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  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
  • Rowe Plastic Surgery Of Long Island, P.C., Norman Maurice Rowe, M.D., M.H.A., L.L.C. v. Oxford Health Insurance Co., Inc., Oxford Health Insurance Inc., Oxford Health Plans (Nj), Inc., Oxford Health Plans (Ny), Inc., Oxford Health Plans L.L.C.Commercial - Contract document preview
						
                                

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FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF QUEENS -------------------------------------------------------------- x ROWE PLASTIC SURGERY OF LONG : Index No. 707039/2022 ISLAND, P.C. & NORMAN MAURICE : ROWE, M.D., M.H.A., L.L.C., : (Oral Argument Requested) Plaintiffs, : -against- : Motion Sequence No. 001 : OXFORD HEALTH INSURANCE CO., INC; : OXFORD HEALTH INSURANCE, INC.; : OXFORD HEALTH PLANS (NJ), INC.; : OXFORD HEALTH PLANS (NY), INC.; AND : OXFORD HEALTH PLANS L.L.C., : Defendants. : -------------------------------------------------------------- x DEFENDANTS’ REPLY MEMORANDUM OF LAW IN SUPPORT OF THEIR MOTION FOR A MORE DEFINITE STATEMENT AND FOR COSTS AND ATTORNEY’S FEES ROBINSON & COLE LLP Chrysler East Building 666 Third Avenue, 20th floor New York, NY 10017 Main: (212) 451-2900 Attorneys for Defendants Of Counsel: Michael H. Bernstein Matthew P. Mazzola 1 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 TABLE OF CONTENTS Page TABLE OF AUTHORITIES ........................................................................................................................ii PRELIMINARY STATEMENT ...................................................................................................................1 ARGUMENT....................................................................................................................................................3 PLAINTIFFS MUST PROVIDE A MORE DEFINITIVE STATEMENT OF THE ALLEGATIONS IN THE COMPLAINT, WHICH IDENTIFY THEIR PATIENT ............................................................................................................................................3 DEFENDANTS ARE ENTITLED TO AN AWARD OF THE COSTS AND FEES ASSOCIATED WITH THIS MOTION PURSUANT TO 22 NYCRR § 130- 1.1 (A) BASED ON PLAINTIFFS’ REFUSAL TO PROVIDE THE REQUESTED IDENTIFYING INFORMATION ....................................................................8 CONCLUSION ............................................................................................................................................. 11 CERTIFICATE OF COMPLIANCE ....................................................................................................... 12 i 2 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 TABLE OF AUTHORITIES Page(s) Cases East Coast Plastic Surgery, P.C. v. Oxford Health Ins. Co., Inc., No. 713748/2021, 2022 WL 2072892 (N.Y. Sup. Ct. May 27, 2022) ...........................................2, 10 M & T Bank v. Ronnermann, 199 A.D.3d 996, 154 N.Y.S.3d 801 (2021) .............................................................................................. 7 Norman Maurice Rowe, MD, MHA, LLC et al v. Oxford Health Ins. Co., Inc. et al, No. 714272/2021 (N.Y. Sup. Ct. July 13, 2022)..................................................................................... 3 Rowe Plastic Surgery of Long Island, P.C. et al v. Oxford Health Insurance Co. Inc. et al, No. 702017/2022 (N.Y. Sup. Ct. July 21, 2022)..................................................................................... 2 Southern Blvd. Sound v Felix Storch, Inc., 167 Misc 2d 731 (1st Dept 1996) .............................................................................................................. 9 Statutes Health Insurance Privacy and Accountability Act of 1996...................................................1, 4, 6, 7, 9, 10 N.Y. Civil Practice Law and Rules § 3013 ......................................................................................... 1, 3, 5, 7 N.Y. Civil Practice Law and Rules § 3024 ............................................................................................. 1, 3, 9 Other Authorities 45 C.F.R. § 164.501............................................................................................................................................ 6 45 C.F.R. § 164.506 (a) ...................................................................................................................................... 6 22 NYCRR § 202.5(e)........................................................................................................................................ 5 22 NYCRR § 130 ........................................................................................................................................... 4, 9 22 NYCRR § 130-1.1 .......................................................................................................................... 