Bronx Acupuncture Therapy, P.C. v. Hereford Ins. Co.

• Court: Appellate Terms of the Supreme Court of New York
• Decided: October 19, 2016
• Docket: 2016 NYSlipOp 51479(U)
• Status: Published

Opinion

Bronx Acupuncture Therapy, P.C., a/a/o Shade McBeth, Plaintiff-Appellant,

against

Hereford Ins. Co., Defendant-Respondent.

Plaintiff appeals from an order of the Civil Court of the City of New York, New York County (Alexander M. Tisch, J.), entered July 6, 2015, which granted defendant's motion for summary judgment.

Per Curiam.

Order (Alexander M. Tisch, J.), entered July 6, 2015, reversed, with $10 costs, and defendant's motion denied.

This action, seeking recovery of assigned first-party no-fault benefits, is not ripe for summary dismissal. Although defendant claims that the assignor failed to appear for two scheduled independent medical examinations (IMEs), defendant failed to show that the scheduling of the IMEs complied with the procedures and time frames set forth in Insurance Department Regulations (11 NYCRR) § 65-3.5(d); see American Tr. Ins. Co. v Vance, 131 AD3d 849 [2015]; American Tr. Ins. Co. v Longevity, 131 AD3d 841 [2015]; Acupuncture, Approach, P.C. v Allstate Ins. Co., 46 Misc 3d 151[A], 2015 NY Slip Op 50318[U] [App Term, 1st Dept. 2015]). In this regard, there is no indication in the record as to when defendant received plaintiff-provider's no-fault claims and thus no basis to determine the timeliness of defendant's IME requests. Although this issue was raised for the first time on appeal, it presents a question of law which this Court can review (see American Tr. Ins. Co. v Longevity, 131 AD3d at 841-842).

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.

I concur I concur I concur
Decision Date: October 19, 2016