Zuckerberg v. Blue Cross & Blue Shield
New York Court of Appeals
Zuckerberg v. Blue Cross & Blue Shield, 67 N.Y.2d 688 (N.Y. 1986)
490 N.E.2d 839; 499 N.Y.S.2d 920; 1986 N.Y. LEXIS 16627
Zuckerberg v. Blue Cross & Blue Shield
Opinion of the Court
OPINION OF THE COURT
Memorandum.
The order of the Appellate Division should be affirmed, with costs.
We agree that plaintiff failed to sustain her burden of proving that Hospital La Gloria provided "medical and surgical or obstetrical care” as contemplated by the definition of "hospital” contained in the Blue Cross community rated contract. Because the contract definition of "hospital” is clear and unambiguous, there is no basis here for application of the "substantial compliance” doctrine.
Thus, it is unnecessary to reach any of the other issues raised by plaintiff.
Chief Judge Wachtler and Judges Meyer, Simons, Kaye, Alexander and Titone concur; Judge Hancock, Jr., taking no part.
Order affirmed, with costs, in a memorandum.
Reference
- Full Case Name
- Johanna Zuckerberg, as Administratrix of the Estate of Harry J. Zuckerberg v. Blue Cross and Blue Shield of Greater New York
- Cited By
- 11 cases
- Status
- Published