HomeMy WebLinkAbout10-2377THIS IS AN ARBITRATION MATTER
ASSESSMENT OF DAMAGES HEARING NOT REQUIRED
TABAS & ROSEN, P.C.
BY: LEWIS C. TRAUFFER, ESQUIRE
Attorney I.D. #60267
1601 Market Street, Suite 2300
Philadelphia, PA 19103
(215) 569-5050
THE MILTON S. HERSHEY MEDICAL
CENTER
P.O. Box 853
Hershey, PA 17033
VS
SERGEY Y. OGANESOV
711 Pear Street
Apt. 4
Lemoyne, PA 17043
Attorney for Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 10 - x3'77
CIVIL ACTION
COMPLAINT - CIVIL ACTION
NOTICE
cly<<-T?i-p%
You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within
twenty (20) days after this complaint and notice are served, by entering a written appearance personally or by attorney and filing in
writing with the court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case
may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the
complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT
AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL
HELP.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH
INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE
OR NO FEE.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, Pennsylvania 17013
(717)249-3166 or(800)990-9108
0--
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COMPLAINT - CIVIL ACTION
THE MILTON S. HERSHEY MEDICAL CENTER
VS. SERGEY Y. OGANESOV
1. Plaintiff is a non-profit corporation located at the
address indicated in the caption hereof.
2. Defendant is an individual who resides at the address
indicated in the caption hereof.
3. As the result of a certain medical condition, defendant
was treated by the plaintiff on June 7, 2008 thru June 23, 2008.
4. The amounts, quantities and nature of said medical care,
the dates on which said medical care was rendered, and the
charges therefore are set forth in Exhibit "A" which is incor-
porated herein as if set forth at length.
5. Said medical care was commensurate with the condition of
defendant and was necessary for the health and welfare of
defendant.
6. At or about: the time of defendant's treatment by plain-
tiff, implied, constructive and oral contracts arose between
defendant and plaintiff by the terms of which defendant became
obligated to pay plaintiff the charges for the medical care
rendered by plaintiff to defendant.
7. Defendant refuses to pay the balance due although
plaintiff has made demand that defendant do so.
8. As a result of the foregoing, there is due and owing
from defendant to plaintiff the sum indicated in Exhibit "A".
WHEREFORE, plaintiff demands judgment against defendant for
the sum of $28,402.67 plus six percent (6%) interest per annum
from the date of discharge to the date of judgment, record costs
and non-record costs.
TABAS & ROSEN, P.C.
LEWD ttAUFFER, ESQUIRE
Attorney for Plaintiff
MS HERSHEY MEDICAL CENTER PAGE: 1
500 UNIVERSITY DRIVE'
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
antor: OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit #: 9922371
-- ------------------------------------------------------------------------------
I Date I Svc Code I Description I Units Debits I Credits
--- ----- --- ------------____-
I AIR AMBULANCE 106/07/08 I 711108 AIR AMBULANCE MIRLEAGE 14 I 11596.00
----------------------------------------------------------------- ----------
* - Not posted I Balance: I 13435.00
--------------------------
/4-1
MS HERSHEY MEDICAL CENTER PAGE: 1
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
tor: OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit #: 10503191
-------------------------------------------------------------------------
Date l Svc Code I Description I Unitsl Debits I Credits
0 /07/08 16501 ADULT LEVEL I TRAUMA 1 6750.00
0 /07/08 42120 81 ADULT IMC 1 1742.00
06 /07/08 46472 EMERGENCY VISIT, LEVE 1 647.00
06 /07/08 46620 ROUTINE VENIPUNCTURE 1 19.00
06 /07/08 101003 ABO BLOOD GROUP 1 38.00
06 /07/08 101004 ANTIBODY SCREEN 1 77.00
06 /07/08 101005 RH TYPE 1 38.00
06 /07/08 104009 AMYLASE, BLOOD 1 49.00
06 /07/08 104042 CREATININE, BLOOD 1 16.00
06 /07/08 104060 GLUCOSE, BLOOD 1 15.00
06 /07/08 104131 POTASSIUM (K), BLOOD 1 16.00
06 /07/08 104145 SODIUM (NA), BLOOD 1 16.00
06 07/08 104156 SGPT (ALT) 1 17.00
06 07/08 105052 PARTIAL THROMBOPLAS T 1 42.00
06 07/08 105059 PROTHROMBIN TIME 1 25.00
06 07/08 105657 CBC W/PLT/DIFF AUTO 1 53.00
06 07/08 245206 LIDOCAINE 10MG/ML 2 3.00
06, /07/08 245208 LIDOCAINE 1 ML 1 3.00
06, /07/08 245431 METOCLOPRAMIDE 5 MG/M 1 3.00
06 /07/08 245477 GENTAMICIN 40 MG/1 ML 5 10.05
06/ 07/08 246057 CEFAZOLIN 1 GM/5 ML 2 3.15
06 07/08 246162 FENTANYL CITRATE 5 ML 6 19.10
06 07/08 246400 PROMETHAZINE 25 MG/ML 1 3.00
06/ 07/08 246487 SUCCINYL CHOLINE 200 10 5.95
06/ 07/08 246764 DIPHTHERIA TETANUS 0. 1 59.25
06/ 07/08 272121 DIPRIVAN INJ 10MG/ML 1 14.30
06/ 07/08 272129 ROCURONIUM BROMIDE 5M 2 74.70
06/ 07/08 272199 ONDANSETRON 2MG/ML 2M 4 3.00
06/ 07/08 272979 FAMOTIDINE 20MG PRE-M 1 10.35
06/ 07/08 305625 TIBIA & FIBULA AP&LAT 1 151.00
06/ 07/08 305628 ANKLE 1-2 VIEWS RIGHT 1 122.00
06/ 07/08 305630 FOOT 1-2 VIEWS RIGHT 1 122.00
06/ 07/08 307101 CHEST 1 VIEW 1 132.00
06/ 07/08 307220 PELVIS 1-2 VIEWS 1 174.00
06/ 07/08 307319 ANKLE 3 OR MORE VIEWS 1 141.00
06/ 07/08 310501 CT HEAD UNENHANCED 1 832.00
06/ 07/08 310507 CT LOW EXT UNENHANCED 1 832.00
06/ 07/08 310516 CT THORAX ENHANCED 1 1725.00
06/ 07/08 310519 C'.r ABDOMEN ENHANCED 1 1191.00
06/ 07/08 310560 CT C-SPINE UNENHANCED 1 922.00
06/ 07/08 310562 CT T-SPINE UNENHANCED 1 860.00
06/ 07/08 310564 CT L-SPINE UNENHANCED 1 868.00
Continue
/4 -'?'
