St. Vincent's Hospital of Richmond v. American Transit Insurance Company

Decision Date04 November 2002
Citation299 A.D.2d 338,750 N.Y.S.2d 98
PartiesST. VINCENT'S HOSPITAL OF RICHMOND, Respondent, et al., Plaintiff,<BR>v.<BR>AMERICAN TRANSIT INSURANCE COMPANY, Appellant.
CourtNew York Supreme Court — Appellate Division

Smith, J.P., McGinity, Luciano and Crane, JJ., concur.

Ordered that the appeal from the order is dismissed; and it is further,

Ordered that the judgment is reversed, on the law, the order dated November 14, 2001, is vacated, the motion is denied, the cross motion is granted, and the complaint is dismissed; and it is further,

Ordered that one bill of costs is awarded to the appellant.

The appeal from the intermediate order must be dismissed because the right of direct appeal therefrom terminated with the entry of judgment in the action (see Matter of Aho, 39 NY2d 241, 248). The issues raised on appeal from the order are brought up for review and have been considered on the appeal from the judgment (see CPLR 5501 [a] [1]).

The plaintiff St. Vincent's Hospital of Richmond (hereinafter the hospital), among others, commenced this action, as assignee of two claims, to recover no-fault medical payments allegedly due for hospital bills under an insurance contract. The hospital moved for summary judgment on the first and second causes of action arguing that the defendant, American Transit Insurance Company (hereinafter American Transit), failed to either pay or deny the claims within 30 days of its receipt of proof of the claims. American Transit cross-moved for summary judgment dismissing the complaint on the ground that it timely sent letters and follow-up letters requesting additional verification, to which the hospital did not respond. American Transit argued that the time within which it had either to pay or deny the claims did not begin to run and, therefore, the hospital's commencement of this action was premature.

The Supreme Court erred in granting the hospital's motion for summary judgment and in denying American Transit's cross motion for summary judgment. The hospital's argument that American Transit's timely requests for the assignors' hospital records were ineffective to toll its time to pay or deny the claims because they were made by letter rather than by prescribed form is without merit (see Nyack Hosp. v Progressive Cas. Ins. Co., 296 AD2d 482; New York Hosp. Med. Ctr. of Queens v State Farm Mut. Auto. Ins. Co., 293 AD2d 588, 590; New York & Presbyt. Hosp. v American Tr. Ins. Co., 287 AD2d 699, 700-701). The hospital forms sent to American Transit stated that all inquiries...

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12 cases
  • Quality Psychological Servs., P.C. v. Hartford Ins. Co.
    • United States
    • New York Civil Court
    • January 15, 2013
    ...information requested of the injured party or provider. 11 NYCRR 65.15(d), (g), (7); St. Vincent Hospital of Richmond v. American Tr. Ins. Co., 299 A.D.2d 338, 750 N.Y.S.2d 98 (N.Y. A.D., 2002). The burden does not shift to the insurer to pay or deny the claim until the required party has c......
  • Chapa Products Corp. v. MVAIC
    • United States
    • New York Supreme Court — Appellate Term
    • November 1, 2019
    ...to pay or deny claims upon receipt of a "partial response" to a verification request (see St. Vincent's Hosp. of Richmond v. American Tr. Ins. Co. , 299 A.D.2d 338, 340, 750 N.Y.S.2d 98 [2002] ["(a)n insurer is not obligated to pay or deny a claim until it has received verification of all r......
  • Pro-Align Chiropractic, P.C. v. Travelers Prop. Cas. Ins. Co.
    • United States
    • New York District Court
    • December 19, 2017
    ...Hosp. v. Progressive Cas. Ins. Co. , 5 A.D.3d 568, 774 N.Y.S.2d 72 [2nd Dept. 2004] ; St. Vincent's Hospital of Richmond v. American Transit Ins. Co. , 299 A.D.2d 338, 750 N.Y.S.2d 98 [2nd Dept. 2002] ).However, an insurer may issue a denial of claim for health service expenses rendered on ......
  • St. Barnabas Hosp. v. Gov't Emps. Ins. Co.
    • United States
    • New York Supreme Court
    • February 1, 2017
    ...fails to provide the information requested, the complaint must be dismissed as premature (St. Vincent's Hosp. of Richmond v. American Transit Ins. Co., 299 A.D.2d 338, 750 N.Y.S.2d 98 [2d Dept.2002] ).Accordingly, it is herebyORDERED , that the Plaintiff's motion (Mot. Seq. 01) seeking summ......
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