CityWide Social Work & Psychological Services, P.L.L.C. v. Travelers Indemnity Co.
Civil Court of the City of New York
1Opinion of the Court
OPINION OF THE COURT
Jack M. Battaglia, J.
*609A no-fault insurer defending a denial of first-party benefits on the ground that the billed-for services were not “medically necessary” must at least show that the services were inconsistent with generally accepted medical/professional practice. The opinion of the insurer’s expert, standing alone, is insufficient to carry the insurer’s burden of proving that the services were not “medically necessary.”
CityWide Social Work & Psychological Services, P.L.L.C. billed Travelers Indemnity Company a total of $1,181.63 for psychiatric/psychological services…
2Cases cited27 opinions
- Toth v. Community HospitalNew York Court of Appeals · 1968
- Oberly v. Bangs Ambulance, Inc.New York Court of Appeals · 2001
- Nestorowich v. RicottaNew York Court of Appeals · 2002
- Quaglio v. TomaselliAppellate Division of the Supreme Court of the State of New York · 1984
- Sellitto v. CaseyAppellate Division of the Supreme Court of the State of New York · 2000
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