1, 2, 7, 9 ii 3 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 PRELIMINARY STATEMENT Defendants, Oxford Health Insurance Company, Inc., Oxford Health Insurance, Inc., Oxford Health Plans (NJ), Inc., Oxford Health Plans (NY), Inc., and Oxford Health Plans L.L.C. (“Defendants”), respectfully submits this Reply Memorandum of Law in further support of their Motion for (1) a More Definite Statement pursuant to N.Y. Civil Practice Law and Rules (“CPLR”) 3013 and 3024; and (2) for an award of costs and attorneys’ fees related to this motion pursuant to 22 New York Codes, Rules and Regulations (“NYCRR”) §130-1.1 (a) and (c) Plaintiffs, Rowe Plastic Surgery of Long Island, P.C. and Norman Maurice Rowe, M.D., M.H.A., L.L.C.’s (collectively “Plaintiffs”) willful and continuing refusal to provide Defendants with the full name of their Patient, (identified in the Complaint by only her initials, TD) whose medical care forms the basis of this lawsuit (hereinafter referred to as the “Patient”), has left Defendants with no option other than to move this court for an order compelling them to do so. As explained in Defendants’ moving papers, Plaintiffs’ original Complaint, which fails to provide this information, is insufficient as a matter of law because it is not plead with sufficient particularity to provide notice to the Court and Defendants of the claims being asserted. While the Complaint generally alleges claims seeking payment for medical care allegedly rendered by Plaintiffs to a certain patient, who Plaintiffs further allege is a member of a health benefit plan administered by Defendants, the Complaint fails to provide Defendants with sufficient information to determine who that patient is and whether or not she is actually a member of a plan that is administered and/or insured by the Defendants. Despite Defendants’ multiple requests, Plaintiffs refuse to provide this information, even after receiving information from Defendants explaining why doing so would not be a violation of the Health Insurance Privacy and Accountability Act of 1996 (“HIPAA”). Consequently, the Plaintiffs must be ordered to provide a more definite statement (i.e., to provide the Patient’s full name) so that the Defendants can have sufficient notice of the claims against them, and determine what defenses may 1 4 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 be applicable to Plaintiffs’ claims. Frankly, this is a bare minimum pleading requirement and Plaintiffs’ willful refusal to provide it can only be viewed as an intentional, frivolous and bad faith effort to frustrate the Defendants’ ability to defend themselves in this case. Plaintiffs’ refusal to identify the name of the Patient constitutes frivolous behavior under 22 NYCRR §130-1.1 (a) and (c) for several reasons. First, Plaintiffs have not provided any good faith basis or legally sound reason to support their refusal to identify the Patient. Second, Plaintiffs’ refusal to cooperate with Defendants’ reasonable request for the Patient’s name is a calculated effort to avoid a potential motion to dismiss the Complaint in this case. In this regard, the Court should be aware that Plaintiffs and their counsel have recently filed over sixty similar lawsuits against the Defendants, each one pertaining to a different patient’s care and each one similarly alleges claims that Defendants owe Plaintiffs or their affiliates additional benefit payments on behalf of the specific patient who claims are in issue. Although Plaintiffs previously provided the names of these patients, without objection, in literally dozens of these other lawsuits, Plaintiffs only began their refusal to cooperate after the Defendant filed motions to dismiss in nearly every case (with allegations and causes of action identical to those alleged in this case) filed by the Plaintiff, which motions were premised on information Defendant obtained based on the identity of the Patient. Plaintiff has continued this refusal, without any legal basis, following entry of Justice Joseph Esposito’s Order granting Defendant’s motion to dismiss one of their other Complaints. See East Coast Plastic Surgery, P.C. v. Oxford Health Ins. Co., Inc., No. 713748/2021, 2022 WL 2072892, at *2 (N.Y. Sup. Ct. May 27, 2022). Again, the complaint in that case, like the Complaint filed in this case, and like the complaints filed by Plaintiffs and/or their affiliates in all of the other similar cases previously mentioned, include allegations almost identical to those alleged here.1 In an effort to avoid dismissal, Plaintiffs have refused to provide the name of the 1 Notably, two courts have granted Defendants’ motions to dismiss in similar cases. Rowe Plastic Surgery of Long Island, P.C. et al v. Oxford Health Insurance Co. Inc. et al, No. 702017/2022 (N.Y. Sup. Ct. July 21, 2 5 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 Patient in this case and every other similar case filed against Defendants by Plaintiffs. . Whether or not Plaintiffs’ concerns are realistic, however, this isnot a legitimate basis for refusing to provide necessary and required information in their pleadings, or in response to Defendants’ requests for simple information that would allow it to determine