Hospital for Joint Diseases v. Nationwide Mutual Insurance

Appellate Division of the Supreme Court of New York

Hospital for Joint Diseases v. Nationwide Mutual Insurance

297 A.D.2d 706, 747 N.Y.2d 545, 747 N.Y.S.2d 545, 2002 N.Y. App. Div. LEXIS 8649

CourtAppellate Division of the Supreme Court of the State of New York

DecidedSeptember 23, 2002

StatusPublished

This text of 297 A.D.2d 706 (Hospital for Joint Diseases v. Nationwide Mutual Insurance) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Hospital for Joint Diseases v. Nationwide Mutual Insurance, 297 A.D.2d 706, 747 N.Y.2d 545, 747 N.Y.S.2d 545, 2002 N.Y. App. Div. LEXIS 8649 (N.Y. Ct. App. 2002).

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Opinion

[707]*707The appeal from the intermediate order must be dismissed because the right of direct appeal therefrom terminated with the entry of judgment in the action (see Matter of Aho, 39 NY2d 241, 248). The issues raised on the appeal from the order are brought up for review and have been considered on the appeal from the judgment (see CPLR 5501 [a] [1]).

In support of the plaintiffs’ motion for summary judgment on the first and third causes of action, the plaintiff Hospital for Joint Diseases (hereinafter HJD) and the plaintiff Wyckoff Heights Hospital (hereinafter WHH) submitted evidentiary proof that the defendant insurance company did not respond to their respective June 28, 2000, and June 5, 2000, claims for no-fault medical benefits within 30 days as required by Insurance Law § 5106 (a) and 11 NYCRR 65.15 (g) (3). In opposition to the motion, and in support of those branches of its cross motion which were for summary judgment dismissing the first and third causes of action, the defendant failed to make a prima facie showing of its entitlement to judgment as a matter of law or raise any triable issue of fact.

However with respect to the second cause of action, the defendant received facility form N-F5 from New York University Hospital Tisch Institute on May 26, 2000. The defendant’s denial of claim form was submitted on June 16, 2000. Thus, the defendant made out a prima facie case for summary judgment by offering proof in admissible form that the denial of the claim was submitted within the relevant 30-day period provided by Insurance Law § 5106 (a) and 11 NYCRR 65.15 (g) (3). In opposition, the plaintiffs failed to raise a triable issue of fact. Accordingly, summary judgment should have been granted to the defendant dismissing the second cause of action. Santucci, J.P., Altman, Goldstein and Luciano, JJ., concur.

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[707]*707The appeal from the intermediate order must be dismissed because the right of direct appeal therefrom terminated with the entry of judgment in the action (see Matter of Aho, 39 NY2d 241, 248). The issues raised on the appeal from the order are brought up for review and have been considered on the appeal from the judgment (see CPLR 5501 [a] [1]).

In support of the plaintiffs’ motion for summary judgment on the first and third causes of action, the plaintiff Hospital for Joint Diseases (hereinafter HJD) and the plaintiff Wyckoff Heights Hospital (hereinafter WHH) submitted evidentiary proof that the defendant insurance company did not respond to their respective June 28, 2000, and June 5, 2000, claims for no-fault medical benefits within 30 days as required by Insurance Law § 5106 (a) and 11 NYCRR 65.15 (g) (3). In opposition to the motion, and in support of those branches of its cross motion which were for summary judgment dismissing the first and third causes of action, the defendant failed to make a prima facie showing of its entitlement to judgment as a matter of law or raise any triable issue of fact.

However with respect to the second cause of action, the defendant received facility form N-F5 from New York University Hospital Tisch Institute on May 26, 2000. The defendant’s denial of claim form was submitted on June 16, 2000. Thus, the defendant made out a prima facie case for summary judgment by offering proof in admissible form that the denial of the claim was submitted within the relevant 30-day period provided by Insurance Law § 5106 (a) and 11 NYCRR 65.15 (g) (3). In opposition, the plaintiffs failed to raise a triable issue of fact. Accordingly, summary judgment should have been granted to the defendant dismissing the second cause of action. Santucci, J.P., Altman, Goldstein and Luciano, JJ., concur.

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Bluebook (online)

297 A.D.2d 706, 747 N.Y.2d 545, 747 N.Y.S.2d 545, 2002 N.Y. App. Div. LEXIS 8649, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hospital-for-joint-diseases-v-nationwide-mutual-insurance-nyappdiv-2002.

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