Blog

Day: December 18, 2018

Down-coding acceptable

Urban Well Acupuncture, P.C. v Global Liberty Ins. Co. of N.Y., 2018 NY Slip Op 51833(U)(App. Term 1st Dept. 2018) “In opposition to defendant-insurer’s prima facie

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Florida

Charles Deng Acupuncture, P.C. v 21st Century Ins. Co., 2018 NY Slip Op 51815(U)(App. Term 2d Dept. 2018) “Moreover, even if defendant had established that Florida

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Post judgment interest at 9%?

Craniofacial Pain Mgt. v Allstate Ins. Co., 2018 NY Slip Op 51825(U)(App. Term 2d Dept. 2018) “The amount of a partial satisfaction, if any, should be

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Policy exhaustion?

First Am. Alliance, Inc. v Ameriprise Ins. Co., 2018 NY Slip Op 51765(U)(App. Term 2d Dept. 2018) “In this action by a provider to recover assigned

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Reasonable excuse?

Karina K. Acupuncture, P.C. v Hertz Claim Mgt. Corp., 2018 NY Slip Op 51762(U)(App. Term 2d Dept. 2018) “Plaintiff failed to demonstrate a reasonable justification for

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Objective basis?

Gentlecare Ambulatory Anesthesia Servs.; Lyonel F. Paul, M.D. v GEICO Ins. Co., 2018 NY Slip Op 51773(U)(App. Term 2d Dept. 2018) “Furthermore, defendant was not required

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Timely EUO denial

Acupuncture Now, P.C. v American Commerce Ins. Co., 2018 NY Slip Op 51768(U)(App. Term 2d Dept. 2018) “However, plaintiff correctly argues that defendant failed to demonstrate

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Severance denied

Majestic Acupuncture, P.C. v Interboro Mut. Ins. Co., 2018 NY Slip Op 51785(U)(App. Term 2d Dept. 2018) “The decision to grant severance (see CPLR 603) is an

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No policy, no coverage

TAM Med. Supply Corp. v Hereford Ins. Co., 2018 NY Slip Op 51779(U)(App. Term 2d Dept. 2018) “In support of its cross motion, defendant submitted affidavits

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The role of reply

U.S. Bank Natl. Assn. v Jones, 2018 NY Slip Op 08254 (1st Dept. 2018) “We decline to consider defendant’s new factual argument, raised for the first

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Mallela – or was it?

Matter of Country-Wide Ins. Co. v Bay Needle Acupuncture, P.C.2018 NY Slip Op 08238 (1st Dept. 2018) This was an interesting case that discusses the

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