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LEFFERTS GARDENS CHIROPRACTIC, P.C., as Assignee of Anna Gurley, Respondent, v. NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY, Appellant.
ORDERED that the order is reversed, with $30 costs, and defendant's motion for summary judgment dismissing the complaint is granted.
In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from an order of the Civil Court denying defendant's motion which had sought summary judgment dismissing the complaint on the ground that the action is premature, as plaintiff failed to respond to defendant's timely requests for additional verification.
The proof submitted by defendant was sufficient to demonstrate that verification requests had been timely sent to plaintiff (see 11 NYCRR 65-3.8 [l]; St. Vincent's Hosp. of Richmond v Government Empls. Ins. Co., 50 AD3d 1123 [2008]) and that defendant had not received a response to the verification letters from plaintiff. Contrary to plaintiff's contentions, the follow-up verification requests issued by defendant were proper (see 11 NYCRR 65-3.6 [b]). In any event, “[a]ny confusion on the part of [ ] plaintiff as to what was being sought should have been addressed by further communication, not inaction” (Westchester County Med. Ctr. v NY Cent. Mut. Fire Ins. Co., 262 AD2d 553, 555 [1999]; see Healthy Way Acupuncture, P.C. v New York Cent. Mut. Fire Ins. Co., 58 Misc 3d 137[A], 2017 NY Slip Op 51828[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2017]).
Accordingly, the order is reversed and defendant's motion for summary judgment dismissing the complaint is granted.
ALIOTTA, P.J., WESTON and TOUSSAINT, JJ., concur.
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Docket No: 2019-1303 K C
Decided: June 17, 2022
Court: Supreme Court, Appellate Term, New York,
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FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
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