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HomeMy WebLinkAbout11-4952LAW OFFICES OF GEORGE TWARDY, JR. BY: GEORGE TWARDY, JR., ESQUIRE Attorney for Plaintiff Attorney ID: 52883 1026 Winter Street, Suite 400 Philadelphia, PA 19107-1808 1-877-440-8182 VALUE HEALTHCARE MANAGEMENT,LLC 152 WEST 57TH STREET NEW YORK, NY 10019 CUMBERLAND COUNTY COURT OF COMMON PLEAS C) ;CD, M - V. CIVIL ACTION NO? I. yq.sa a ?? n c cn CD CAROLYN S LINE AKA CAROL LINE AND ARTHUR LINE xo xn 744 MOUNT ROCK ROAD v= )rn CARLILSE PA 17015 --? C" V COMPLAINT - CIVIL ACTION NOTICE 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 AVISO 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 las 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 S ? pa 0111 a9'5a C2 - - 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 CAROLYN S LINE AKA CAROL LINE And ARTHUR LINE 744 MOUNT ROCK ROAD CARLISLE PA 17015 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, CAROLYN S LINE and ARTHUR LINE, are husband and wife and are adult individuals residing at 744 MOUNT ROCK ROAD, CARLISLE PA 17015. 3. As a result of a certain medical condition, Defendant, CAROLYN S LINE, was admitted to Carlisle Regional Medical Center on 06/17/2007 and 06/19/2007. 4. Carlisle Regional Medical Center rendered services to Defendant, CAROLYN S LINE, 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 $11741.91 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, CAROLYN S LINE and ARTHUR LINE. 6. Said medical care was commensurate with the condition of Defendant, CAROLYN S LINE, 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 06/17/2007 and 06/19/2007, Defendant, CAROLYN S LINE, was discharged from Carlisle Regional Medical Center. 9. At or about the time that treatment was rendered, Defendant, ARTHUR LINE was the spouse of Defendant, CAROLYN S LINE, and is therefore liable for the cost of necessaries furnished to Defendant, CAROLYN S LINE. 10. No payments have been made, and Defendants, CAROLYN S * LINE and ARTHUR LINE, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $11741.91, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendants in the amount of $11741.91, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. TWARMAND ASSOCIATES TWARDY, JR., ESQUI ATTORNEY FOR PLAINTIFF 0,00 0 EXHIBIT P-1 06/13/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9372379 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: LINE, CAROLYN S ADMIT: 06/17/07 FINANCIAL CLASS: 9 I GAR NAME: LINE, CAROLYN S DISCHARGE: 06/17/07 CONTRACT FREQ: S STREET: 80 MCALLISTER CHURCH RD LAST PAY: 07/06/07 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: El CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: F PHONE: (717) 249-8334 COUNTRY: US CURR BAL: .00 GAR SEX: F EMPLOYER: ANIMAL HOUSE TOT CHARGES: 2,879.24 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 l: 951 07/06/07 1,223.69- CODE PLAN DATE STAT POLICY NO 2: 200 07/06/07 1,580.55- 1: 200 KCE 09/19/07 2,879 P YWV80061724701 3: 200 09/19/07 1,580.55 2: 4: 951 09/21/07 1,223.69 3: 5: 978 11/13/08 2,879.24- LST ACTN: 99 08/06/09 3: TT 09/03/07 PAY AUD 1: KK 11/12/08 4: Ll 08/20/07 PROCESS REVIEW PAY AUD 2: UU 11/05/08 5: S3 07/31/07 DATE JSER DATE 08/06/09 PBY454 00/00/00 f SOLD A/R $2,879.24 08/06/09 PBY454 00/00/00 1 PRIM CD:CUN-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 02/01/09 ASST 00/00/00 22:20 is #17 ; Copied Acct: 24583390 61393 804 02/01/09 ASST 00/00/00 22:20 is #17 61393 80429 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 _ XCAL6013 #? 