VS SUNRISE MEDICAL v. GLOBAL LIBERTY INSURANCE (2020)

ORDERED that the order, insofar as appealed from, is modified by providing that the branches of plaintiff's motion seeking summary judgment upon the second and third causes of action are denied; as so modified, the order, insofar as appealed from, is affirmed, without costs.

In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from so much of an order of the Civil Court as granted the branches of plaintiff's motion seeking summary judgment upon the second and third causes of action, and denied the branches of defendant's cross motion seeking summary judgment dismissing those causes of action.

Defendant correctly argues that it submitted sufficient proof to demonstrate, prima facie, that it had not received the claim forms underlying plaintiff's second and third causes of action. However, the affidavit of plaintiff's billing administrator was sufficient to raise an issue of fact as to whether those claim forms had been mailed to defendant (see St. Vincent's Hosp. of Richmond v. Government Empls. Ins. Co., 50 AD3d 1123 [2008]). Thus, there is an issue of fact as to whether defendant had received the claims at issue (see Parisien v. Travelers Ins. Co., 65 Misc 3d 154[A], 2019 NY Slip Op 51895[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2019]; Compas Med., P.C. v. 21st Century Ins. Co., 47 Misc 3d 128[A], 2015 NY Slip Op 50388[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015]; cf. Bright Med. Supply Co. v. Tri State Consumer Ins. Co., 40 Misc 3d 130[A], 2013 NY Slip Op 51122[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2013] ).

Accordingly, the order, insofar as appealed from, is modified by providing that the branches of plaintiff's motion seeking summary judgment upon the second and third causes of action are denied.

ALIOTTA, P.J., ELLIOT and SIEGAL, JJ., concur.