Andrew Carothers, M.D., P.C. v. Geico Indem. Co.

Decision Date14 December 2010
Citation79 A.D.3d 864,914 N.Y.S.2d 199
PartiesIn the Matter of ANDREW CAROTHERS, M.D., P.C., etc., appellant, v. GEICO INDEMNITY COMPANY, respondent.
CourtNew York Supreme Court — Appellate Division

Smith Valliere PLLC, New York, N.Y. (Mark W. Smith and Timothy A. Valliere of counsel), for appellant.

Teresa M. Spina, Woodbury, N.Y. (P. Stephanie Estevez of counsel), for respondent.

REINALDO E. RIVERA, J.P., MARK C. DILLON, DANIEL D. ANGIOLILLO, and LEONARD B. AUSTIN, JJ.

In an action to recover no-fault medical payments under certain insurance contracts, the plaintiff appeals, by permission, from an order of the Appellate Term of the Supreme Court for the Second, Eleventh, and Thirteenth Judicial Districts, datedApril 14, 2009, which reversed a judgment of the Civil Court of the City of New York, Kings County (Graham, J.), entered August 2, 2007, which, after a nonjury trial, awarded the plaintiff the principal sum of $4,463.17, and dismissed the complaint.

ORDERED that the order dated April 14, 2009, is affirmed, with costs.

The testimony of an employee of the company that handled the plaintiff's medical billing was insufficient to lay a foundation for the admission of the claim forms under the business records exception of the hearsay rule ( see Art of Healing Medicine, P.C. v. Travelers Home & Mar. Ins. Co., 55 A.D.3d 644, 864 N.Y.S.2d 792). Such records were inadmissible because the billing company did not create the records and there was no showing that its employee was familiar with the particular record-keeping procedures of the plaintiff ( see West Val. Fire Dist. No. 1 v. Village of Springville, 294 A.D.2d 949, 950, 743 N.Y.S.2d 215). Further, although aproper foundation can be established by a recipient of records who does not have personal knowledge of the maker's business practices and procedures, there must still be a showing that the recipient either incorporated the records into its own records or relied upon the records in its day-to-day operations ( see People v. A & S DiSalvo, Co., 284 A.D.2d 547, 548, 727 N.Y.S.2d 146; Plymouth Rock Fuel Corp. v. Leucadia, Inc., 117 A.D.2d 727, 498 N.Y.S.2d 453). Here, the billing company's mere printing and mailing of the documents to the insurer did not establish that the documents were incorporated into its records or that it relied upon the records in its regular course of business ( see Lodato v. Greyhawk N. Am., LLC, 39 A.D.3d 494, 495, 834 N.Y.S.2d 239). Since the subject documents...

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19 cases
  • Bank of N.Y. v. Morga
    • United States
    • New York Supreme Court
    • 9 Marzo 2017
    ...and print-out were routinely relied upon by the County in making its invoicing determinations"]; Matter of Carothers v. GEICO Indem. Co., 79 A.D.3d 864, 865, 914 N.Y.S.2d 199 [2d Dept.2010] ["although a proper foundation can be established by a recipient of records who does not have persona......
  • Wilmington Sav. Fund Soc'y, FSB v. DeCanio, 600554/15.
    • United States
    • New York Supreme Court
    • 3 Mayo 2017
    ...58 A.D.3d 225, 868 N.Y.S.2d 258 [2d Dept 2008], lv. denied 12 N.Y.3d 714, 883 N.Y.S.2d 797 [2009] ; Matter of Carothers v. GEICO Indem. Co., 79 A.D.3d at 865, 914 N.Y.S.2d 199 [2d Dept 2010] ). It is the Court which must determine the threshold requirement for admissibility (see People v. K......
  • Viviane Etienne Med. Care, P.C. v. Country-Wide Ins. Co.
    • United States
    • New York Supreme Court — Appellate Division
    • 18 Diciembre 2013
    ...in Art of Healing Medicine, P.C. v. Travelers Home & Mar. Ins. Co., 55 A.D.3d 644, 864 N.Y.S.2d 792 and Matter of Carothers v. GEICO Indem. Co., 79 A.D.3d 864, 914 N.Y.S.2d 199, stating,”[i]n order for the claim forms to constitute prima facie proof of the fact and the amount of the loss su......
  • State v. 158th St. & Riverside Drive Hous. Co.
    • United States
    • New York Supreme Court — Appellate Division
    • 29 Noviembre 2012
    ...its business ( see People v. Cratsley, 86 N.Y.2d 81, 90–91, 629 N.Y.S.2d 992, 653 N.E.2d 1162 [1995];Matter of Carothers v. GEICO Indem. Co., 79 A.D.3d 864, 865, 914 N.Y.S.2d 199 [2010];People v. DiSalvo, 284 A.D.2d 547, 548–549, 727 N.Y.S.2d 146 [2001] ). Here, plaintiff established that t......
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