MS HERSHEY MEDICAL CENTER PAGE: 2
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
antor: OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit $#: 10503191
-- --------- ----------------- --------------------------- -- -- ----- --- ---
- - --? --Date----?----S-vCCode---.?----- -- - -Aso-r-?a?i-an ----?---L,Ixii?s-?---D-ebirts -- -?----Credits-?----
06 /07/08 310567 CT PELVIS ENHANCED 1 1353.00
06 /07/08 310704 OMNIPAQUE 300MG/ML 15 1 90.00
06 /07/08 390538 BIT,DRILL,2.0 MM 1 95.00
06 /07/08 390770 DRILL BIT 6 1058.00
06 /07/08 391101 OR TIME<=1HR EACH 15M 4 2516.00
06 /07/08 391102 OR TIME>lHR EACH 15MI 21 6048.00
06 /07/08 394744 CLAMP 8 8224.00
06 /07/08 398230 SUTURE, SINGLE ARM 10 90.00
06 /07/08 398654 PBDS MAJOR ORTHO PACK 1 360.00
06 /07/08 398727 MRI SAFE POST 2 552.00
06 /07/08 398823 BLADE CLIPPER 3 72.00
06 07/08 398871 DRAPE SPLIT SHEET 1 14.00
06 07/08 398983 SCREW CANCELLOUS 2 78.00
06 07/08 398985 SCREW CORTEX 10 516.00
06, /07/08 399040 WASHER 4 212.00
06 07/08 422005 1-1 1/2 HOURS-RECOVER 1 929.00
06 07/08 457168 PIN STEINMANN 3 434.00
06/ 07/08 457348 ROD CARBON FIBER 5 1973.00
06 07/08 464155 RECONSTRUCTION PLATE 1 975.00
06/ '07/08 464593 SURGILAV SET MULTI-OR 1 100.00
06/ 07/08 464610 CUFF TOURNIQUET 1 34.00
06/ 07/08 464633 STOCKINET 1 10.00
06/ 07/08 502000 ANESTHESIA TIME-HOSP 25 2003.00
06/ 07/08 620010 TRAY SUTURE DISP 1 23.00
06/ 07/08 621044 I V SODIUM CHLORIDE 0 1 6.00
06/ 07/08 622023 IRRIGATION SOD CHL 0. 2 12.00
06/ 07/08 622024 IRRIGATION SOD CHL 0. 1 6.00
06/ 07/08 622026 IRRIGATION NACL 0.9% 1 34.00
06/ 07/08 626080 IV DILUENT NML SALINE 1 8.00
06/ 07/08 627070 IV EXT SET 90" W/FLAS 1 22.00
06 07/08 630831 FOLEY CATH 16 FR W/BA 1 11.00
06/ 07/08 661420 TRAY FACIAL TRAUMA CU 1 136.00
06/ 07/08 669206 VAC DRESSING LG FOR V 1 85.00
06/ 07/08 669209 CANISTER FOR VAC UNIT 1 60.00
06/ 07/08 670334 IV INFUSION SET, UNIV 1 9.00
06/ 08/08 11672 81 ADULT IMC 1 1742.00
06/ 08/08 100031 MRSA BY PCR 1 183.00
06/ 08/08 104026 CALCIUM 1 16.00
06/ 8/08 104042 CREATININE, BLOOD 1 16.00
06/ 8/08 104065 UREA NITROGEN (BUN), 1 15.00
06/ 8/08 104106 MAGNESIUM 1 18.00
06/ 8/08 104129 PHOSPHORUS, BLOOD 1 16.00
----
I ------------
- Continue -
I -3
MS HERSHEY MEDICAL CENTER PAGE: 3
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
antor: OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit #: 10503191
-- ---------------------- ----------------------------------------------------
_Date ----S -c--Co-de--t---- _?D-ehit-s---
- - -------------- I---
--- ------------------------- -----------------------------
0 /08/08 104398 ELECTROLYTES 1 33.00
06 /08/08 105656 CBC W/PLT AUTO 1 33.00
06 /08/08 246057 CEFAZOLIN 1 GM/5 ML 8 12.60
06 /08/08 246400 PROMETHAZINE 25 MG/ML 1 3.00
06 /08/08 246706 MORPHINE SULFATE 2 MG 3 9.00
06 /08/08 272979 FAMOTIDINE 20MG PRE-M 2 20.70
06 /08/08 272987 CEFAZOLIN 1 GM PRE-MI 6 35.85
06 /08/08 305625 TIBIA & FIBULA AP&LAT 2 302.00
06 /08/08 307319 ANKLE 3 OR MORE VIEWS 2 282.00
06 /08/08 307551 FLUORO MORE THAN ONE 1 332.00
06 /08/08 310501 CT HEAD UNENHANCED 1 832.00
06 /08/08 310507 CT LOW EXT UNENHANCED 1 832.00
06 08/08 600504 AMBUBAG ADULT W/MASK 1 25.00
06 08/08 600520 SPIRO INCENTIVE ADULT 1 7.00
06 08/08 621044 I V SODIUM CHLORIDE 0 3 18.00
061 /08/08 621054 IV LACTATED RINGERS 1 1 6.00
06, /08/08 621100 CANISTER SUCT HARDSHE 1 5.00
06, /08/08 621105 YANKAUER SUCT TB W/O 1 5.00
06, 108/08 622023 IRRIGATION SOD CHL 0. 1 6.00
06, 108/08 627070 IV EXT SET 90" W/FLAS 1 22.00
06/ 08/08 670334 IV INFUSION SET, UNIV 1 9.00
06/ 09/08 10223 P PRIVATE MED/SURG RM 1 1368.00
06/ 09/08 16681 INITIAL EVALUATION-PT 1 176.00
06/ 09/08 105036 HEMATOCRIT 1 20.00
06/ 09/08 105656 CBC W/PLT AUTO 1 33.00
06/ 09/08 111001 GLUCOSE BEDSIDE MONIT 1 31.00
06/ 09/08 246706 MORPHINE SULFATE 2 MG 6 18.00
06/ 09/08 272811 DALTEPARIN 2500U/0.2M 1 32.40
06/ 09/08 272979 FAMOTIDINE 20MG PRE-M 2 20.70
06/ 09/08 272987 CEFAZOLIN 1 GM PRE-MI 8 47.80
06/ 09/08 600520 SPIRO INCENTIVE ADULT 1 7.00
06/ 09/08 621044 I V SODIUM CHLORIDE 0 3 18.00
06/ 09/08 622023 IRRIGATION SOD CHL 0. 1 6.00
06/ 10/08 16700 THERAPEUTIC ACTIV 15 1 58.00
06/ 10/08 16706 WHEELCHAIR MGMT 15 MI 1 58.00
06/ 10/08 56609 INITIAL EVALUATION-OT 1 176.00
061 10108 56631 INSTR ADAPT EQUIP 15 1 58.00
06/ 10/08 56647 BOK TRIGGER REACHER 1 28.00
06/ 10/08 101003 ABO BLOOD GROUP 1 38.00
06/ 0/08 101004 ANTIBODY SCREEN 1 77.00
06/ 0/08 101005 RH TYPE 1 38.00
06/ 0/08 101021 COMPAT, IMMED SPIN 4 308.00
----
