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HomeMy WebLinkAbout11-4370 LAW OFFICES OF GEORGE TWARDY, JR. BY: GEORGE TWARDY, JR., ESQUIRE Attorney ID: 52883 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 1-877-440-8182 Att eMi iktiff OUN SYL ? 1A VALUE HEALTHCARE MANAGEMENT,LLC 152 WEST 57TH STREET NEW YORK, NY 10019 CUMBERLAND COUNTY COURT OF COMMON PLEAS v. CIVIL ACTION NO CHAD E OCHS AKA CHAD E OCHES And JILL E OCHS AKA JILL E SMITH 12 MARILYN DRIVE CARLISLE PA 17013 COMPLAINT - CIVIL ACTION ? Z 3 -- NOTICE AVISO 3-- 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. Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 Telephone: 717-249-3166 Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notification. Hace falta asentar una comparencia escrita o en persona o con un abogado y entregar a la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su medidas y puede decidir a favor del demandante y requiere que usted cumpla con todas [as provisiones de esta damanda. Usta puede perder dinero o sus propiedades u otros derechos importantes para usted. "LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE SI NO TIENE ABOGADO O SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL." Asociacion De Licenciados De Cumberland County Servico De Referencia E. Informacion Legal Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 Telephone: 717-249-3166 b DVytf fqv an pd 41 C? a 15W / Twardy and Associates, LLC By: George Twardy, Jr., Esquire Identification No. 52883 1026 Winter Street Suite 400 Philadelphia, PA 19107 1-877-440-8182 Attorney for Plaintiff VALUE HEALTHCARE MANAGEMENT, LLC: 152 WEST 57TH STREET NEW YORK, NY 10019 CUMBERLAND COUNTY COURT OF COMMON PLEAS vs. CIVIL ACTION NO CHAD E OCHS AKA CHAD E OCHES And JILL E OCHS AKA JILL E SMITH 12 MARILYN DRIVE CARLISLE PA 17013 COMPLAINT 1. Plaintiff, Value Healthcare Management, LLC, is the Assignee of the debt from Carlisle Regional Medical Center, with offices in CUMBERLAND, Pennsylvania. At all times mentioned herein, Plaintiff is regularly licensed and authorized to do business as a Corporation in the Commonwealth of Pennsylvania. 2. Defendants, CHAD E OCHS and JILL E OCHS, are husband and wife and are adult individuals residing at 12 MARILYN DRIVE, CARLISLE PA 17013. 3. As a result of a certain medical condition, Defendant, CHAD E OCHS, was admitted to Carlisle Regional Medical Center on 04/28/2008 and 05/05/2008. 4. Carlisle Regional Medical Center rendered services to Defendant, CHAD E OCHS, of the kinds and for the prices set forth in their bill which is now part of Plaintiff's records and is set forth as Exhibit P-1. 5. The charges of $919.31 for Carlisle Regional Medical Center's services were fair, reasonable, and proper charges for the same at the time that they were rendered, and they were agreed to by the Defendants, CHAD E OCHS and JILL E OCHS. 6. Said medical care was commensurate with the condition of Defendant, CHAD E OCHS, and was necessary for the health and welfare of Defendant. 7. At or about the time that Defendant received treatment from Carlisle Regional Medical Center, implied, constructive and/or verbal contracts were made between the parties, and Defendants agreed to pay Carlisle Regional Medical Center for the charges of the medical care provided to Defendant by Carlisle Regional Medical Center. 8. On or about 04/28/2008 and 05/05/2008, Defendant, CHAD E OCHS, was discharged from Carlisle Regional Medical Center. 9. At or about the time that treatment was rendered, Defendant, JILL E OCHS was the spouse of Defendant, CHAD E OCHS, and is therefore liable for the cost of necessaries furnished to Defendant, CHAD E OCHS. 10. No payments have been made, and Defendants, CHAD E OCHS and JILL E OCHS, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $919.31, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendants in the amount of $919.31, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. TWAR AND ASSOCIATES EORGE TWARDY, JR., ESQUIRE ATTORNEY FOR PLAINTIFF EXHIBIT P-1 05/12/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 7798934 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: OCHS, CHAD E ADMIT: 04/28/08 FINANCIAL CLASS: 9 P GAR NAME: OCHS, CHAD E DISCHARGE: 04/28/08 CONTRACT FREQ: S STREET: 12 MARILYN DRIVE LAST PAY: 04/28/08 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: OL CITY: CARLISLE PA 17013 CONTRACT: .00 PHONE: (717) 713-3121 COUNTRY: US CURR