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
Amherst Med. Supply, LLC v New York Cent. Mut. Fire Ins. Co., 2013 NY Slip Op 50586(U)(App. Term 1st Dept. 2013) “The peer review report and
A-Quality Med. Supply v GEICO Gen. Ins. Co., 2013 NY Slip Op 23088 (App. Term 2d Dept. 2013) “The Insurance Department Regulations require merely that a “copy”
Mitrovic v Silverman, 2013 NY Slip Op 01465 (1st Dept. 2013) “While an expert affidavit cannot be speculative, there is no threshold requirement in an ordinary case,
Innovative MR Imaging, P.C. v Praetorian Ins. Co., 2013 NY Slip Op 50264(U)(App. Term 1st Dept. 2013) “The unsworn letter report submitted by plaintiff from the assignor’s
All Boro Psychological Servs., P.C. v Progressive Northeastern Ins. Co., 2013 NY Slip Op 50252(U)(App. Term 2d Dept. 2013) Prior trial testimony was plainly insufficient to rebut
Dr. Todd Goldman, D.C., P.C. v Kemper Cas. Ins. Co., 2012 NY Slip Op 51296(U)(App. Term 2d Dept. 2012) “However, as to plaintiff’s claim for $261.60
Pomona Med. Diagnostic P.C. v Adirondack Ins. Co., 2012 NY Slip Op 51165(U)(App. Term 1st Dept. 2012) Defendant appeared to work under a novel theory that
So many people complain that the Pan Chiro line of cases represent a one-way street on the issue of medical necessity . I remembered a case
Bajaj v GEICO, 2012 NY Slip Op 51106(U)(Dis. Ct. Nassau Co. 2012) The first thing someone asks me in Brooklyn is whether “you have a substitute
Midtown Med. Assoc., P.C. v Clarendon Natl. Ins. Co., 2012 NY Slip Op 51071(U)(App. Term 2d Dept. 2012) “As the affirmed peer review report submitted by
New Life Med., P.C. v GEICO Ins. Co., 2012 NY Slip Op 51061(U)(App. Term 2d Dept. 2012) It was just insufficient. “In support of its cross
Five Boro Psychological Servs., P.C. v GEICO Gen. Ins. Co., 2012 NY Slip Op 51013(U)(App. Term 2d Dept. 2012) “In this action by a provider to
Alfa Med. Supplies v GEICO Gen. Ins. Co., 2012 NY Slip Op 50934(U)(App. Term 2d Dept. 2012) Contrary to plaintiff’s argument on appeal, defendant was not
Neomy Med., P.C. v American Tr. Ins. Co., 2012 NY Slip Op 50769(U)(App. Term 2d Dept. 2012) “Since the affidavit by plaintiff’s supervising physician failed to
Ashraf Ashour Physical Therapy, P.C. v Interboro Mut. Indem. Ins. Co., 2012 NY Slip Op 50491(U)(App. Term 1st Dept. 2012) Defendant appeals from an order of
Complete Radiology, P.C. v GEICO Ins. Co., 2012 NY Slip Op 50419(U)(App. Term 2d Dept. 2012) “the affirmed letter of medical necessity submitted by plaintiff’s assignor’s
Medical Assoc., P.C. v Interboro Ins. Co., 2012 NY Slip Op 50392(U)(App. Term 2d Dept. 2012). I wrote the reply that got this case dismissed on
Park Slope Med. & Surgical Supply, Inc. v Progressive Ins. Co., 2012 NY Slip Op 50349(U)(App. Term 2d Dept. 2012) “Defendant’s expert medical witness, who was
Darlington Med. Diagnostics, P.C. v Praetorian Ins. Co., 2012 NY Slip Op 50226(U)(App. Term 1st Dept. 2012) Extension of Pan Medical I always said Praetorian mean