if the Patient is in fact, a covered person under one of their health plans, and ifso, locate the claims information in their systems pertaining to Plaintiffs’ allegations, which would then allow Defendants to prepare a proper defense to the case. Although Defendants have explained to Plaintiffs that they are entitled to this information as a matter of law and that Plaintiffs’ Opposition arguments are actually contrary to applicable law, Plaintiffs continue in their refusal to identify the Patient. Plaintiffs’ own opposition to this motion demonstrates the lack of a good faith basis for refusing to provide the Patient’s full name. Indeed, Plaintiffs’ baseless Opposition actually demonstrates the lack of merit to their position. In short, Plaintiffs’ Opposition fails to offer any good faith reason to withhold the Patient’s name to Defendants. Plaintiffs’ efforts to deprive Defendants of sufficient information to defend themselves have been undertaken in bad faith, in an effort to frustrate Defendants’ ability to defend themselves in this case and are a textbook example of frivolous behavior. Based on the foregoing and as discussed in more detail below, Defendants’ Motion for a More Definite Statement and for an Award of Costs and Attorneys’ Fees should be granted in its entirety. ARGUMENT PLAINTIFFS MUST PROVIDE A MORE DEFINITIVE STATEMENT OF THE ALLEGATIONS IN THE COMPLAINT, WHICH IDENTIFY THEIR PATIENT CPLR 3013 provides: “Statements in a pleading shall be sufficiently particular to give the court and parties notice of the transactions, occurrences, or series of transactions or occurrences, intended to be proved and the material elements of each cause of action or defense.” CPLR 3024 (a) provides: 2022); Norman Maurice Rowe, MD, MHA, LLC et al v. Oxford Health Ins. Co., Inc. et al, No. 714272/2021 (N.Y. Sup. Ct. July 13, 2022). 3 6 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 “If a pleading is so vague or ambiguous that a party cannot reasonably be required to frame a response he may move for a more definite statement.” Here, Plaintiffs’ Complaint is based on allegations that Defendants purported underpaid a claim for benefits submitted by Plaintiffs for treatment rendered to the Patient, TD. (See Compl.). In order to understand the allegations against them, Defendants need to know the identity of the Patient, which is not clear from the Complaint. Without sufficient identifying information regarding the Patient, including her name, Defendants cannot prepare a meaningful response to the Complaint. As such, this Court should direct Plaintiffs to provide a more definitive statement identifying the Patient. Plaintiffs’ Opposition completely fails to provide any legitimate basis for their refusal to provide this simple, yet vital information. Yet despite the lack of merit to each of Plaintiffs’ arguments they seek to deflect their own bad faith behavior by asking that Defendants be sanctioned for having the temerity to request that Plaintiffs provide the bare minimum notice pleadings that are required by law. Each and every one of Plaintiffs’ arguments are meritless and underscore why Defendants’ motion for costs and attorneys’ fees under 22 NYCRR 130 is appropriate in this case. First, Plaintiffs mischaracterize Defendants’ motion for a more definite statement as a “demand for greater specificity.” (See NYSCEF Doc. No. 123, Affirmation in Opposition to Defendants’ Motion for More Definite Statement (“Pl. Opp.”), ¶13). But Defendants are not seeking any “greater specificity” or further explanation of the allegations against them. Rather, Defendants are simply asking for the Patient’s full name. Plaintiffs provide no legitimate legal basis for their refusal to provide this information, beyond incorrect citation to HIPAA and an incoherent argument that it is unable to file such information in the public record.2 While Defendants would agree to enter into a protective stipulation to be so-ordered by the court to assuage such concerns, Plaintiffs would not agree to enter 2 In at least 10 other pending cases against these Defendants, Plaintiffs have filed the full names of their patients on the public record. See Footnote No. 4, infra. 4 7 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 into such a protective order unless Defendants answered the Complaint and then requested the Patient’s name in discovery. (See Pl. Opp. ¶21) But since Defendants cannot answer the Complaint without the Patient’s full name, Plaintiffs’ position is nothing more than an impossible “Catch-22,” which Defendants rejected as untenable.3 Second, rather than acknowledging their burden to plead their claim with sufficient particularity pursuant to CPLR 3013, Plaintiffs (without any support in the law) argue that the Defendants have the burden on such a motion to explain via witness affidavit, why the Patient’s name is necessary to their defense of this case. (Pl. Opp., ¶¶16-20). Plaintiffs’ baseless argument is entirely meritless – in fact, pursuant to CPLR 3013, Plaintiffs, not Defendants, bears the burden in “giv[ing] the court and