Legal Opinion

Surgicare Surgical v. National Interstate Insurance

Civil Court of the City of New York

Decided November 17, 2014PublishedCited by 3 opinions

1Opinion of the Court

*738OPINION OF THE COURT

Anthony Cannataro, J.

In this action seeking reimbursement for assigned no-fault benefits, this court must answer the question of whether an insurer complies with the requirement of 11 NYCRR 68.6 to pay the “prevailing fee in the geographic location of the provider” when it reimburses the provider for health services rendered in another state in accordance with that state’s no-fault fee schedule.

Factual and Procedural Background

On February 23, 2012, Vincent Molino was operating an automobile when he was involved in a four-car accident caused by an intoxicated driver.…

2Cases cited13 opinions

  1. Leon v. MartinezNew York Court of Appeals · 1994
  2. Goldman v. Metropolitan Life InsuranceNew York Court of Appeals · 2005
  3. Mihlovan v. GrozavuNew York Court of Appeals · 1988
  4. Held v. KaufmanNew York Court of Appeals · 1998
  5. Hospital for Joint Diseases v. Travelers Property Casualty InsuranceNew York Court of Appeals · 2007

8 more not listed; retrieve them via the Exa API.

3Cited by3 opinions

  1. Surgicare Surgical Associates v. National Interstate Ins.Appellate Terms of the Supreme Court of New York · 2015
  2. Matter of Global Liberty Ins. Co. v. Therapeutic Physical Therapy, P.C.Appellate Division of the Supreme Court of the State of New York · 2017
  3. Saddle Brook Surgicenter, LLC v. All State InsuranceCivil Court of the City of New York · 2015

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