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Mr. SK Prime expanded Great Wall

SK Prime Med. Supply, Inc. v State Farm Mut. Auto. Ins. Co., 2014 NY Slip Op 50630(U)(App. Term 2d Dept. 2014) This is the first application

April 19, 2014 No Comments

Plaintiff’s medical records are admissible by defendant absent dispute regarding accuracy or veracity

Ward v Lincoln Elec. Co., 2014 NY Slip Op 02668 (1st Dept. 2014) I think this might be a way around the Appellate Term peer hearsay

April 19, 2014 No Comments

Stipulated to defeat.

All-In-One Medical Care, P.C. v. Government Employees Ins. Co., 2014 N.Y. Slip Op. 24070 (Dis. Ct. Nassau Co. 2014) This is what happens when we all

April 14, 2014 1 Comment

The articulable need test for a provider EBT on a medical necessity case

Arnica Acupuncture P.C. v Interboro Ins. Co., 2014 NY Slip Op 50554(U)(App. Term 1st Dept. 2014) “However, we find no abuse of discretion in the denial

April 11, 2014 4 Comments

Bad faith

General Motors Acceptance Corp. v New York Cent. Mut. Fire Ins. Co., 2014 NY Slip Op 02384 (1st Dept 2014) The motion court erred when

April 9, 2014 No Comments

This one is wrong

Huntington Med. Plaza, P.C. v Travelers Indem. Company, 2014 NY Slip Op 50527(U)(App. Term 2d Dept. 2014) What is going on at the Appellate Term? Is

April 9, 2014 No Comments

It is not a Note of Issue

Exceptional Med. Care, P.C. v Fiduciary Ins. Co., 2014 NY Slip Op 24091 (App. Term 2d Dept 2014) 3212(a) specifically states “note of issue”. When

April 8, 2014 No Comments

Mailing from the Court of Appeals – kind of important

Preferred Mut. Ins. Co. v Donnelly, 2014 NY Slip Op 02328 (2014) I am going to say that this is a much less restrictive test than

April 3, 2014 14 Comments

IME no show run amuck

Clinton Place Med., P.C. v New York Cent. Mut. Fire Ins. Co., 2014 NY Slip Op 50468(U)(App. Term 2d Dept. 2014) “A review of the

April 2, 2014 3 Comments

Peer review testimony is admissible and sufficient

All Borough Group Med. Supply, Inc. v Unitrin Advantage Ins. Co., 2014 NY Slip Op 50462(U)(App. Term 2d Dept. 2014) “At a trial on the

April 2, 2014 1 Comment

The 60-day rule that was never published in the law journal

Tong Li v Citiwide Auto Leasing, Inc., 2014 NY Slip Op 50481(U)(App. Term 2d Dept. 2014) “It is undisputed that, under the rules of Part 41

April 2, 2014 1 Comment

IME no-show – Court refused to follow Appellate Division standards

Great Health Care Chiropractic, P.C. v Citiwide Auto Leasing, 2014 NY Slip Op 50476(U)(App. Term 2d Dept. 2014) I am guessing nobody realized that the

April 2, 2014 No Comments

A prima facie case – not too much needed

Peace of Mind, Social Work, P.C. v Travelers Aetna Prop. Cas. Corp., 2014 NY Slip Op 50475(U)(App. Term 2d Dept. 2013) “The sole witness was

April 2, 2014 No Comments

The rambling man does not meet burden of lack of medical necessity at trial

Webster Ave Med. Pavilion, PC v Allstate Ins. Co., 2014 NY Slip Op 50393(U)(App. Term 1st Dept. 2014) “The trial court was entitled to reject the

March 26, 2014 4 Comments

Declaratory judgment action given preclusive effect

Flatlands Med., P.C. v Kemper Ins. Co., 2014 NY Slip Op 50419(U)(App. Term 2d Dept, 2014) “In support of its motion, defendant established that a

March 25, 2014 No Comments

Another Civil Kings Judge gets reversed for deciding that Great Wall does not apply

Ema Acupuncture, P.C. v Geico Ins. Co., 2014 NY Slip Op 50415(U)(App. Term 2d Dept. 2014) Not sure why Kings County is the only venue

March 25, 2014 No Comments

“Defendant is mistaken”

Clinton Place Med., P.C. v New York Cent. Mut. Fire Ins. Co, 2014 NY Slip Op 50413(U)(App. Term 2d Dept. 2014) “With respect to the

March 25, 2014 No Comments

Comp defense succeeds but medical necessity defense falters

Martin Plutno v Travelers Ins. Co., 2014 NY Slip Op 50412(U)(App. Term 2d Dept. 2014) (1) Simple fee schedule arithmetic may be performed by “defendant’s

March 25, 2014 No Comments

Mailing challenge unpreserved

Eagle Surgical Supply, Inc. v Allstate Prop. & Cas. Ins. Co., 2014 NY Slip Op 50411(U)(App. Term 2d Dept. 2014) The court would not reach

March 25, 2014 No Comments

Premature summary judgment motion

Hillside Open MRI, P.C. v Praetorian Ins. Co., 2014 NY Slip Op 50408(U)(App. Term 2d Dept. 2014) (1) “In this action by a provider to recover

March 25, 2014 No Comments

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