parties notice of the transactions, occurrences, or series of transactions or occurrences, intended to be proved and the material elements of each cause of action or defense.” Defendants are not required to guess about the Patient’s identity based on the few clues Plaintiffs deign to provide in their Complaint, and the law does not require that they do so. As a matter of law, Plaintiffs bear the burden to comply with CLPR 3013, so Defendants can conclusively identify the Patient whose care is at issue in the Complaint and provide a meaningful response to the allegations against them. Third, Plaintiffs have not provided any good faith basis or legal support for withholding the Patient’s full name. There is good reason for this lapse – there is none. Indeed, all available law on point requires Plaintiffs to provide this information to Defendants. For example, according to this Court’s redaction rules, Plaintiffs are not permitted to withhold the name of an adult (i.e., non-minor) by identifying her only by her initials. See 22 NYCRR § 202.5(e). To the extent Plaintiffs wished to keep the Patient’s full name out of the public record, they were required to file a motion to seal or a 3 Plaintiffs unreasonably argue that the name of the Patient is irrelevant but does not even attempt to explain how that could be possible. And Plaintiffs contradict this specious suggestion by identifying the Patient by her initials in the Complaint, which in and of itself demonstrates that even Plaintiffs consider this information relevant. 5 8 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 motion for a protective order. Plaintiffs pursued neither of these options. Instead, they just flouted the applicable rules and argued without basis that Defendants had no right to this information. Fourth, and as mentioned earlier, the only legal basis Plaintiffs cite in their Opposition for refusing to provide the Patient’s name are some purported restrictions on doing so in HIPAA. But this argument is completely meritless. Indeed, as Defendants explained to Plaintiffs on several prior occasions, the regulations governing HIPAA privacy compliance completely contradict Plaintiffs’ argument. These regulations contain numerous sections addressing when a covered entity (such as Plaintiffs) can disclose protected health information (such as the Patient’s identity), including as part of a lawsuit arising from an unpaid/underpaid claim. Specifically, 45 C.F.R. § 164.506 (a) states that “[a] covered entity may use or disclose protected health information for treatment, payment, or health care operations.” “Health care operations” includes “conducting or arranging for legal services.” 45 C.F.R. § 164.501. In the current matter, Plaintiffs allege that they are an out-of-network healthcare provider that performed medical services on the Patient and are attempting via litigation to recover payment from Defendants, insurance companies, for these services. Thus, Plaintiffs can disclose the Patient’s identity to recover payment for services rendered as part of a legal proceeding pursuant to 45 C.F.R. §§ 164.501 & 164.506 (a). Furthermore, the website for the U.S. Department of Health and Human Services (“HHS”) (i.e.,the federal agency that enforces HIPAA) includes the following question and answer on its Frequently Asked Questions (“FAQ”) page: “May a covered entity use or disclose protected health information for litigation?” In its answer, HHS states: “the covered entity may use or disclose protected health information for purposes of the litigation” and explains in detail why this is so. See Health Information Privacy, U.S. Department of Health & Human Services, available at https://www.hhs.gov/hipaa/for-professionals/faq/705/may-a-covered-entity-in-a-legal-proceeding -use-protected-health-information/index.html#:~:text=Answer%3A,of%20its%20health%20care% 6 9 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 20operations. Therefore, Plaintiffs’ argument that providing Defendants with the Patient’s full name would violate HIPAA is simply wrong. Accordingly, Plaintiffs have and had no valid legal justification to withhold this information, which is a conclusion Plaintiffs could (and should) have reached themselves if only they had bothered to actually read the applicable HIPAA regulations that they purport to rely upon. Indeed, to satisfy their obligations under CPLR 3013, Plaintiffs should have included the Patient’s full name in the Complaint so that Defendants could fully understand the allegations against them, or if the Patient’s identify was really Plaintiffs’ concern, they could have sent Defendants the Patient’s name via secure delivery. Despite Defendants’ offer to do these things to assuage Plaintiffs’ concerns, Plaintiffs willfully and continuously refused to provide this information, necessitating this motion. (See Email exchange between the parties attached hereto as Exhibit A, p. 1). Based on the foregoing, it is clear that Plaintiffs had and have no reasonable justification to withhold the Patient’s full name and their conduct constitutes frivolous