay objections in no-fault insurance case.
This article is part of our ongoing evidence coverage, with 278 published articles analyzing evidence 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.
The admissibility of peer review testimony in no-fault insurance cases continues to be a contentious issue in New York courts. When insurance companies challenge the medical necessity of treatments, they often rely on independent medical examinations and peer review reports to support their denials. However, medical providers frequently object to such testimony on hearsay grounds, arguing that doctors are testifying about conclusions they did not personally reach or observations they did not personally make.
The case of Alev Medical Supply, Inc. v Government Employees Insurance Co. represents another instance where a New York court sided with the insurance carrier’s position on this evidentiary issue. This decision follows a well-established line of cases that have consistently allowed peer review testimony to proceed despite hearsay objections from medical providers seeking reimbursement under New York No-Fault Insurance Law.
The court’s ruling aligns with previous decisions that have shaped how medical necessity reversals are handled in no-fault litigation, particularly regarding the types of evidence that can be presented to challenge the necessity of medical treatments.
Jason Tenenbaum’s Analysis:
Alev Med. Supply, Inc. v Government Employees Ins. Co., 2014 NY Slip Op 50130(U)
“Contrary to plaintiff’s arguments, the Civil Court properly overruled plaintiff’s hearsay objection to defendant’s doctor’s testimony as to the issue of medical necessity (see Park Slope Med. & Surg. Supply, Inc. v Travelers, 37 Misc 3d 19 ; Alrof, Inc. v Progressive Ins. Co., 34 Misc 3d 29 ; Urban Radiology, P.C. v Tri-State Consumer Ins. Co., 27 Misc 3d 140, 2010 NY Slip Op 50987 ). Plaintiff’s remaining contentions lack merit (see A-Quality Med. Supply v GEICO Gen. Ins. Co., 39 Misc 3d 24 ; see also Eagle Surgical Supply, Inc. v GEICO Ins. Co., 39 Misc 3d 146, 2013 NY Slip Op 50854 ).”
Another peer hearsay case.
Key Takeaway
This decision reinforces the established precedent that New York courts will generally permit insurance company doctors to testify about medical necessity determinations based on peer review, even when medical providers raise hearsay objections. The ruling demonstrates the consistent judicial approach favoring the admissibility of such expert testimony in no-fault insurance disputes, making it increasingly difficult for providers to exclude this type of evidence on procedural grounds.
Legal Update (February 2026): Since this 2014 post, New York’s evidentiary standards for peer review testimony in no-fault cases may have evolved through subsequent court decisions and potential amendments to Civil Practice Law and Rules provisions governing hearsay exceptions. Practitioners should verify current case law developments and any regulatory changes affecting the admissibility of independent medical examination reports and peer review testimony in medical necessity challenges.
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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.
About This Topic
Evidentiary Issues in New York Litigation
The rules of evidence determine what information a court or arbitrator may consider in deciding a case. In New York no-fault and personal injury practice, evidentiary issues arise constantly — from the admissibility of business records and medical reports to the foundation requirements for expert testimony and the application of hearsay exceptions. These articles examine how New York courts apply evidentiary rules in insurance and injury litigation, with practical guidance for building admissible evidence at every stage of a case.
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Frequently Asked Questions
What types of evidence are important in no-fault and personal injury cases?
Key types of evidence include medical records and bills, police accident reports, diagnostic imaging (MRI, X-ray, CT scans), expert medical opinions, business records from insurance companies and providers, witness statements, photographs of injuries and the accident scene, and employment records for lost wage claims. The rules of evidence under New York CPLR and the Evidence Rules govern what is admissible in court proceedings.
What is the business records exception to hearsay in New York?
Under CPLR 4518(a), a business record is admissible if it was made in the regular course of business, it was the regular course of business to make such a record, and the record was made at or near the time of the event recorded. This exception is crucial in no-fault litigation because insurers' denial letters, claim logs, and peer review reports are often offered as business records. The foundation for the business record must be established through testimony or a certification.
What role does diagnostic imaging play as evidence in injury cases?
Diagnostic imaging — MRIs, CT scans, X-rays, and EMG/NCV studies — provides objective evidence of injuries such as herniated discs, fractures, ligament tears, and nerve damage. Courts and arbitrators give significant weight to imaging evidence because it is less subjective than physical examination findings. In serious injury threshold cases under §5102(d), imaging evidence corroborating clinical findings strengthens the plaintiff's case considerably.
How do New York courts handle surveillance evidence in personal injury cases?
Insurance companies frequently hire investigators to conduct video surveillance of plaintiffs to challenge injury claims. Under CPLR 3101(i), a party must disclose surveillance materials prior to trial, including films, photographs, and videotapes. Surveillance evidence can be powerful for impeachment if it contradicts the plaintiff's testimony about limitations. However, courts may preclude surveillance that was not properly disclosed or that is misleadingly edited.
What is hearsay and why does it matter in New York litigation?
Hearsay is an out-of-court statement offered to prove the truth of the matter asserted, and it is generally inadmissible under New York evidence rules. In no-fault and personal injury cases, hearsay issues frequently arise with medical records, peer review reports, denial letters, and witness statements. Key exceptions include the business records rule (CPLR 4518), party admissions, excited utterances, and statements made for medical diagnosis or treatment. Understanding hearsay rules is essential because improperly admitted or excluded evidence can change the outcome of a case.
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About the Author
Jason Tenenbaum, Esq.
Jason Tenenbaum is the founding attorney of the Law Office of Jason Tenenbaum, P.C., headquartered at 326 Walt Whitman Road, Suite C, Huntington Station, New York 11746. With over 24 years of experience since founding the firm in 2002, Jason has written more than 1,000 appeals, handled over 100,000 no-fault insurance cases, and recovered over $100 million for clients across Long Island, Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, the Bronx, and Staten Island. He is one of the few attorneys in the state who both writes his own appellate briefs and tries his own cases.
Jason is admitted to practice in New York, New Jersey, Florida, Texas, Georgia, and Michigan state courts, as well as multiple federal courts. His 2,353+ published legal articles analyzing New York case law, procedural developments, and litigation strategy make him one of the most prolific legal commentators in the state. He earned his Juris Doctor from Syracuse University College of Law.
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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