Hempstead Regional Chiropractic, PC v. Allstate Insurance

45 Misc. 3d 746, 991 N.Y.S.2d 879
CourtNassau County District Court
DecidedSeptember 8, 2014
StatusPublished

This text of 45 Misc. 3d 746 (Hempstead Regional Chiropractic, PC v. Allstate Insurance) is published on Counsel Stack Legal Research, covering Nassau County District Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hempstead Regional Chiropractic, PC v. Allstate Insurance, 45 Misc. 3d 746, 991 N.Y.S.2d 879 (N.Y. Super. Ct. 2014).

Opinion

OPINION OF THE COURT

Fred J. Hirsh, J.

Defendant moves for summary judgment in this action to recover first-party no-fault benefits.

Background

This motion raises the issue of whether a no-fault carrier that has previously denied the eligible injured party (EIP) all further no-fault benefits based upon an independent medical examination (IME) can request the EIP appear for an examination under oath (EUO) when a medical provider submits claims for payment of no-fault benefits for medical treatment provided after the IME cutoff.

Cecilio Pablo-Rodriguez was injured in a motor vehicle accident that occurred on January 9, 2011. He received treatment for the injuries sustained in the motor vehicle accident from Hempstead Regional Chiropractic, PC. and Orthomed Care, EC.

He assigned his right to receive no-fault benefits for the treatment provided by Hempstead to Hempstead and for treatment provided by Orthomed to Orthomed which submitted the claims for treatment provided to Rodriguez to defendant Allstate Insurance Company for payment.

The claims involved in this action and motion involve chiropractic treatment provided to Rodriguez by Hempstead during [748]*748the period March 12, 2012 through April 23, 2012 and physical therapy treatment provided to Rodriguez by Orthomed during the period March 26, 2012 through April 23, 2012.

The parties do not dispute the claims were timely filed and timely denied.

The denials for the claims involved in this action all denied the claims on the grounds Rodriguez failed to appear for an EUO scheduled for July 28, 2011, August 15, 2011 and September 19, 2011. The denials also stated the claims were being denied because the amounts billed were not in accordance with the no-fault fee schedule and on the grounds of any previously issued denial.

By letter dated July 15, 2011, Allstate’s attorney requested Rodriguez appear for an EUO on July 28, 2011.

By letter dated July 27, 2011, Rodriguez’s attorney advised the attorney for

Allstate Rodriguez would not be produced for an EUO on July 28, 2011 or at any other time because all no-fault benefits had previously been denied based upon an IME.

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Cite This Page — Counsel Stack

Bluebook (online)
45 Misc. 3d 746, 991 N.Y.S.2d 879, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hempstead-regional-chiropractic-pc-v-allstate-insurance-nydistctnassau-2014.