behavior pursuant to 22 NYCRR § 130-1.1 (a) and (c). Moreover, Plaintiffs’ counsel’s feigned ignorance regarding the requirements of HIPAA is disingenuous at best (ignorance of the law is not a valid defense) and demonstrates that withholding the name of the Patient has been and continues to be done in bad faith. See M & T Bank v. Ronnermann, 199 A.D.3d 996, 154 N.Y.S.3d 801, 802 (2021). All of the foregoing was summarized by Defendants in a June 30, 2022 email response to Plaintiffs’ improper attempt to invoke HIPAA as a basis for withholding the requested information (i.e., before Plaintiffs filed their opposition in this case). In that email, Defendants advised Plaintiffs as follows: No one is asking you to provide the patient’s name on the public record in violation of HIPAA. We are asking that you to disclose it to us privately in a secure email or whatever secure manner you deem appropriate. This would not be a violation of HIPPA (I suggest you review the applicable HIPAA requirements before generally stating that you are not permitted to produce this information as a party to this litigation). We are entitled to this information because your Patient’s claim is the subject of the lawsuit. To the extent you refuse to produce it,your complaint is in violation of CPLR 3013 because you are not pleading your claim with particularity. 7 10 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 Furthermore, we will not enter into a “discovery stipulation” because we are not asking for discovery, we are asking for you to provide information identifying the patient whose claim is the basis for your lawsuit. (Exhibit A, p. 1). To date, Plaintiffs’ counsel has not responded to this email nor has he provided any reasonable basis for refusing to identify the Patient. Finally, Plaintiffs’ argument that “the basis of this lawsuit is the transaction between Plaintiffs and Defendant” (Pl. Opp., ¶10) and that the identity of the Patient is irrelevant, is belied by the Complaint allegations themselves. The Complaint alleges that Plaintiffs are out-of-network healthcare providers that performed medical services on their Patient, “TD.” (Complaint (“Compl.”) ¶¶ 14, 17, 22-23, 25, 29, 34, 36, 40, 42-45, and 48). Plaintiffs’ Complaint also alleges that “‘TD’ was a consumer of a health insurance product sold by [Defendants].” (Compl., ¶ 14). Plaintiffs also allege that they then submitted billsto Defendants for the treatment provided to the Patient, but that Defendants allegedly underpaid Plaintiffs (Compl., ¶¶ 36-38) and attach to the Complaint the actual claim forms that they submitted to Defendants seeking payment of benefits under TD’s health insurance plan (Compl., pp. 20-21). As such, the lawsuit arises out of Plaintiffs, out-of-network providers, providing medical services to TD and the alleged underpayment by Defendants for Plaintiffs’ medical services rendered to the Patient. Under these circumstances, Plaintiffs’ claim that “the personal information of a non-party patient is irrelevant to the claim identified in the Complaint,” is nonsensical and only highlights the need for the Patient to be identified. (Pl. Opp., ¶15). DEFENDANTS ARE ENTITLED TO AN AWARD OF THE COSTS AND FEES ASSOCIATED WITH THIS MOTION PURSUANT TO 22 NYCRR § 130-1.1 (A) BASED ON PLAINTIFFS’ REFUSAL TO PROVIDE THE REQUESTED IDENTIFYING INFORMATION Pursuant to 22 NYCRR § 130-1.1 (a), “[t]he court, in its discretion, may award to any party or attorney in any civil action or proceeding before the court, except where prohibited by law, costs in the form of reimbursement for actual expenses reasonably incurred and reasonable attorney's fees, 8 11 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 resulting from frivolous conduct as defined in this Part.” 22 NYCRR § 130-1.1 (c) defines frivolous conduct as conduct that is: “. . . completely without merit in law and cannot be supported by a reasonable argument for an extension, modification or reversal of existing law . . . [or] it is undertaken primarily to delay or prolong the resolution of the litigation, or to harass or maliciously injure another.” As discussed in Point I of Defendants’ principal motion papers and above in Point I, supra., Plaintiffs, without any basis in the law, has refused to provide Defendants with the identity of the Patient. This information is being withheld in bad faith solely in an attempt to delay this action by avoiding a motion to dismiss. In their Opposition, Plaintiffs assert that Defendants’ Motion should be denied as frivolous because “this latest baseless motion based on CPLR 3024 is just another way for Counsel to ‘pad his billables’ and frustrate prompt resolution of this claim.” (Pl. Opp., ¶29). Plaintiffs’ attempt to deflect the Court’s attention from their own palpable wrongdoing is,itself, yet another instance of their frivolous conduct. See Southern Blvd. Sound v Felix Storch, Inc., 167 Misc 2d 731, 732 (1st Dept 1996) (holding that “in appropriate circumstances a baseless request for sanctions itself may constitute frivolous conduct within the meaning of rule 