I ---------------------•--------- ------------------------------------
- Continue -
MS HERSHEY MEDICAL CENTER PAGE: 4
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
Guarantor; OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit #: 10503191
--------------------------
-------------------------- ---------------
?_ -Da_e- ----?_S-uc_-Code j _ De c pt on----? i s? IIebi _ I- -C edit ---?----
--- ----------------------------------------------------------------------------
06 10/08 105656 CBC W/PLT AUTO 1 33.00
06, 110/08 121107 P PRIVATE MED/SURG RM 1 1368.00
06 10/08 246021 BACITRACIN 15 GM 1 6.75
06 /10/08 246706 MORPHINE SULFATE 2 MG 6 18.00
06 10/08 249441 FAMOTIDINE 20MG UD 2 6.00
06, 11c)/08 272811 DALTEPARIN 2500U/0.2M 2 64.80
06, 110/08 272987 CEFAZOLIN 1 GM PRE-MI 2 11.95
06/ 10/08 621034 I V DEXTROSE 5%-.45 S 1 6.00
06/ 10/08 621044 I V SODIUM CHLORIDE 0 1 6.00
06/ 11/08 56610 RE-EVALUATION-OT 1 115.00
06/ 11/08 101213 RED BLD CELLS EA U 2 1146.00
06/ 11/08 104438 RENAL FUNCTION PANEL 1 49.00
06/ 11/08 105036 HEMATOCRIT 1 20.00
06/ 11/08 105656 CBC W/PLT AUTO 1 33.00
06/ 11/08 105657 CBC W/PLT/DIFF AUTO 1 53.00
06 11/08 121107 P PRIVATE MED/SURG RM 1 1368.00
06/ 11/08 246021 BACITRACIN 15 GM 1 6.75
06/ 11/08 246057 CEFAZOLIN 1 GM/5 ML 2 3.15
06/ 11/08 246162 FENTANYL CITRATE 5 ML 9 28.65
06/ 11/08 246182 GLYCOPYRROLATE 0.2 MG 2 2.17
06/ 11/08 246316 NEOSTIGMINE 10 ML 20 4.50
06/ 11/08 246517 WARFARIN SODIUM 5 MG 1 3.00
06/ 11/08 246705 MORPHINE SULFATE 4 MG 1 3.00
06/ 11/08 250577 PROPOFOL 20ML 1 5.75
06/ 11/08 272129 ROCURONIUM BROMIDE 5M 2 74.70
06/ 11/08 272425 MIDAZOLAM 1MG/ML 2ML 2 3.00
06/ 11/08 272628 MORPHINE 1MG/ML BAG 10 30.80
06/ 11/08 272987 CEFAZOLIN 1 GM PRE-MI 8 47.80
061 11108 305625 TIBIA & FIBULA AP&LAT 1 151.00
06/ 1/08 307551 FLUORO MORE THAN ONE 1 332.00
06/ 1/08 391101 OR TIME<=lHR EACH 15M 4 2516.00
06/ 1/08 391102 OR TIME>1HR EACH 15MI 17 4896.00
06/ 1/08 398230 SUTURE, SINGLE ARM 13 117.00
06/ 1/08 398984 SCREW CANNULATED 1 398.00
06/ 1/08 398985 SCREW CORTEX 4 168.00
06/ 1/08 398990 SCREW LOCKING 4 1604.00
06/ 1/08 422005 1-1 1/2 HOURS-RECOVER 1 929.00
06/ _1/08 457248 ROD REAMING 1 324.00
06/ 1/08 457285 GUIDEWIRE 1 195.00
06/ 1/08 464426 TIBIAL NAIL 1 3103.00
06/ 1/08 502000 ANESTHESIA TIME-HOSP 21 1699.00
06/ 1/08 503128 BAIR HUGGER UPPER BOD 1 47.00
- Continue -
? 5
MS HERSHEY MEDICAL CENTER PAGE:
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
Gu rantor: OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit #: 10503191
06
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503136
503156
503165
503166
503167
503168
503169
600004
621034
621042
621110
625011
670334
670727
16681
56627
101213
105036
105059
121107
246124
246517
249441
250092
272811
305625
305631
621034
621042
625011
16700
56631
105036
105059
246124
249441
250092
272811
930119
910050
930119
HOT LINE TUBING
BIS SENSOR
I STAT K
I STAT ION CA
I STAT NA
I STAT GASES
I STAT HCT
R.TL VAC WOUND CLOSURE
I V DEXTROSE 5%-.45 S
I V SODIUM CHLORIDE 0
STAPLER SKIN DISP SS
IV ADMIN SET BLOOD FI
IV INFUSION SET, UNIV
PCA ST INTEGRAL NOSIP
INITIAL EVALUATION-PT
FUNCT THERAPY ACT 15M
RED BLD CELLS EA U
HEMATOCRIT
PROTHROMBIN TIME
P PRIVATE MED/SURG RM
DOCUSATE-SENNA 50MG-8
WARFARIN SODIUM 5 MG
FAMOTIDINE 20MG UD
OXYCODONE APAP 1TAB
DALTEPARIN 250OU/0.2M
TIBIA & FIBULA AP&LAT
FOOT 3 OR MORE VIEWS
I V DEXTROSE 50-.45 S
I V SODIUM CHLORIDE 0
IV ADMIN SET BLOOD FI
THERAPEUTIC ACTIV 15
INSTR ADAPT EQUIP 15
HEMATOCRIT
PROTHROMBIN TIME
DOCUSATE-SENNA 50MG-8
FAMOTIDINE 20MG UD
OXYCODONE APAP 1TAB
DALTEPARIN 250OU/0.2M
BLUE SHIELD CONT ADJ
BLUE SHIELD PAYMENT H
BLUE SHIELD CONT ADJ
1
1
1
1
1
1
1
4
1
1
1
1
1
1
1
1
1
2
1
1
4
1
2
6
2
1
1
1
1
1
2
1
1
1
2
1
6
1
-1
-1
1
44.00
51.00
18.00
31.00
18.00
86.00
19.00
380.00
6.00
6.00
82.00
49.00
9.00
24.00
176.00
58.00
573.00
40.00
25.00
1368.00
6.00
3.00
6.00
9.00
64.80
151.00
141.00
6.00
6.00
49.00
116.00
58.00
20.00
25.00
3.00
3.00
9.00
32.40
65476.52-
12834.92-
13476.63
MS HERSHEY MEDICAL CENTER PAGE: 6
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
antor: OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit #: 10503191
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
* - Not posted ( Balance: I 13378.06
--------------------------
7
MS HERSHEY MEDICAL CENTER PAGE: 1
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Statement on: 11/11/08 at 10:05 AM
rantor: OGANESOV SERGEY Y
711 PEAR STREET
LEMOYNE, PA 17043-0000
Patient: OGANESOV SERGEY Y
Visit #: 9964111
---
I --------------------
