September 17, 2015

Compas Med., P.C. v Fiduciary Ins. Co. of Am. (2015 NY Slip Op 51472(U))

Headnote

The relevant facts considered by the court were that Compas Medical, P.C. was seeking to recover first-party no-fault benefits as an assignee of Clarence Dupiton. The main issue decided was whether the defendant had failed to deny the claim within the requisite 30-day period or issued a timely denial of claim that was conclusory, vague, or without merit as a matter of law. The holding of the case was that plaintiff failed to establish either that the defendant had failed to deny the claim within the requisite 30-day period or that the defendant had issued a timely denial of claim that was conclusory, vague or without merit as a matter of law, and therefore plaintiff failed to demonstrate its prima facie entitlement to summary judgment. The order denying plaintiff's motion for summary judgment was affirmed by the court.

Reported in New York Official Reports at Compas Med., P.C. v Fiduciary Ins. Co. of Am. (2015 NY Slip Op 51472(U))

Compas Med., P.C. v Fiduciary Ins. Co. of Am. (2015 NY Slip Op 51472(U)) [*1]

Compas Med., P.C. v Fiduciary Ins. Co. of Am.

2015 NY Slip Op 51472(U) [49 Misc 3d 134(A)]

Decided on September 17, 2015

Appellate Term, Second Department

Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.

This opinion is uncorrected and will not be published in the printed Official Reports.

Decided on September 17, 2015

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

PRESENT: PESCE, P.J., WESTON and ELLIOT, JJ.
2013-1128 K C

Compas Medical, P.C. as Assignee of Clarence Dupiton, Appellant,
against
Fiduciary Insurance Company of America, Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Pamela L. Fisher, J.), entered February 8, 2013. The order, insofar as appealed from, denied plaintiff’s motion for summary judgment.

ORDERED that the order, insofar as appealed from, is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from so much of an order of the Civil Court as denied plaintiff’s motion for summary judgment.

Because plaintiff failed to establish either that defendant had failed to deny the claim within the requisite 30-day period (see Insurance Law § 5106 [a]; Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co., 25 NY3d 498 [2015]), or that defendant had issued a timely denial of claim that was conclusory, vague or without merit as a matter of law (see Westchester Med. Ctr. v Nationwide Mut. Ins. Co., 78 AD3d 1168 [2010]; Ave T MPC Corp. v Auto One Ins. Co., 32 Misc 3d 128[A], 2011 NY Slip Op 51292[U] [App Term, 2d, 11th & 13th Jud Dists 2011]), plaintiff failed to demonstrate its prima facie entitlement to summary judgment. In view of the foregoing, we need not reach plaintiff’s remaining contentions.

Accordingly, the order, insofar as appealed from, is affirmed.

Pesce, P.J., Weston and Elliot, JJ., concur.

Decision Date: September 17, 2015