Additional Verification non-receipt and lack of medical necessity.
Utica Acupuncture, P.C. v Interboro Ins. Co., 2013 NY Slip Op 50643(U)(App. Term 1st Dept. 2013) “In opposition to the defendant-insurer’s prima facie showing of entitlement to
Utica Acupuncture, P.C. v Interboro Ins. Co., 2013 NY Slip Op 50643(U)(App. Term 1st Dept. 2013) “In opposition to the defendant-insurer’s prima facie showing of entitlement to
Sound Shore Med. Ctr. v New York Cent. Mut. Fire Ins. Co., 2013 NY Slip Op 02390 (2d Dept. 2013) “On this appeal, we are asked to
Leica Supply, Inc. v GEICO Indem. Co., 2013 NY Slip Op 50478(U)(App. Term 2d Dept. 2013) ” A review of defendant’s letters reveals that they merely notified
Triangle R, Inc. v Tri-State Consumer Ins. Co., 2013 NY Slip Op 50256(U)(App. Term 2d Dept. 2013) “The affidavits submitted by defendant established that defendant had timely
Alev Med. Supply, Inc. v New York Cent. Mut. Fire Ins. Co., 2013 NY Slip Op 50258(U)(App. Term 2d Dept. 2013) This was seen once before in
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
All Boro Psychological Servs., P.C. v Allstate Ins. Co., 2013 NY Slip Op 50069(U)(App. Term 2d Dept. 2013) Plaintiff demonstrated that the bill was overdue. Defendant came
Andromeda Med. Care, P.C. v Utica Mut. Ins. Co., 2012 NY Slip Op 50344(U)(App. Term 2d Dept. 2012) This is the first time I have seen
Radiology Today, P.C. v New York Cent. Mut. Fire Ins. Co., 2011 NY Slip Op 52452(U)(App. Term 2d Dept. 2011) The carrier is delaying for an
D & R Med. Supply v American Tr. Ins. Co., 2011 NY Slip Op 51727(U)(App. Term 2d Dept. 2011) I think this case shows the perils
Darlington Med. Diagnostics, P.C. v Praetorian Ins. Co., 2011 NY Slip Op 51634(U)(App. Term 1st Dept. 2011) It being undisputed on the record that plaintiff failed
Jesa Med. Supply, Inc. v Progressive Ins. Co., 2011 NY Slip Op 51603(U)(App. Term 2d Dept. 2011) Nothing new here, but I liked the language from
NYU-Hospital for Joint Diseases v American Intl. Group, Inc., 2011 NY Slip Op 04437 “In opposition, the insurer failed to raise a triable issue of fact
Westchester Med. Ctr. v Country Wide Ins. Co., 2011 NY Slip Op 03838 (2d Dept. 2011) “The defendant was not obligated to pay or deny the
Exoto, Inc. v Progressive Ins. Co., 2011 NY Slip Op 50329(U)(App. Term 2d Dept. 2011) “A review of the record indicates that each of defendant’s requests
New York Hosp. Med. Ctr. of Queens v Country Wide Ins. Co., 2011 NY Slip Op 01628 (2d Dept. 2011) “The defendant’s verification requests, dated April
GLM Med., P.C. v State Farm Mut. Auto. Ins. Co., 2011 NY Slip Op 50194(U)(App. Term 2d Dept. 2011) In an affront to those who have
A verification that pre-dated receipt of a hospital bill along with a follow-up verification that post-dated the hospital bill are deemed sufficient to toll the 30-day
Triangle R Inc. v Praetorian Ins. Co., 2010 NY Slip Op 52294(U)(App. Term 1st Dept. 2010) The Appellate Term, in exercising what appears to be its
Triangle R, Inc. v Clarendon Ins. Co., 2010 NY Slip Op 52159(U)(App. Term 2d Dept. 2010) In a case that appears to go against the grain