[*1]
Quality Health Prods., Inc. v Travelers Indem. Co.
2014 NY Slip Op 51231(U) [44 Misc 3d 135(A)]
Decided on July 28, 2014
Appellate Term, Second Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
This opinion is uncorrected and will not be published in the printed Official Reports.


Decided on July 28, 2014
SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

PRESENT: : WESTON, J.P., ALIOTTA and ELLIOT, JJ.
2012-497 K C

Quality Health Products, Inc. as Assignee of PEDRO PINA and BLASINA ACOSTA, Respondent,

against

Travelers Indemnity Co., Appellant.


Appeal from a judgment of the Civil Court of the City of New York, Kings County (Jules L. Spodek, J.H.O.), entered April 11, 2011. The judgment, after a nonjury trial, awarded plaintiff the principal sum of $970.

ORDERED that the judgment is reversed, with $30 costs, and the matter is remitted to the Civil Court for a new trial before a judge or a different judicial hearing officer, limited to the issue of medical necessity.

In this action by a provider to recover assigned first-party no-fault benefits, the sole issue for trial, pursuant to a so-ordered stipulation, was whether the medical equipment that had been supplied to plaintiff's assignor was medically necessary. After a nonjury trial before a judicial hearing officer, a judgment was entered in favor of plaintiff in the principal sum of $970.

At the trial, the judicial hearing officer refused to allow defendant's expert witnesses to testify as to their opinions of the medical necessity of the supplies at issue on the ground that the underlying medical records of plaintiff's assignors that the witnesses had reviewed were hearsay, explicitly stating that he did not "follow" Urban Radiology, P.C. v Tri-State Consumer Ins. Co. (27 Misc 3d 140[A], 2010 NY Slip Op 50987[U] [App Term, 2d, 11th & 13th Jud Dists 2010]).

As this court has previously held, defendant's witnesses should have been permitted to testify as to their opinions regarding the medical necessity of the supplies at issue, and it was error to preclude their testimony on hearsay grounds (see Park Slope Med. & Surgical Supply, Inc. v Travelers Ins. Co., 37 Misc 3d 19 [App Term, 2d, 11th & 13th Jud Dists 2012]; Alrof, Inc. v Progressive Ins. Co., 34 Misc 3d 29 [App Term, 2d, 11th & 13th Jud Dists 2011]; Urban Radiology, P.C. v Tri-State Consumer Ins. Co., 27 Misc 3d 140[A], 2010 NY Slip Op 50987[U]; see also Kew Garden Imaging v State Farm Mut. Auto. Ins. Co., 39 Misc 3d 140[A], 2013 NY Slip Op 50748[U] [App Term, 2d, 11th & 13th Jud Dists 2013]). Defendant's witnesses were not required to establish the truth of the facts set forth in the underlying medical records, since defendant is not relying on those documents to prove the facts of plaintiff's assignors' alleged injuries or treatment (cf. e.g. Hambsch v New York City Tr. Auth., 63 NY2d 723 [1984]; Wagman v Bradshaw, 292 AD2d 84 [2002]).

We note that, contrary to the belief of the judicial hearing officer in this case, the Civil [*2]Court is bound by the decisions of this court (see 28 NY Jur 2d, Courts and Judges § 220).

Accordingly, the judgment is reversed and the matter is remitted to the Civil Court for a new trial before a judge or a different judicial hearing officer, limited to the issue of medical necessity.

Weston, J.P., Aliotta and Elliot, JJ., concur.


Decision Date: July 28, 2014