Date Svc Code ------------------------
Description I ---------------------
Unitsl Debits I ------------
Credits
--- -------------------- ------------------------ ----------
----------- --_---_--_-----
06 /23/08 184006 CT LOW EXT UNENHANCED 1 _
832.00
07 /12/08 910050 BLUE SHIELD PAYMENT H -1 437.38-
07 /12/08 930119 BLUE SHIELD CONT ADJ -1 287.87-
* - ----------
Not posted ------------------------ ----------
Balance:
--------------
106.75
------------
I -7
STATEMENT OF PHYSICIAN SERVICES
PEN STATE SERGEY Y OGANESOV 1 of 6
711 PEAR STREET
The Milton S. Hershey Medical Center LEMOYNE PA 170043-1835 STATEMENT
The College of Medicine
19 DATE: 12123108
LAST STATEMENT
ACCOUNT # 7003139 DATE: 12/10108
IF ANY QUESTIONS, PLEASE CONTACT: MSHMC PATIENT FINANCIAL SERVICES FED TAX ID ## 251857035
4r +7
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»i ATIF.NI': SERM Y OGANESCV 7003139
9940736
PERFORMED BY: CAROL C FORSYTH CRNP ORTHOPAEDICS DIVISION
PLACE OF SVC: OP PHYSICIAN
06/2 3/08 99024 ow POST-011 FOL-UP VISIT 0.00 0.00
9964111
PERFORMED BY: ERIC A NALKER MD DIV OF DIAL RADIOLOGY
PLACE OF SVC: OP HOSPITAL
06/ 3/08 7370026.RT OW CT LON EXTREMITY UNENHAN 383.00
07/ 9/08 BLUE SHIELD PAYMENT* 50.40-
07/ 9/08 B SHIELD CONTRACTUAL ADJ* 32D.00-
07/ 9/08 BALANCE TRANSFER* 12.60
BALANCE: SERGEY Y OGANESOV $12.60
»a P ATIENT: SERGEY E OGANESOV 7503191
10503191
PERFORMED BY: T THOMAS ZACHARIA MD DIV OF DIAB RADIOLOGY
PLACE OF SVC: INPATIENT
D6/0 /OS 7213126 HNC CT LLIMBAR SPINE UNENHANCE 406.00
D6/ M BLUE SHIELD PAYMENT* 0.00
06/ /D8 B SHIELD CONTRACTUAL AOJ* 339.00-
06/ /08 BLUE SHIELD DEDUCTIBLE* 67.00
O6/0 /08 7212526 Im CT CERVICAL SPINE UNENHAN 406.00
06/ /D8 BLUE SHIELD PAYMENT* D.DO
06/ 08 B SHIELD CONTRACTUAL ADJ* 339.DO-
D6/ /D8 BLUE SHIELD DEDUCTIBLE* 67.00
D6/0 /N 7212826 %mok CT THORACIC SPINE UNENHAN 406.00
06/ 08 BLUE SHIELD PAYMENT* 5.60-
D6/2 /08 B SHIELD CONTRACTUAL ADJ* 339.00-
06/ /08 BLUE SHIELD DEDUCTIBLE* 61.40
06/0 /08 7045026 ?t CT HEAD UNENHANCED 298.00
06/2-1 /08 BLUE SHIELD PAYMENT* 48.80-
06/2 /08 B SHIELD CONTRACTUAL ADJ* 237.00-
06/29 /08 BALANCE TRANSFER* 12.20
PERFORMED BY: ROBERT P LYONS MD HERSHEY SPORTS MEDICINE
WO WS 27827.LT TRT LNR LG FRC/TIBIA ONLY 5708.00
07/21 /08 BLUE SHIELD PAYMENT* 800.00-
07/21 /08 B SHIELD CONTRACTUAL ADJ* 4708.00-
07/2' /05 BALANCE TRANSFER* 200.00
06/0' 108 27814.51 FX BI-MALL SMP/CMP OP RED 4334.00
07/23 108 BLUE SHIELD PAYMENT* 338.00-
07/2 O8 B SHIELD CONTRACTUAL ADJ* 422.50-
D7/23 108 B SHIELD CONTRACTUAL ADJ* 3489.00-
07/2 D8 BALANCE TRANSFERiHI 84.50
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STATEMENT OF PHYSICIAN SERVICES
V]'?ISTAn SERGEY Y OGANESOV 2 of 6
- 71111 PEAR STREET
The Milton S. Hershey Medical Center
STATEMENT
LEMOYNE PA 1703.1939
The College of Medicine DATE: 12123108
ACCOUNT # 7003138 LDAASTE STATEMENT
12!10108
i> .!!,QUESTIONS, PLEASE CONTACT: MSHMC PATIENT FINANCIAL SERVICES FED TAX ID # 251857035
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DEBRIDE SKIN/MJSC/BOtIE,FX - -- - -- 2094.00
07/2 /08 BLUE SHIELD PAYMENT* 182.67-
07/2 /08 B SHIELD CNRTRACTUAL ADJ* 228.33-
07/2 08 B SHIELD CONTRACTUAL ADJN 1637.34-
07/2 08 BALANCE TRANSFER* 45.66
06/0 /08 97605 NEGATV PRES HOUND THERAPY BSO 75.00
0711 /08 MEDICAL RECORDS NEEDED 0.00
07/2 08 BLUE SHIELD PAYMENT* 0.00
* 12/11 OS MEDICAL RECORDS NE 0.00 0.00
PERFORMED BY: DONALD J FLEMMING MO DIV OF DIAL RADIOLOGY
06/0 /08 7370026 w CT LON EXTREMITY UNENHAN 383.00
06/ 08 BLUE SHIELD PAYMENT* 0.00
061 08 B SHIELD CONTRACTUAL ADJ* 320.00-
061 /08 BLUE SHIELD DEDUCTIBLE* 63.00
PERFORMED BY: JAMES H BIRKHOLZ NO DIV OF DIAL RADIOLOGY
06/0 08 7219326 dft CT PELVIS ENHANCED 406.00
O6/ 08 BLUE SHIELD PAYMENT* 61.60-
06/ 08 B SHIELD CONTRACTUAL ADJ* 329.00-
06/ 08 BALANCE TRANSFER* 15.40
06/07 108 7126026 dW CT THORAX N/CONTRAST ENH 434.00
0612W 08 BLUE SHIELD PAYMENT* 61.60-
06/25 108 B SHIELD CONTRACTUAL ADJ* 357.00-
06/25, 108 BALANCE TRANSFER* IS.40
06/07 108 7416026 C T ABDOMEN ENHANCED 447.00
06/25 108 BLUE SHIELD PAYMENT* 61.60-
06/25 108 B SHIELD CONTRACTUAL ADJ* 370.00-
06/25 /08 BALANCE TRANSFER* 15.40
PERFORMED BY: DAVID M VAN HOOK NO DIV OF DIAL RADIOLOGY
06/071 08 7217026 PELVIS WERPOSTER 62.00
06/2& 108 BLUE SHIELD PAYMENT* 9.60-
06/M '08 B SHIELD CONTRACTUAL ADJ* 50.00-
06/2& '08 BALANCE TRANSFER* 2.40
06/071 08 7101026 CHEST 1 VIEN 64.00
06/M '08 BLUE SHIELD PAYMENT* 9.60-
06/M 08 B SHIELD CONTRACTUAL ADJ* 52.00-
06! O8 BALANCE TRANSFER* 2.40
06/07
