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Radiology Today, P.C. v. GEICO Insurance

Appellate Term of the Supreme Court of New York, Second Department
Jul 8, 2008
20 Misc. 3d 70 (N.Y. App. Term 2008)

Opinion

No. 2007-576 RI C.

July 8, 2008.

APPEAL from an order of the Civil Court of the City of New York, Richmond County (Johnny Lee Baynes, J.), entered February 8, 2006, deemed from a judgment entered March 23, 2007 ( see CPLR 5501 [c]). The judgment, entered pursuant to so much of the February 8, 2006 order as had granted plaintiff partial summary judgment on its first cause of action, awarded plaintiff the principal sum of $879.73.

Law Offices of Teresa M. Spina, Woodbury ( Emilio A. Cacace of counsel), for appellant. Ilona Finkelshteyn, Brooklyn, for respondent.


OPINION OF THE COURT

MEMORANDUM.

Judgment affirmed without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for summary judgment. Defendant opposed the motion, claiming, based upon two peer review reports, that the medical services provided were not medically necessary. In reply, plaintiff asserted that the peer review reports did not constitute evidence in admissible form since they were not properly affirmed, as the doctors' signatures were affixed by stamp. Insofar as is relevant to the instant appeal, the court below granted plaintiff partial summary judgment on its first cause of action, finding that the peer review report with respect to the claim in question was not in admissible form because the signature was not affixed in accordance with CPLR 2106. This appeal by defendant ensued.

Since defendant does not challenge plaintiff's establishment of its prima facie case, we do not pass upon the propriety of the determination of the court below with respect thereto.

In opposition to plaintiff's motion for summary judgment, defendant was required, in order to raise a triable issue of fact as to medical necessity, to proffer proof in admissible form ( see A.B. Med. Servs. PLLC v Lumbermens Mut. Cas. Co., 4 Misc 3d 86 [App Term, 2d 11th Jud Dists 2004]). In its opposing papers, defendant submitted an affirmed peer review report which stated that there was a lack of medical necessity for the medical services provided by plaintiff. In its reply papers, plaintiff asserted that the peer review report upon which defendant relied was not in admissible form pursuant to CPLR 2106 because it bore a facsimile of the peer reviewer's signature. Although defendant argues that plaintiff's contention was improperly raised for the first time in plaintiff's reply papers, the reply affirmation from plaintiff's counsel was responsive to defendant's papers, since defendant first proffered the peer review report in inadmissible form in opposition to plaintiff's motion and plaintiff was pointing out said defect in form. Inasmuch as defendant concedes that the peer review report bears an electronic stamped facsimile of the doctor's signature, and there is nothing in the record to indicate that the facsimile signature was placed on the report by the doctor who performed the peer review or at his direction, defendant failed to raise a triable issue of fact with respect to the claim at issue ( see Vista Surgical Supplies, Inc. v Travelers Ins. Co., 50 AD3d 778). Accordingly, the judgment is affirmed.

We note that the affirmation by Dr. Sharahy annexed to the appellant's brief, may not be considered by the court as it is dehors the record ( see Chimarios v Duhl, 152 AD2d 508).

PESCE, P.J., WESTON PATTERSON and RIOS, JJ., concur.


Summaries of

Radiology Today, P.C. v. GEICO Insurance

Appellate Term of the Supreme Court of New York, Second Department
Jul 8, 2008
20 Misc. 3d 70 (N.Y. App. Term 2008)
Case details for

Radiology Today, P.C. v. GEICO Insurance

Case Details

Full title:RADIOLOGY TODAY, P.C., as Assignee of LEV KEMEL, Respondent, v. GEICO INS…

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

Date published: Jul 8, 2008

Citations

20 Misc. 3d 70 (N.Y. App. Term 2008)
2008 N.Y. Slip Op. 28259
864 N.Y.S.2d 664

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