February 21, 2008
Infinity Health Prods., Ltd. v Progressive Ins. Co. (2008 NY Slip Op 50345(U))
Headnote
Reported in New York Official Reports at Infinity Health Prods., Ltd. v Progressive Ins. Co. (2008 NY Slip Op 50345(U))
Infinity Health Prods., Ltd. v Progressive Ins. Co. |
2008 NY Slip Op 50345(U) [18 Misc 3d 139(A)] |
Decided on February 21, 2008 |
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This opinion is uncorrected and will not be published in the printed Official Reports. |
SUPREME COURT OF THE STATE OF NEW YORK
APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS
PRESENT: : PESCE, P.J., and RIOS, J.
2006-1966 Q C
against
Progressive Insurance Company, Appellant.
Appeal from an order of the Civil Court of the City of New York, Queens County (Gerald Dunbar, J.), entered March 21, 2006, deemed from a judgment entered on April 13, 2006 (see CPLR 5501 [c]). The judgment, entered pursuant to the March 17, 2006 order granting plaintiff’s motion for summary judgment and denying defendant’s cross motion for summary judgment, awarded plaintiff the principal sum of $2,312.75.
Judgment reversed without costs, so much of the order as granted plaintiff’s motion for
summary judgment vacated, plaintiff’s motion for summary judgment denied, and matter
remanded to the court below for all further proceedings.
In this action by a provider to recover assigned first-party no-fault benefits, the court
granted plaintiff’s motion for summary judgment and denied defendant’s cross
motion for summary judgment. A judgment was subsequently entered. The instant appeal
by defendant ensued.
On appeal, defendant asserts that the affidavit by plaintiff’s billing manager, submitted in
support of plaintiff’s motion for summary judgment, failed to lay a proper foundation for the
admission of the documents annexed to plaintiff’s moving papers and that, as a result, plaintiff
failed to establish a prima facie case. We agree. The affidavit submitted by plaintiff’s billing
manager was insufficient to establish that she possessed personal knowledge of plaintiff’s
practices and procedures so as to lay a foundation for the admission, as business records, of the
documents annexed to plaintiff’s moving papers. Accordingly, plaintiff failed to make a prima
facie showing [*2]of its entitlement to summary judgment
(see Bath Med. Supply, Inc. v Deerbrook Ins. Co., 14 Misc 3d 135[A], 2007 NY Slip Op
50179[U] [App Term, 2d & 11th Jud Dists 2007]; Dan Med., P.C. v New York Cent. Mut.
Fire Ins. Co., 14 Misc 3d 44 [App Term, 2d & 11th Jud Dists 2006]). Consequently,
plaintiff’s motion for summary judgment is denied.
Defendant’s contention that it was entitled to summary judgment upon its cross motion
because plaintiff failed to serve responses to defendant’s timely initial and follow-up verification
requests lacks merit. The affidavit submitted by defendant stated that it was defendant’s standard
office practice and procedure to stamp the date on which its verification requests were mailed in
the upper right hand corner of the requests and that the initial and follow-up verification requests
were timely mailed on December 2, 2004 and January 11, 2005, respectively. However, the
initial and follow-up verification requests annexed to defendant’s cross motion were both
date-stamped December 2, 2004 in the upper right hand corner. Thus, the documentary proof
annexed to defendant’s cross motion was insufficient to give rise to a presumption that the
follow-up verification request was timely mailed pursuant to defendant’s professed standard
office practice and procedure (see New
York & Presbyt. Hosp. v Allstate Ins. Co., 29 AD3d 547 [2006]; PDG
Psychological, P.C. v Lumbermans Mut. Cas. Co., 16 Misc 3d 131[A], 2007 NY Slip Op
51343[U] [App Term, 2d & 11th Jud Dists 2007]; Prestige Med. & Surgical Supply, Inc. v Clarendon Natl. Ins. Co., 17
Misc 3d 10 [App Term, 2d & 11th Jud Dists 2007]). In view of the foregoing, defendant’s
cross motion for summary judgment was properly denied.
Pesce, P.J., and Rios, J., concur.
Decision Date: February 21, 2008