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06/ D8 B SHIELD CONTRACTUAL ADJ* 42.00-
06/ as BALANCE TRANSFER* 3.00
06/ /08 7362026 4w FOOT LIMITED 57.00
06/ /08 BLUE SHIELD PAYMENT* 12.00-
06/ /DB B SHIELD CONTRACTUAL ADJ* 42.00-
06/ /O$ BALANCE TRANSFER, 3.00
PERFORMED BY: ROBERT P LYONS MD HERSHEY SPORTS MEDICINE
06/D /OS 99251.57 INITIAL INPT CONSULTATION 127.00
D7/2 08 BLUE SHIELD PAYMENT* 0.00 127.00
PERFORMED BY: JAMES M LEAMIN6 MD DIV OF EMERG ROOM
PLACE OF SVC: EMERGENCY ROOM
D6/D /08 99285 ? EMERGENCY VISIT 399.00
06/ 08 BLUE SHIELD PAYMENT* 0.00
06/ 08 B SHIELD CONTRACTUAL ADJ* 219.00-
06/ 08 BLUE SHIELD DEDUCTIBLE* 180.00
PERFORMED BY: MILENA PILIPOVIC MD DIV OF ANESTHESIA
PLACE OF SVC: INPATIENT
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07/0 DB B SHIELD CWrRACTUAL ADJJI 1508.00-
07/0 1013 BALANCE TRANSFER, 290.00
0610' '/08 9914O.GC Im EMERGENCY SERVICE 195.00
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07102 108 B SHIELD CONTRACTUAL ADJ* 115.00-
07/02 /08 BALANCE TRANSFER, 16.00
PERFORMED BY: DONALD J FLEMMING MD DIV OF DIAL RADIOLOGY
06/08 108 7370026 CT LOW EXTREMITY UNENHAN 383.00
06/25 108 BLUE SHIELD PAYMENT* 0.00
06/25 108 B SHIELD CONTRACTUAL ADJx 320.00-
06/ OS BLUE SHIELD DEDUCTIBLE, 63.00
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STATEMENT OF PHYSICIAN SERVICES
PENT' STATE SERGEY Y OCANESOV ??. 4 of 6
711 PEAR STREET
The Milton S. Hershey Medical Center LEMOYNE PA 17043.1839 STATEMENT
The College of Medicine DATE: 12123108
LAST STATMENT
ACCOUNT # 7003139 DATE: 12110108
IF NY QUESTIONS, PLEASE CONTACT: MSHMC PATIENT FINANCIAL SERVICES FED TAX ID 251857035
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BLUE SHIELD PAYMENT* 48.80-
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BALANCE TRANISFERN 12.20
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ANKLE COMPLETE 62.00
BLUE SHIELD PAYMENT* 12.00-
8 SHIELD CONTRACTUAL ADJ* 47.00-
BALANCE TRANSFER* 3.00
ANKLE COMPLETE 62.00
BLUE SHIELD PAYMENT* 12.00-
8 SHIELD CONTRACTUAL ADJ* 47.00-
BALANCE TRANSFERS 3.00
TIBIA & FIBULA 1 JOINT 62.00
BLUE SHIELD PAYMENT* 12.00-
8 SHIELD CONTRACTUAL ADJ* 47.00-
BALANCE TRANSFER* 3.DO
TIBIA & FIBULA 1 JOINT 62.00
BLUE SHIELD PAYMENT* 12.DD-
B SHIELD CONTRACTUAL ADJ* 47.00-
BALANCE TRANSFER* 3.00
PERFORMED BY: MARK R IANTOSCA MD DIVISION OF NEUROSURGERY
INITIAL INPT CONSULTATION 417.00
BLUE SHIELD PAYMENT* 136.00-
8 SHIELD CONTRACTUAL ADJ* 247.00-
BALANCE TRANSFER* 34.00
PERFORMED BY: PHILIP A VILLANUEVA MD DIVISION OF NEUROSIRG
DAILY HOSPITAL CARE 97.00
BLUE SHIELD PAYMENT* 32.00-
8 SHIELD CONTRACTUAL ADJ* 57.00-
BALANCE TRANSFERS 8.00
PERFORMED BY: DAN A GALVAN MD TRAUMA SURGERY DIV
DAILY HOSPITAL CARE 177.011
BLUE SHIELD PAYMENT* 56.00-
8 SHIELD CONTRACTUAL ADJ* 107.00-
BALANCE TRANSFER* 14.00
DAILY HOSPITAL CARE 97.00
BLUE SHIELD PAYMENT* 32.00-
E SHIELD CONTRACTUAL AWN 57.00-
BALANCE TRANSFER* 8.00
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STATEMENT OF PHYSICIAN SERVICES
5 of 6
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STATEMENT
DATE: 12/2$/08
LAST STATEMENT
DATE: 12110108
FED TAX ID # 2
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7359026 am p TIBIA & FIBULA 1 JOINT 62.00
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BALANCE TRANSFER
PERFORMED BY: MOLLY 0 BLACK MD ORTHDPAEDICS DIVISION
27828.58 TRT LWR LEG FRC/TIB & FIB 6587.00
BLUE SHIELD PAYMENT* 1175.00-
E SHIELD CONTRACTUAL ADJ* 5412.00-
27759.58 OP TX TIB SHAFT N IM ROD 5585.00
BLUE SHIELD PAYMENT* 500.00-
8 SHIELD CONTRACTUAL AWN 500.00-
8 SHIELD CONTRACTUAL ADJ* 4585.00-
20694.58 REM UNDER ANES EXT FIX SY 1267.00
BLUE SHIELD PAYMENT* 194.35-
B SHIELD CONTRACTUAL AWN 194.35-
8 SHIELD CONTRACTUAL ADJ* 878.30-
PERFORMED BY: MIKHAIL R SUKERNIK MD DIV OF ANESTHESIA
014 4.GC 411111 1b 26 OSTEOTO/OSTEOPL TB/FIB 2652.00
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8 SHIELD CONTRACTUAL ADJ* 1352.00-
PERFORMED BY: TIMOTHY J MOSHER MD DIV OF DIAL RADIOLOGY
7363026 di m FOOT COMPLETE MIN 3 VIENS 62.00
BLUE SHIELD PAYMENT* 12.00-
8 SHIELD CONTRACTUAL ADJ* 47.00-
BALANCE TRANSFER*
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BLUE SHIELD PAYMENT* 12.00-
5 SHIELD CONTRACTUAL ADJ* 47.00-
BALANCE TRANSFER
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99231 Imil ho DAILY HOSPITAL CARE 97.00
BLUE SHIELD PAYMENT* 32.00-
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BALANCE TRANSFER*
3ALANCE: SERGEY E OGANESOV 51470.26
* INDIC TES NEW FINANCIAL ACTIVITY SINCE LAST BILL.
