December 19, 2017

Comprehensive Psychological Servs. of NY, P.C. v GEICO Ins. Co. (2017 NY Slip Op 51815(U))

Headnote

The Civil Court of the City of New York, Queens County, dismissed a complaint brought by a provider to recover assigned first-party no-fault benefits. The issue at trial was whether the services in question were medically necessary. The court accepted the defendant's expert witness's testimony and found that the defendant had demonstrated that the services were not medically necessary. It was then the plaintiff's burden to prove, by a preponderance of the evidence, that the services rendered were medically necessary, but the plaintiff failed to submit any evidence to meet that burden, resulting in the dismissal of the complaint. The judgment of the Civil Court was affirmed by the Appellate Term, Second Department.

Reported in New York Official Reports at Comprehensive Psychological Servs. of NY, P.C. v GEICO Ins. Co. (2017 NY Slip Op 51815(U))

Comprehensive Psychological Servs. of NY, P.C. v GEICO Ins. Co. (2017 NY Slip Op 51815(U)) [*1]
Comprehensive Psychological Servs. of NY, P.C. v GEICO Ins. Co.
2017 NY Slip Op 51815(U) [58 Misc 3d 136(A)]
Decided on December 19, 2017
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This opinion is uncorrected and will not be published in the printed Official Reports.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 December 19, 2017
SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
PRESENT: : MICHAEL L. PESCE, P.J., THOMAS P. ALIOTTA, MARTIN M. SOLOMON, JJ
2015-1013 Q C

Comprehensive Psychological Services of NY, P.C., as Assignee of Matthew Loboen, Appellant,

against

GEICO Insurance Company, Respondent.

Korsunskiy Legal Group, P.C. (Henry R. Guindi, Esq.), for appellant. The Law Office of Printz & Goldstein (Lawrence J. Chanice, Esq.), for respondent.

Appeal from a judgment of the Civil Court of the City of New York, Queens County (Cheree A. Buggs, J.), entered January 22, 2015. The judgment, after a nonjury trial, dismissed the complaint.

ORDERED that the judgment is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from a judgment of the Civil Court which, after a nonjury trial, dismissed the complaint.

The issue at trial was whether the services in question were medically necessary. The Civil Court accepted defendant’s expert witness’s testimony and found that defendant had satisfied its burden of demonstrating that the services were not medically necessary (see Dayan v Allstate Ins. Co., 49 Misc 3d 151[A], 2015 NY Slip Op 51751[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015]). It was then plaintiff’s burden to prove, by a preponderance of the evidence, that the services rendered were medically necessary (see Park Slope Med. & Surgical Supply, Inc. v Travelers Ins. Co., 37 Misc 3d 19, 22 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2012]). Plaintiff failed to submit any evidence to meet that burden. Plaintiff’s arguments regarding the Civil Court’s limitation of its cross-examination of defendant’s expert witness are without merit (see Feldsberg v Nitschke, 49 NY2d 636 [1980]).

Accordingly, the judgment is affirmed.

PESCE, P.J., ALIOTTA and SOLOMON, JJ., concur.


ENTER:
Paul Kenny
Chief Clerk
Decision Date: December 19, 2017