Live courthouse data across 10 states. Pro users get alerted instantly on every filing. Get started

Matter of Integrated Specialty ASC, LLC v. American Tr. Ins. Co.

Docket 2024-03957

Court of record · Indexed in NoticeRegistry archive · AI-enriched for research

CivilRemanded
Filed
Jurisdiction
New York
Court
Appellate Division of the Supreme Court of the State of New York
Type
Opinion
Case type
Civil
Disposition
Remanded
Citation
2026 NY Slip Op 02651
Docket
2024-03957

Appeal from a judgment confirming a master arbitration award and awarding limited attorneys' fees in a CPLR article 75 proceeding

Summary

The Appellate Division reversed part of a Supreme Court judgment in a proceeding to confirm a master arbitration award where Integrated Specialty ASC, LLC sought no-fault benefits and attorneys' fees. The court held the trial court erred by awarding only $1,000 under the no-fault fee regulation and by failing to award additional fees for the CPLR article 75 confirmation proceeding. The appellate court awarded the regulatory maximum fee of $1,360 and remanded for the trial court to determine the amount of additional attorneys' fees under 11 NYCRR 65-4.10(j)(4) and then enter an amended judgment.

Issues Decided

  • Whether the Supreme Court correctly applied 11 NYCRR 65-4.6(d) in awarding attorneys' fees for a prevailing petitioner in arbitration/master arbitration proceedings
  • Whether Integrated Specialty was entitled to additional attorneys' fees for services in the CPLR article 75 confirmation proceeding under 11 NYCRR 65-4.10(j)(4)
  • Whether the record supported awarding the requested additional fees after Integrated Specialty submitted an affirmation of fees

Court's Reasoning

The court relied on the explicit fee cap and formula in 11 NYCRR 65-4.6(d), which limits attorneys' fees to 20% of the award up to a maximum of $1,360, so the $1,000 award was erroneous and the correct amount is $1,360. The court also treated a CPLR article 75 confirmation as a 'court appeal' under 11 NYCRR 65-4.10(j)(4), entitling the petitioner to additional fees for services in the proceeding; the November 2023 order already directed submission of an affirmation of fees and the record shows such submission, so the omission in the judgment required remand for the trial court to determine the additional fee amount. These rules and the certified record compelled reversal and remand.

Authorities Cited

  • 11 NYCRR 65-4.6(d)
  • 11 NYCRR 65-4.10(j)(4)
  • Matter of GEICO Ins. Co. v AAAMG Leasing Corp.148 AD3d 703

Parties

Appellant
Integrated Specialty ASC, LLC
Respondent
American Transit Insurance Company
Judge
Francesca E. Connolly, J.P.
Judge
Cheryl E. Chambers
Judge
Helen Voutsinas
Judge
Elena Goldberg Velazquez

Key Dates

Master arbitration award
2023-08-01
Arbitration award
2023-05-08
November 2023 order granting petition
2023-11-17
Judgment appealed from
2024-01-12
Appellate decision
2026-04-29

What You Should Do Next

  1. 1

    Supreme Court to calculate additional fees

    The trial court should review the submitted affirmation of attorneys' fees and determine the amount of fees to award under 11 NYCRR 65-4.10(j)(4), then enter an amended judgment.

  2. 2

    Integrated Specialty: prepare fee support

    If not already submitted in full, Integrated Specialty should ensure its affirmation and documentation of fees are before the court to support the additional fee award.

  3. 3

    American Transit: consider response or appeal

    American Transit may decide whether to contest the additional fee amount in the trial court or seek further appellate review after the amended judgment is entered.

Frequently Asked Questions

What did the court decide?
The appellate court reversed the portion of the judgment awarding only $1,000 in attorneys' fees, awarded the regulatory maximum of $1,360, and sent the case back to determine additional fees for the confirmation proceeding.
Who is affected by this decision?
Integrated Specialty ASC (the medical provider/assignee) benefits because it will receive increased attorneys' fees; American Transit Insurance Company may be required to pay those fees.
Why did the court award more fees?
The court applied the no-fault regulations that cap fee awards at $1,360 and recognized that fees for the court confirmation proceeding are separately recoverable under the regulations.
What happens next?
The Supreme Court, Nassau County, will determine the amount of additional attorneys' fees under 11 NYCRR 65-4.10(j)(4) and enter an amended judgment reflecting the total fee award.
Can this decision be appealed further?
Potentially, a party could seek leave to appeal to the Court of Appeals, but the Appellate Division's decision is the controlling outcome at this stage.

The above suggestions and answers are AI-generated for informational purposes only. They may contain errors. NoticeRegistry assumes no responsibility for their accuracy. Consult a qualified attorney before relying on them.

Full Filing Text
Matter of Integrated Specialty ASC, LLC v American Tr. Ins. Co. - 2026 NY Slip Op 02651

Matter of Integrated Specialty ASC, LLC v American Tr. Ins. Co.

2026 NY Slip Op 02651

April 29, 2026

Appellate Division, Second Department

In the Matter of Integrated Specialty ASC, LLC, etc., appellant,

v

American Transit Insurance Company, respondent.

Supreme Court of the State of New York, Appellate Division, Second Judicial Department

Decided on April 29, 2026

2024-03957, (Index No. 617349/23)

Francesca E. Connolly, J.P.

Cheryl E. Chambers

Helen Voutsinas

Elena Goldberg Velazquez, JJ.

Roman Kravchenko, Melville, NY, for appellant.

Short & Billy, P.C., New York, NY (Seok Ho [Richard] Kang of counsel), for respondent.