OTHER CHARGES BILLED TO YOUR INSURANCE COMPANY. 5113.00
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STATEMENT OF PHYSICIAN SERVICES
SWE SERGEY Y OGANESOV
711 PEAR STREET
The Milton S. Hershey Medical Center LEMOYNE PA 17443.1839
The College of Medicine
A IF ANY QUESTIONS, PLEASE CONTACT: MSHMC
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ACCOUNT ## 7003139
COMPANY PAID, CONTACT THEM DIRECTLY. FOR ANY OTHER QUESTIONS
REGARDING YOUR BALANCE, PLEASE CONTACT OUR OFFICE. IF PAYMENT
HAS BEEN MADE, THAN( YOU AND DISREGARD THIS BILL.
RN N3
THANK YOU FOR. USING MSHMC PHYSICIANS GROUP FOR YOUR PHYSICIAN
SERVICES. IF YOU HAVE ANY QUESTIONS REGARDING THIS BILL, PLEASE
CONTACT US AT 717-331-5069 OR 800-254-2619, BETWEEN 8:00A1M AND
5:30PM MONDAY THROUGH WEDNESDAY OR BETWEEN 8:DDAM AND 4:3OPM
THURSDAY AND FRIDAY.
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STATEMENT DATE: GUARANTOR RESPONSIBILITY. MINIMUM PAYMENT;
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SHMC PHYSICIANS GROUP
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MSHMC PHYSICIANS GROUP SERGEY Y OGANESOV
711 PEAR STREET
PO BOX 643313 LEMOYNE PA 17043-1839
PITTSBURGH PA 152643313
OFFICE USE ONLY CNECKONE FOR CREDIT CARD PAYMENT, PLEASE FILL IN INFORMATION BELOW USE;; _=1 - - -_
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6 of 6
STATEMENT
DATE: 12/23108
LAST STATEMENT
DATE: 12110108
FED TAX ID # 251857035
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VERIFICATION
LINDA SCHLADER hereby states that she is the
Team Manager, Customer Service of the Milton S. Hershey
Medical Center and verifies that the statements made in the
foregoing pleading are true and correct to the best of her
knowledge, information and belief. The undersigned understands
that the statements therein are made subject to the penalties of
18 Pa. C.S. §4904 relating to unsworn falsification to
authorities.
LINDA SCHLADER
DATE:
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff
Jody S Smith
Chief Deputy
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Richard W Stewart
Solicitor
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The Milton S. Hershey Medical Center
vs. Case Number
Sergey Y. Oganesov 2010-2377
SHERIFF'S RETURN OF SERVICE
06/14/2010 Ronny R. Anderson, Sheriff who being duly sworn according to law states that he made a diligent search
and inquiry for the within named defendant, to wit: Sergey Y. Oganesov, but was unable to locate him in
his bailiwick. He therefore deputized the Sheriff of York County, PA to serve the within Complaint and
Notice according to law.
06/19/2010 York County Return: And now June 19, 2010 at 1056 hours I, Richard P. Keuerleber, Sheriff of York
County, Pennsylvania, do herby certify and return that I served a true copy of the within Complaint and
Notice, upon the within named defendant, to wit: Sergey Y. Oganesov by making known unto himself
personally, at The York County Sheriffs Office, 45 N. George Street, York, PA 17401 its contents and at
the same time handing to him personally the said true and correct copy of the same.
SHERIFF COST: $37.00
June 30, 2010
SO ANSWERS,
... ,.
RON R ANDERSON, SHERIFF
;c;. CquntySuite SF?enff. Teieosoft. Inc.
SHERIFF'S OFFICE OF YORK COUNTY
Richard P Keuerleber PETER J. MANGAN, ESQ.
Sheriff Solicitor
Reuben B Zeager Richard E Rice, II
Chief Deputy, Operations Chief Deputy, Administration
THE MILTON S. HERSHEY MEDICAL CENTER Case Number
vs. 10-2377 CIVIL
SERGEY Y. OGANESOV
SHERIFF'S RETURN OF SERVICE
06/19/2010 10:56 AM -SERVED THE REQUESTED COMPLAINT IN CIVIL ACTION (CICA) BY "PERSONALLY"
HANDING A TRUE COPY TO A PERSON REPRESENTING THEMSELVES TO BE THE DEFENDANT,
TO WIT: SERGEY Y. OGANESOV AT THE YORK COUNTY SHERIFF'S OFFICE, 45 NORTH GEORGE
STREET, YORK, PA 17401.
'n~,-
RANDY ARER,DEPUTY
SHERIFF COST: $32.00
June 24, 2010
SO AN RS,
RICHARD P EUERLEBER, SHERIFF
NOTARY
Affirmed and subscribed to before me this
24th day of
~~
2010
r j .>ne~rl~r,-
COMMONWEALTH OF FENNS"WANIA
NOTARIAL SEAL
LISA L THORPE. N07ARY ='UREIC
CITY OF YORK. YORK CG.,NTY
MY COMb1iSS10N HXFIRES AUG. 12. 2013
The Milton S. Hershey Medical Center
P.O. Box 853
Hershey, PA 17011
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
VS.
NO.:10-2377
Sergey Y. Oganesov
110 Payne Drive
Mount Wolf, PA 17347
COMMONWEALTH OF PA
COUNTY OF CUMBERLAND
LEWIS C. TRAUFFER being legally sworn, deposes and says:
(a) that the defendant (s) is/are not in the Military or Naval Service of the United States
or
or of its allies, or otherwise within the provisions of the Soldiers' and Sailors' Civil
relief action of Congress of 1940 as amended;
(b) that defendant is Sergey Y. Oganesov over 21 years of age and resides at:
110 Payne Drive, Mount Wolf, PA 17347 and is employed in Private Business.
(c) that defendant
is over 21 years of age and resides at:
and is employed in Private Business.
Affidavit has ascertained the foregoing information by inquiry and belief and makes this Affidavit
with due authority.
LEWIS C. RAUFFER, ESQUIRE
Attorney for the Plaintiff
Sworn to and subscribed before me
on this 4`~ day of August, 2010.
NONWEALiH IClf PENNSYLVANIn
PUt31N;
NOTARY
TABAS & ROSEN, P.C.
BY: LEWIS C. TRAUFFER, ESQUIRE ID No.: 60267
1601 Market Street, Suite 2300
Philadelphia, PA 19103
(215)569-5050
THE MILTON S. HERSHEY MEDICAL CENTER
P.O. BOX 853
HERSHEY, PA 17033
vs.