130.”). Manifestly, Defendants’ conduct here has been at all times, measured, appropriate and reasonable. In response, Plaintiffs have been willfully and contumaciously obstreperous. Under the circumstances presented, Defendants have been left with no alternative but to file the instant motion. Plaintiffs’ response to them is all the more egregious because they accuse Defendants of behavior more descriptive of their own, while they also flout this Court’s rules for redaction, ignore simple pleading rules, and misstate the governing HIPAA regulations. Finally, it is worth noting that Plaintiffs’ Opposition failsto provide any response to Defendants’ argument that before Defendants started filing their motions to dismiss in nearly all of the other lawsuits brought against them by the Plaintiff predating the instant lawsuit, which motions were premised on information obtained based on the identity of the Patient , Plaintiffs never withheld 9 12 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 the patient names in other similar cases between the parties.4 Plaintiff has also failed to deny that its continued refusal, without any legal basis, to provide this information is due to its unhappiness with Justice Esposito’s order of dismissal in East Coast Plastic Surgery, P.C., supra.5 In fact, Plaintiffs’ baseless argument that providing Defendants with the Patient’s name might “possibly” violate HIPAA is completely undermined by the fact that Plaintiffs previously identified by full-name (not the initials) all of the patients whose claims formed the basis of their previous lawsuits against Defendants, and filed that information in the public record.6 Plaintiffs’ failure to reconcile their prior filings with their inadequate filing in this case may be the best proof of the Plaintiffs’ bad faith refusal to provide Defendants with information that they need to defend themselves in this lawsuit.7 Because Plaintiffs have no legitimate basis to withhold the identity of the Patient, the Court should award Defendants the costs and fees that they incurred in having to file this motion for a more definite statement. 4 The Defendants’ Motion for a More Definite Statement lists all the cases where the Defendants filed motions to dismiss. (See NYSCEF Doc. No. 11, p. 7, footnote 1). 5 See Footnote No. 1. 6 See Norman Maurice Rowe, M.D., M.H.A., LLC, et.al. v. Oxford Health Insurance Company, Inc., et.al., Index No. 713760/21; Norman Maurice Rowe, M.D., M.H.A., LLC v. Oxford Health Insurance Company, Inc., et. al., Index No. 713556/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al. v. Oxford Health Insurance Company, Inc., et. al., Index No. 713759/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al. v. Oxford Health Insurance Company, Inc., et.al., Index No. 714270/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al.v. Oxford Health Insurance Company, Inc., et.al.,Index No. 714272/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al.v. Oxford Health Insurance Company, Inc.,et.al., 715809/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al. v. Oxford Health Insurance Company, Inc., et. al., Index No. 716161/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al. v. Oxford Health Insurance Company, Inc., et. al., Index No. 716139/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al. v. Oxford Health Insurance Company, Inc., et. al., Index No. 715806/21; Norman Maurice Rowe, M.D., M.H.A., LLC, et. al. v. Oxford Health Insurance Company, Inc., et. al., Index No. 715807/21. 7 To the extent Plaintiffs’ counsel does not have the permission of the patients to include their name on the public record and believe doing so is a violation of HIPAA, Plaintiffs’ counsel is obligated to file a motion to seal that information, which it has not done in any of the cases referenced in Footnote number 4. 10 13 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 CONCLUSION For any and all of the foregoing reasons, this Court should grant Defendants’ Motion for a More Definite Statement, Defendants’ Motion for Costs and Attorneys’ Fees, and for such other, further and different relief as this Court may deem just and proper. Dated: New York, New York August 14, 2022 Respectfully Submitted, Michael H. Bernstein Matthew P. Mazzola Robinson & Cole LLP Chrysler East Building 666 Third Avenue, 20th Floor New York, NY 10017 Main (212) 451-2900 Facsimile (212) 451-2999 11 14 of 15 FILED: QUEENS COUNTY CLERK 08/14/2022 06:51 PM INDEX NO. 707039/2022 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 08/14/2022 CERTIFICATE OF COMPLIANCE 22 NYCRR 202.8-b The undersigned attorney hereby certifies pursuant to Rule 202.8-b of the NYS Uniform Civil Rules that the total number of words in the within Memorandum of Law, inclusive of point headings and footnotes and exclusive of the caption and signature block is 3,723 words. Dated: New York, New York August 14, 2022 Respectfully Submitted, Matthew P. Mazzola Robinson & Cole LLP Chrysler East Building 666 Third Avenue, 20th Floor New York, NY 10017 Main (212) 451-2900 Facsimile (212) 451-2999 12 15 of 15