DECISION & ORDER

In a proceeding pursuant to CPLR article 75 to confirm a master arbitration award dated August 1, 2023, Integrated Specialty ASC, LLC, appeals from a judgment of the Supreme Court, Nassau County (Thomas A. Rademaker, J.), entered January 12, 2024. The judgment, insofar as appealed from, upon an order of the same court entered November 17, 2023, granting the petition, awarded Integrated Specialty ASC, LLC, attorneys' fees pursuant to 11 NYCRR 65-4.6(d) in the sum of only $1,000 and did not award Integrated Specialty ASC, LLC, additional attorneys' fees pursuant to 11 NYCRR 65-4.10(j)(4).

ORDERED that the judgment is reversed insofar as appealed from, on the law and the facts, with costs, Integrated Specialty ASC, LLC, is awarded attorneys' fees pursuant to 11 NYCRR 65-4.6(d) in the sum of $1,360, and the matter is remitted to the Supreme Court, Nassau County, for a determination of the amount of additional attorneys' fees pursuant to 11 NYCRR 65-4.10(j)(4) to be awarded to Integrated Specialty ASC, LLC, and thereafter for the entry of an appropriate amended judgment in accordance herewith.

Integrated Specialty ASC, LLC (hereinafter Integrated Specialty), as assignee of Mayra Machuca, is a medical provider which made a claim for no-fault benefits from American Transit Insurance Company (hereinafter American Transit). American Transit denied the claim. Integrated Specialty submitted the claim to arbitration, and in an award dated May 8, 2023, the arbitrator awarded Integrated Specialty the sum of $15,219.04, plus interest. In a determination dated August 1, 2023 (hereinafter the master arbitration award), the master arbitrator affirmed the arbitration award.

In October 2023, Integrated Specialty commenced this proceeding to confirm the master arbitration award. The petition sought, inter alia, awards of attorneys' fees pursuant to 11 NYCRR 65-4.6(d) in the sum of 20% of the principal award, plus interest, and additional attorneys' fees pursuant to 11 NYCRR 65-4.10(j)(4) in an amount to be determined on affirmation. American Transit did not answer or oppose the petition. In an order entered November 17, 2023 (hereinafter the November 2023 order), the Supreme Court, among other things, granted the unopposed petition. The November 2023 order also awarded Integrated Specialty attorneys' fees pursuant to 11 NYCRR
65-4.6(d) in the sum of 20% of the principal award, plus interest, and additional attorneys' fees pursuant to 11 NYCRR 65-4.10(j)(4) in an amount to be determined on submission of an affirmation of attorneys' fees.

In a judgment entered January 12, 2024, the Supreme Court, upon the November 2023 order, inter alia, awarded Integrated Specialty attorneys' fees pursuant to 11 NYCRR 65-4.6(d) in the sum of $1,000 and did not award Integrated Specialty additional attorneys' fees pursuant to 11 NCYRR 65-4.10(j)(4). Integrated Specialty appeals.

Pursuant to 11 NYCRR 65-4.6(d), attorneys' fees for an arbitration and a master arbitration in which a petitioner ultimately prevailed are limited to "20 percent of the total amount of first-party benefits and any additional first-party benefits, plus interest thereon for each applicant per arbitration or court proceeding, subject to a maximum fee of $1,360." As conceded by American Transit, the Supreme Court erroneously awarded Integrated Specialty $1,000 instead of $1,360 pursuant to 11 NYCRR 65-4.6(d). Accordingly, the court should have awarded Integrated Specialty attorneys' fees pursuant to 11 NYCRR 65-4.6(d) in the sum of $1,360 (
see

id.
).

Moreover, Integrated Specialty was entitled to an award of additional attorneys' fees pursuant to 11 NYCRR 65-4.10(j)(4) for services rendered in connection with this CPLR article 75 proceeding, as a proceeding to confirm an arbitration award is a "court appeal" for the purposes of 11 NYCRR 65-4.10(j)(4) (
see

Matter of John T. Mather Memorial Hosp v Am. Transit Ins. Co.
, __ AD3d ___, 2026 NY Slip Op 01788;
Matter of GEICO Ins. Co. v AAAMG Leasing Corp.
, 148 AD3d 703, 705). In the November 2023 order, the Supreme Court properly determined that Integrated Specialty was entitled to such fees and directed Integrated Specialty to submit an affirmation of attorneys' fees for the court to determine the amount of additional fees to be awarded, but the judgment did not award such fees, and the record reflects no apparent basis for that omission (
see

Matter of American Tr. Ins. Co. v Rutland Med. PC
, 224 AD3d 531, 532;
Matter of GEICO Ins. Co. v AAAMG Leasing Corp.
, 148 AD3d at 706). Contrary to American Transit's contention, the record sufficiently demonstrates that Integrated Specialty properly submitted an affirmation of attorneys' fees to the court. The record has been properly certified by Integrated Specialty's attorney as an accurate copy of the papers on file with the court (
see
CPLR 2105), and, moreover, we take judicial notice of the fact that Integrated Specialty filed an affirmation of attorneys' fees with the proposed judgment on the New York State Courts Electronic Filing System (
see

Wells Fargo Bank, N.A. v Ballard
, 172 AD3d 1440, 1442).

Accordingly, we remit this matter to the Supreme Court, Nassau County, for a determination of the amount of additional attorneys' fees pursuant to 11 NYCRR 65-4.10(j)(4) to be awarded to Integrated Specialty and thereafter for the entry of an appropriate amended judgment (
see

Matter of American Tr. Ins. Co. v Comfort Choice Chiropractic, P.C.
, 236 AD3d 782, 783;
Matter of GEICO Ins. Co. v AAAMG Leasing Corp.
, 148 AD3d at 705).

The parties' remaining contentions are without merit.

CONNOLLY, J.P., CHAMBERS, VOUTSINAS and GOLDBERG VELAZQUEZ, JJ., concur.

ENTER:

Darrell M. Joseph