BAL: PAT SEX: M EMPLOYER: JC EHRLICH •00 GAR SEX: M TOT CHARGES: 230.84 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 979 05/01/08 138.50- CODE PLAN DATE STAT POLICY NO 2: 978 02/24/09 92.34- 1: 3: 2: 4: 3: 5: LST ACTN: 99 08/06/09 3: ZZ 06/30/08 PAY AUD 1: KK 11/08/08 4: Ll 06/12/08 PROCESS REVIEW PAY AUD 2: UU 11/01/08 5: Sl 05/05/08 DATE USER DATE EARLYOUT ASSGN: 05/13/08 RETN 06/13/08 REASON 985 08/06/09 PBY454 00/00/00 SOLD A/R $92.34 08/06/09 PBY454 00/00/00 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 11/11/08 ASET 00/00/00 18:13 is #8 61311 65583 11/09/08 ASST 00/00/00 13:56 lser #999 et T02PLLCR index 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,10=DET,II=LOG,I3=ADJ,ENT=FW 4-© A Sess-1 10.200.98.7 Printed on 05/12/11 13:45:20 XCAL5116 #? 2/13 05/12/11 HEALTH MANAGEMENT ASSOCIATES DA06 ACCOUNT # 77 98934 GUARANTOR RECORD RESP PARTY: DOB: 09/12/73 PAT NAME: OCHS CHAD E GAR NAME: OCHS, CHAD E EMPLOYER: , JC EHRLICH STREET: 12 MARILYN DRIVE STREET: 1580 BOBALI DR ADDR-2: ADDR-2: CITY: CARLISLE PA 17013 CITY: HARRISBURG PHONE: (717) 713-3121 COUNTRY: US PHONE: (000) 000-0000 SSN: 187-60-8720 SEX: M OCCUPATION: RELATIONSHIP TO PATIENT: G OTHER RESP: DOB: 05/17/65 GAR NAME: OCHS, JILL E EMPLOYER: H2 TRANSCRIPTION STREET: 12 MARILN DR ADDR-2: CITY: CARLISLE PA 17013 PHONE: (717) 713-4285 COUNTRY: PHONE: (717) 770-1346 SSN: 211-60-5690 SEX: F OCCUPATION: RELATIONSHIP TO PATIENT: S NEXT OF KIN NAME' SMITH MERYL COID: 858 PA 17111 COUNTRY: • AND PAT CITY: STREET: PHONE: (717) 536-3331 COUNTRY: ADDR-2: RELATIONSHIP TO PATIENT: IN LAWS CMD:I=DAR,2=PAT,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,I0=BAL,II=LOG 4-© A Sess-1 10.200.98.7 XCAL5116 Printed on 05/12/11 13:45:26 -- - 2 05/12/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9400969 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: OCHS, CHAD E ADMIT: 05/05/08 FINANCIAL CLASS: 9 P GAR NAME: OCHS, CHAD E DISCHARGE: 05/05/08 CONTRACT FREQ: S STREET: 12 MARILYN DRIVE LAST PAY: 05/05/08 MAIL RETURN: ADDR-2: PROGRAM: IPSBA PAT TYPE: El CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: M PHONE: (717) 713-3121 COUNTRY: US CURR BAL: .00 GAR SEX: M EMPLOYER: JC EHRLICH TOT CHARGES: 2,567.43 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 979 05/08/08 1,540.46- CODE PLAN DATE STAT POLICY NO 2: 978 03/03/09 1,026.97- 1: 3. 2. 4: 3: LST ACTN: 99 11/19/09 3: ZZ 07/07/08 PAY AUD 1: KK 11/22/08 4: Ll 06/19/08 PROCESS REVIEW PAY AUD 2: UU 11/15/08 5: Sl 05/12/08 DATE USER DATE EARLYOUT ASSGN: 05/20/08 RETN 06/19/08 REASON 985 10/28/09 PBY454 00/00/00 1 SOLD A/R $1,026.97 10/28/09 PBY454 00/00/00 1 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:('SA-UNCOLLECTABL 11/26/08 ASET 00/00/00 18:39 is #8 61326 67158 1-1/24/08 ASET 00/00/00 19:12 Iser #999 et T02MFXCR index 1=UP,2=PT,3=GAR,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,IO=DET,II=LOG,I3=ADJ,ENT=FW 4-© A Sess-1 10.200.98.7 XCAL3080 Printed on 05/12/11 13:48:19 #? 2/13 05/12/11 HEALTH MANAGEMENT ASSOCIATES DA06 ACCOUNT # 94009 69 GUARANTOR RECORD RESP PARTY: DOB: 09/12/73 GAR NAME: OCHS CHAD E PAT NAME: OCHS, CHAD E STREET: , 12 MARILYN DRIVE EMPLOYER: JC EHRLICH ADDR-2: STREET: 1580 BOBALI DR CITY: CARLISLE PA 17013 ADDR-2: CITY: HARRISBURG PHONE: (717) 713-3121 COUNTRY: US PHONE: (717) 943-6842 SSN: 187-60-8720 SEX: M OCCUPATION: RELATIONSHIP TO PATIENT: G OTHER RESP: DOB: 05/17/65 GAR NAME: OCHS, JILL E STREET: 12 MARILN DR ADDR-2: CITY: CARLISLE PA 17013 PHONE: (717) 713-4285 COUNTRY: SSN: 211-60-5690 SEX: F RELATIONSHIP TO PATIENT: S NEXT OF KIN NAME: SMITH, MERYL AND PAT STREET: ADDR-2: EMPLOYER: H2 TRANSCRIPTION PHONE: (717) 770-1346 OCCUPATION: COID: 858 PA 17111 COUNTRY: CITY: PHONE: (717) 536-3331 COUNTRY: RELATIONSHIP TO PATIENT: IN LAWS CMD:I=DAR,2=PAT,4=INS,5=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,10=BAL,II=LOG 4-© A Sess-1 10.200.98.7 Printed on 05/12/11 13:48:26 XCAL3080 2/13 VERIFICATION The undersigned does hereby verify subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities, that he/she is Ezra Zucker, Supervisor of Customer Care of Value Healthcare Management, LLC , plaintiff herein, that he/she is duly authorized to make this Verification, and that the facts set forth in the foregoing Complaint in Civil Action, and any attachments thereto, are true and correct to the best of his/her knowledge, information and belief. 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