From Casetext: Smarter Legal Research

ENKO ENTERS. INTL. v. CLARENDON NATL.

Appellate Term of the Supreme Court of New York, First Department
Dec 30, 2010
2010 N.Y. Slip Op. 52267 (N.Y. App. Term 2010)

Opinion

570736/09.

Decided December 30, 2010.

Defendant, as limited by its brief, appeals from that portion of an order of the Civil Court of the City of New York, Bronx County (Raul Cruz, J.), entered March 18, 2009, which denied its motion for summary judgment dismissing the complaint.

Order (Raul Cruz, J.), entered March 18, 2009, insofar as appealed from, reversed, without costs, defendant's motion for summary judgment granted, and the complaint dismissed. The Clerk is directed to enter judgment accordingly.

PRESENT: McKeon, P.J., Schoenfeld, Shulman, JJ.


Defendant-insurer made a prima facie showing of entitlement to judgment as a matter of law dismissing the complaint, which asserted claims to recover assigned first-party no-fault benefits. Defendant demonstrated, through the affirmed peer review report of a physician, that the medical supplies plaintiff-provider afforded to its assignor were not medically necessary ( see generally CPT Medical Services, P.C. v New York Cent. Mut. Fire Ins. Co. , 18 Misc 3d 87 ). In this connection, we note that the physician opined that the medical supplies were not medically necessary because the assignor was already receiving both physical and chiropractic therapy for his injuries, treatment that the physician concluded was sufficient under the circumstances. In opposition, plaintiff, which did not submit any evidence regarding the medical necessity of the supplies, failed to raise a triable issue.

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.

Order (Raul Cruz, J.), entered March 18, 2009, insofar as appealed from, reversed, without costs, defendant's motion for summary judgment granted, and the complaint dismissed. The Clerk is directed to enter judgment accordingly.

Defendant-insurer made a prima facie showing of entitlement to judgment as a matter of law dismissing the complaint, which asserted claims to recover assigned first-party no-fault benefits. Defendant demonstrated, through the affirmed peer review report of a physician, that the medical supplies plaintiff-provider afforded to its assignor were not medically necessary ( see generally CPT Medical Services, P.C. v New York Cent. Mut. Fire Ins. Co. , 18 Misc 3d 87 ). In this connection, we note that the physician opined that the medical supplies were not medically necessary because the assignor was already receiving both physical and chiropractic therapy for his injuries, treatment that the physician concluded was sufficient under the circumstances. In opposition, plaintiff, which did not submit any evidence regarding the medical necessity of the supplies, failed to raise a triable issue.

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.


Summaries of

ENKO ENTERS. INTL. v. CLARENDON NATL.

Appellate Term of the Supreme Court of New York, First Department
Dec 30, 2010
2010 N.Y. Slip Op. 52267 (N.Y. App. Term 2010)
Case details for

ENKO ENTERS. INTL. v. CLARENDON NATL.

Case Details

Full title:ENKO ENTERPRISES INTERNATIONAL, INC., A/A/O PENA FELIX…

Court:Appellate Term of the Supreme Court of New York, First Department

Date published: Dec 30, 2010

Citations

2010 N.Y. Slip Op. 52267 (N.Y. App. Term 2010)