SERGEY Y. OGANSSOV
110 PAYNS DRIVE
MOUNT WOLF, PA 17347
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO.: 10-2377
NOTICE OF INTENTION TO TAKE DEFAULT JUDGMENT
TO: SERGEY Y. OGANESOV
110 PAYNE DRIVE
MOUNT WOLF, PA 17347
DATE OF NOTICE/FECHA DEL AVISO: July 20, 2010
IMPORTANT NOTICE
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY
AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECT20NS TO THE CLAIMS SET FORTH AGAINST YOU.
UNLESS YOU ACT WITHIN TEN DAYS FROM TH8 DATE OF THIS NOTICE, A JUDGEMENT MAY BE ENTERED AGAINST YOU
WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION
ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013 Phone No.: (717) 249-3166 or (800) 990-9108
AVISO IMPORTANTE
LISTED SE ENCUENTRA EN ESTADO D8 REBELDIA POR NO HABER PRESENTADO UNA COMPARECENIA ESCRITO CON ESTB
TRIBUNAL SUS DEFENSAS U OBJECTIONES A LOS RECLAMOS FORMULADOS EN CONTRA SUYO. AL NO TOMAR LA
ACCION DEBIDA DENTRO DE DIEZ DIAS DE LA FECHA DE ESTA NOTIFICATION, EL TRIBUNAL PODRA, SIN
NECESIDAD DE COMPARECER LISTED EN CORTE U OIR PREUBA ALGUNA, DICTAR SENTENCIA EN SU CONTRA Y LISTED
PODRIA PERDER BIENES U OTROS DERECHOS IMPORTANTES.
USED DEBB LLEVAR ESTE AVISO A UN ABOGADO ENSEGUIDA. SI LISTED NO TIENE ABOGADO, VAYA PSRSONALMENTE
O LLAME POR TELEFONO A LA OFICINA MENCIONADA A CONTINUACTION. ESTA OFICINA LE PUEDE PROVEER LA
INFORMACION NECESARIA PARA CONTRATAR A UN ABOGADO.
SI LISTED CARECE DE LOS MEDI03 NECESARIOS PARR CONTRATAR A UN ABOGADO, DICHA OFICINA LE PUEDE
SUMINISTRAR LA INFORMACION NECESSARIA ACERCA DS AQUELLAS AGENCIAS QUE OFRECEN SERVICIOS LEGALES A
LAS PERSONAS QU8 TIENEN DERECHO A RECIBIR TAL AYUDA GRATIS O A UNA CUOTA RSDUCIDA.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013 Phone No.: (717) 249-3166 or (800) 990-9108
LEWIS C. TRAUFFER, ESQUIRE
ATTORNEY FOR THE PLAINTIFF
THIS CORRESPONDENCE IS 88ING USED TO COLLECT A DEBT AND
THE INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.
!~ ..~1
r.r
OFFICE OF THE PROTHONOTARY
CUMBERLAND COUNTY COURT HOUSE
ONE COURTHOUSE SQUARE
CARLISLE, PA 17013
TO: Sergey Y. Oganesov CUMBERLAND COUNTY
110 Payne Drive
Mount Wolf, PA 17347
The Milton S. Hershey Medical Center
P.O. Box 853
Hershey, PA 17011
VS.
Sergey Y. Oganesov
NOTICE
No.: 10-2377
Pursuant to Rule 236 of the Supreme Court of Pennsylvania, you are hereby notified that
a Judgment has been entered against you in the above proceed' as indicate~le~
S
/ /DAVID D. BUELL
PROTHONOTARY
'~ JUDGMENT BY DEFAULT
MONEY JUDGMENT
JUDGMENT IN REPLEVIN
JUDGMENT FOR POSSESSION
JUDGMENT ON AWARD OF ARBITRATION
TRANSFER OF JUDGMENT
IF YOU HAVE ANY QUESTIONS CONCERNING THIS NOTICE, PLEASE CALL:
ATTORNEY LEWIS C. TRAUFFER, ESQUIRE
AT THIS TELEPHONE NUMBER: 215-569-5050
THE MIL'
CENTER
SERGEY Y.
SPEARS, E;
I S. HERSHEY MEDICAL IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff(s) a 3~
NO. 2010 CV~'~~~~ NT
v.
CIVIL ACTION -LAW
DGANESOV AND ANDREW '
Defendant(s) '
TO:
' I NOTICE TO PLEAD
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C~:~
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Lewi C. Trauffer, Esq. ~~r`~,
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Tab s & Rosen, PC ~; ~; o ~~ ~~
160 Market Street, Suite 2300 ~`~ -~, =~~~-
Phil delphia, PA 19103 ~~~ Q~--;,-
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You
re hereby notified to plead to the enclosed Answer with New Matter within _~,
.
twenty (20)
from service hereof or a default judgment may be filed against you.
Respectfully submitted,
HANDLER, HENNING & ROSENBERG, LLP
DATED:
By:
Andre C. Spears, Esquire
Supreme Court I.D. # 87737
1300 Linglestown Road
Harrisburg, PA 17110
Spears~hhrlaw.com
(717) 238-2000
Attorney for Plaintiff
i
Andrew C. ears
P
Attorney I # 87737
HANDLER HENNING ST ROSENBERG, LLP
1300 Lingl stown Road
Harrisburg PA 17110
Telephone (717) 238-2000 Attorney for Plaintiff(s)
Fax : ~ (717) 233-3029
E-mail: „ Spears~hhrlaw.com
THE MILTON S. HERSHEY MEDICAL
CENTER
Plaintiff(s)
v.
I~~
SERGEY OGANESOV AND ANDREW
SPEARS, SQUIRE
I! Defendant(s)
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO.2010 CV 13191 NT
CIVIL ACTION -LAW
INTERROGATORIES IN ATTACHMENT
At the time you were served or at any subsequent time, did you owe the
defendant(s) any money or were you liable to him on any negotiable or other
written instrument or did he claim that you owed him money or were liable to him
for any reason?
Answer: No.
2. At the time you were served or at any subsequent time was there in your
'! possession, custody or control or in the joint possession, custody or control of
yourself and one or more persons any property of any nature owned solely or in
part, but the defendant(s)?
Answer: No. However, there currently is $31,855.17 being held in a trust
account for Blue Cross and Blue Shield of Illinois, pursuant to a
Federal ERISA lien.
3.
4.
5.
At the time you were served or at any subsequent time, did you hold as fiduciary
any property in which the defendant(s) had any interest?
Answer: See Answer to Interrogatory #2.
At the time you were served, or at any subsequent time, did you hold as fiduciary
any property in which the defendant(s) had any interest?
Answer: Same Interrogatory as #3. By way of further response, see
Answer to Interrogatory #2.
At any time before or after you were served, did the defendant(s) transfer or
deliver any. property to you or to any person or place pursuant to your direction or
consent and what was the consideration therefor?
Answer: No.
6.
7
8
At any time after you were served did you pay, transfer or deliver any money or
property to the defendant(s) or to any person or place pursuant to this direction
or otherwise discharge any claim of the defendant(s) against you?
Answer: No.
