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Putting the wrong floor is not fatal

Unitrin Advantage Ins. Co. v Cohen & Kramer M.D., P.C., 2020 NY Slip Op 06474 (1st Dept. 2020) Plaintiff insurer’s evidence, including affidavits attesting in

March 22, 2021 No Comments

NF-3 is the operative document

Unitrin Direct Ins. Co. v Beckles, 2020 NY Slip Op 06974 (1st Dept. 2020) “Where, as here, the insurer submits evidence of a medical provider

March 22, 2021 No Comments

Independent contractor defense proven

Lumbermens Mut. Cas. Co. v A B Med. Servs., PLLC, 2020 NY Slip Op 07280 (1st Dept. 2020) “As an initial issue, 11 NYCRR 65-3.11

March 22, 2021 No Comments

$5000 (Ins Law 5106[c]) cannot be manipulated

American Tr. Ins. Co. v Health Plus Surgery Ctr., LLC, 2021 NY Slip Op 01499 (1st Dept. 2021) “Plaintiff is not entitled to de novo

March 22, 2021 No Comments

Perlbinder

Perlbinder v Vigilant Ins. Co., 2021 NY Slip Op 00439 (2d Dept. 2021) I think this is perhaps the most consequential bad faith 349 case

March 22, 2021 2 Comments

Standing (favorite statutes)

US Bank N.A. v Blake-Hovanec, 2021 NY Slip Op 00893 (2d Dept. 2021) “Contrary to the plaintiff’s contention, the defendant did not waive the affirmative

March 22, 2021 No Comments

Alleviation – not much alleviated

Alleviation Med. Servs., P.C. v Allstate Ins. Co., 2021 NY Slip Op 08159 (2d Dept. 2021) (1) “The defendant appeals, and we affirm, albeit on

March 22, 2021 1 Comment

Expert opinion

Attia v Klebanov, 2021 NY Slip Op 01241 (2d Dpet. 2021) “Expert opinions, in order not to be considered speculative or conclusory, should address specific

March 22, 2021 No Comments

It did not have to be mailed to the attorney

Pavlova v Nationwide Ins., 2021 NY Slip Op 50213(U)(App. Term 2d Dept. 2021) “To establish its prima facie entitlement to summary judgment dismissing a complaint

March 22, 2021 1 Comment

Reasonableness of healthcare bill

Spanakos v Racanelli, 2021 NY Slip Op 50127(U)(App. Term 2d Dept. 2021) (1) “Plaintiff, a chiropractor, brought this action to recover, among other things, the

March 17, 2021 No Comments

Prescribed forms are not part of the no show

BNE Clinton Med., P.C. v State Farm Mut. Auto Ins. Co., 2021 NY Slip Op 50083(U)(App. Term 2d Dept. 2020) “Plaintiff’s contention that defendant failed

March 17, 2021 No Comments

It is the bill, not the NF-2

City Anesthesia Healthcare, P.C. v Erie Ins. Co. of N.Y., 2021 NY Slip Op 50135(U)(App. Term 2d Dept. 2020) “Contrary to the determination of the

March 17, 2021 No Comments

Choice of law?

Schottenstein Pain & Neuro, PLLC v Travelers Ins. Co., 2020 NY Slip Op 51549(U)(App. Term 2d Dept. 2020) “It is uncontroverted that the automobile accident

March 17, 2021 No Comments

MUA is dangerous

Mollo Chiropractic, PLLC v American Commerce Ins. Co., 2020 NY Slip Op 51548(U)(App. Term 2d Dept. 2020) “Defendant’s experts’s theory in both his peer review

March 17, 2021 No Comments

An Mvaic Notice of Claim

Jean-Philippe, Matter of, v Motor Veh. Acc. Indem. Corp., 2020 NY Slip Op 51511(U)(App. Term 2d Dept. 2020) ” To the extent petitioner contends that her

March 17, 2021 No Comments

Wind it up

BR Clinton Chiropractic, P.C. v GEICO Ins. Co.., 2020 NY Slip Op 20291 (App. Term 2d Dept. 2020) (1) “Pursuant to Business Corporation Law §§ 1509

March 17, 2021 No Comments

PT Fee schedule denial not substantiated

NL Quality Med., P.C. v GEICO Ins. Co., 2020 NY Slip Op 51340(U)(App. Term 2d Dept. 2020) “With respect to the second cause of action,

March 17, 2021 No Comments

The power of the certified medical coder

LVOV Acupuncture, P.C. v Nationwide Ins. Co., 2020 NY Slip Op 51339(U)(App. Term 2d Dept. 2020) “the affidavit executed by defendant’s certified medical coder, submitted

March 17, 2021 No Comments

Policy Exhaust?

S.O.V. Acupuncture, P.C. v State Farm Mut. Auto. Ins. Co., 2020 NY Slip Op 51365(U)(App. Term 2d Dept. 2020) “In support of its motion, defendant

March 17, 2021 No Comments

Objective standards

21st Century Pharm., Inc. v Integon Natl. Ins. Co., 2020 NY Slip Op 51364(U)(App. Term 2d Dept. 2020) “Plaintiff does not argue that defendant did

March 17, 2021 No Comments

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