If you are a bank or other financial institution, at the time you were served or at
any subsequent time did the defendant(s) have funds on deposit in an account in
which funds are deposited electronically on a recurring basis and which are
identified as being funds that upon deposit are exempt from execution, levy or
attachment under Pennsylvania or federal law? If so, identify each account and
state the reason for the exemption, the amount being withheld under each
exemption and the entity electronically depositing those funds on a recurring
basis.
Answer: N/A.
If you are a bank or other financial institution, at the time you were served or at
any subsequent time did the defendant have funds on deposit in account in
which the funds on deposit, not including any otherwise exempt funds, did not
exceed the amount of the general monetary exemption under 42 Pa.C.S. §
8123? If so, identify each account.
Answer: N/A.
9. At the time you were served or at any subsequent time, did you have or share
any safe deposit boxes, pledges, documents of title, securities, notes, coupons,
receivables, or collateral in which there was an interest claimed by defendant(s)?
Answer: No.
10. '~
ii
Identify every account (not previously noted) titled in the name of defendant(s) in
which you believe defendant(s) have interest in whole or part, whether or not
styled as a payroll account, individual retirement account, tax account, lottery
account, partnership account, joint or tenants by the entirety account, insurance
account, trust or escrow account, attorney's account or otherwise.
Answer: See Answer to Interrogatory #2.
'I
NEW MATTER
ANDI OW COMES the Garnishees, Andrew C. Spears, Esquire and the law firm of
Handler, He Wing and Rosenberg and avers the following New Matter.
1. Any claim Plaintiff has against Defendant and/or Garnishees is preempted by the
Federal ERI A statute.
2. ! Blue Cross Blue Shield of Illinois' Federal ERISA lien is superior to Plaintiff's.
3. '~~~ Any funds in Defendant's name currently in Garnishees possession are the
property of flue Cross Blue Shield of Illinois.
4. ' Any funds in Defendant's name currently in Garnishees possession are the result
of a personal injury settlement and therefore exempt from attachment pursuant to 42 Pa.C.S.
§8124(c)(7).
WHE~2EFORE, the Garnishees respectfully requests that this Honorable Court dismiss
Plaintiff s Interrogatories in Attachment and enter such other orders as are equitable and just.
Respectfully Submitted,
HANDLER HENNING & ROSENBERG
By
Andrew C. pears, Esq.
I . D. # 87737
1300 Linglestown Road, Suite 2
Harrisburg, PA 17110
(717)238-2000
THE MILTO S. HERSHEY MEDICAL
CENTER
Plaintiff(s)
v.
SERGEY Y. GANESOV AND ANDREW
SPEARS, E QUIRE
Defendant(s)
' IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO.2010 CV 13191 NT
CIVIL ACTION -LAW
CERTIFICATE OF SERVICE
On
Defend
in U.S. Mail
18th day of October, 2010, I hereby certify that a true and correct copy of
Interrogatories In Attachment was served upon the following by depositing
Lewis C. Trauffer, Esq.
Tabas & Rosen, PC
1601 Market Street, Suite 2300
Philadelphia, PA 19103
Respectfully submitted,
HANDLER, HENNING & ROSENBERG, LLP
DATED:
By:
Andrew .Spears, Esquire
Supreme Court I.D. # 87737
1300 Linglestown Road
Harrisburg, PA 17110
Spears~hhrlaw.com
(717) 238-2000
Attorney for Plaintiff
TABAS & ROSEN, P.C.
BY: LEWIS C. TRAUFFER
Attorney I.D. 60267
1601 Market Street, Suite 2300
Philadelphia, PA 19103
(215) 569-5050
a ?l n 17 ANJi:
MILTON S. HERSHEY MEDICAL CENTER
V.
SERGEY Y. OGANESOV and
ANDREW SPEARS
Attorney for Plaintiff
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
x377
NO. 2010 CV +449tNT
CIVIL ACTION - LAW
PLAINTIFF'S REPLY TO NEW MATTER OF
DEFENDANT ANDREW C. SPEARS, ESQUIRE
The plaintiff, Milton S. Hershey Medical Center, hereby avers the following in it Reply to New Matter
of Andrew Spears, Esquire, to plaintiffs Interrogatories in Attachment.
1 - 4 The averments contained in paragraphs one through four of the New Matter of defendant
Andrew Spears, Esquire are conclusions of law requiring no response. To the extent a response is required, the
same are denied and proof demanded thereof at trial.
WHEREFORE, for all the foregoing reasons, the plaintiff demands a hearing to assess damages
pertaining to the funds held in escrow on behalf of the defendant Sergey Y. Oganesov.
TABAS & ROSEN, P.C.
March 14, 2011
Lewis C. Trauffer, squire
Attorney for Plaintiff
CERTIFICATE OF SERVICE
I, Lewis C. Trauffer, Esquire, certify that on March 15, 2010 a true and correct copy of plaintiffs
Reply to New Matter of defendant Andrew Spears, Esquire, to Plaintiffs Interrogatories in Attachment was
served on the following individual(s) via United States mail, first class, postage pre-paid, and addressed as
follows:
Andrew C. Spears, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road, Ste. 2
Harrisburg, PA 17110
Mr. Sergey Y. Oganesov
110 Payne Drive
Mount Wolf, PA 17347
LEWIS C. TRA FFER
Attorney for Plaintiff
G
THE MILTON S. HERSHEY MEDICAL
CENTER,
Plaintiff
vs.
SERGEY Y. OGANESOV
Defendant
and
ANDREW W. SPEARS
Garnishee
ORDER
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
to-011377
No. 9949 G H
aerv-v-?r? y i -ivi--
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CIVIL ACTION runt
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AND NOW this n?
day of, 201, upon consideration of the Petition
to Turn over Property Held by the Dauphin County Sheriff's Department in Execution of
Plaintiff's Judgment, and any response thereto;
It is hereby ORDERED and DECREED:
The Petition is GRANTED:
The Office of the Sheriff of Dauphin County is directed to turn over funds held in
attachment to counsel for petitioner Milton S. Hershey Medical Center, to the attention of Lewis
C. Trauffer, Tabas & Rosen, P.C., 1601 Market Street, Ste. 2300, Philadelphia, PA 19103.
BY THE COURT:
M - ' _
ORDER
10-2377
10-13191-NT
Distribution:
Lewis C. Trauffer, Esquire
Tabas & Rosen, P.C.
1601 Market Street, Ste.2300
Philadelphia, PA 19103
./ Office of the Sheriff
County of Dauphin
Courthouse
Front & Veteran's Square
Harrisburg, PA 17101
Michael Niemietz, Esquire
1. Gibson & Sharps, PSC
9420 Bunsen Pkwy, Ste. 250
Louisville, KY 40220
? Sergey Y. Oganesov
110 Payne Drive
Mt. Wolf, PA 17347
Andrew W. Spears, Esquire
Handler, Henning & Rosenberg, LLP
1300 Linglestown Road
Harrisburg, PA 17110
j) Kb