2/13 Printed on 06/13/11 10:48:41 06/13/11 HEALTH MANAGEMENT ASSOC ACCOUNT #: 9372379 GUARANTOR RECORD RESP PARTY: DOB: 01/02/66 PAT NAME: GAR NAME: LINE, CAROLYN S EMPLOYER: STREET: 80 MCALLISTER CHURCH RD STREET: ADDR-2: ADDR-2: CITY: CARLISLE PA 17013 CITY: PHONE: (717) 249-8334 COUNTRY: US PHONE: SSN: 173-62-1467 SEX: F OCCUPATION: RELATIONSHIP TO PATIENT: G OTHER RESP: DOB: 10/02/62 GAR NAME: LINE, ARTHUR STREET: 80 MCALLISTER CHRCH RD ADDR-2: CITY: CARLISLE PA 17013 PHONE: (717) 249-8334 COUNTRY: SSN: 174-58-8545 SEX: M RELATIONSHIP TO PATIENT: S NEXT OF KIN NAME: BLAIN, CAROLYN STREET: ADDR-2: IATES DA06 COID: 858 LINE, CAROLYN S ANIMAL HOUSE 103 E SOUTH STREET CARLISLE PA 17013 (717) 258-1244 COUNTRY: EMPLOYER: GIANT DIST PHONE: (000) 000-0000 OCCUPATION: DRIVER CITY: PHONE: (717) 243-0062 COUNTRY: RELATIONSHIP TO PATIENT: MOTHER 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 XCAL6013 2/13 Printed on 06/13/11 10:48:53 06/13/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 7709019 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: LINE, CAROLYN S ADMIT: 06/19/07 FINANCIAL CLASS: 9 P GAR NAME: LINE, CAROLYN S DISCHARGE: 06/19/07 CONTRACT FREQ: S STREET: 80 MCALLISTER CHURCH RD LAST PAY: 06/19/07 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: OS CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: F PHONE: (717) 249-8334 COUNTRY: US CURR BAL: 00 GAR SEX: F EMPLOYER: ANIMAL HOUSE TOT CHARGES: 8,862.67 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 979 10/08/07 5,317.60- CODE PLAN DATE STAT POLICY NO 2: 979 10/31/07 5,317.60 1: 200 KCE 03/17/08 0 YWV80061724701 3: 978 11/13/08 8,862.67- 2: 4: 3: 5: LST ACTN: 99 08/06/09 3: 14 03/17/08 PAY AUD l: KK 11/12/08 4: TT 01/30/08 PROCESS REVIEW PAY AUD 2: UU 11/05/08 5: Ll 01/21/08 DATE USER DATE EARLYOUT ASSGN: 10/18/07 RETN 11/15/07 REASON 972 08/06/09 PBY454 00/00/00 1 SOLD A/R $8,862.67 08/06/09 PBY454 00/00/00 1 PRIM CD:CUN-UNCOLLECTABLE SEC CD:CSA-UNCOLLECTABL 02/01/09 ASET 00/00/00 22:20 is #17 61393 80429 01/29/09 ASET 00/00/00 14:33 NA FROM BOYFRIEND 61390 52412 1=UP,2=PT,3=GAR,4=INS,S=UB,6=HIS,7=RTN,8=CMTI,9=CMTU,10=DET,II=LOG,I3=ADJ,ENT=FW -? _ A Sess-1 10.200.98.7 XCAL6013 #§ 2/13 Printed cn 06/13/11 10:49:48 06/13/11 HEALTH MANAGEMENT ASSOCIATES DA06 COID: 858 ACCOUNT #: 7709019 GUARANTOR RECORD RESP PARTY: DOB: 01/02/66 PAT NAME: LINE CAROLYN S GAR NAME: LINE, CAROLYN S EMPLOYER: , ANIMAL HOUSE STREET: 80 MCALLISTER CHURCH RD STREET: 103 E SOUTH STREET ADDR-2: ADDR-2: CITY: CARLISLE PA 17013 CITY: CARLISLE PA 17013 PHONE: (717) 249-8334 COUNTRY: US PHONE: (717) 258-1244 COUNTRY: SSN: 173-62-1467 SEX: F OCCUPATION: GROOMER RELATIONSHIP TO PATIENT: G OTHER RESP: DOB: 10/02/62 GAR NAME: LINE, ARTHUR STREET: 80 MCALLISTER CHRCH RD ADDR-2: CITY: CARLISLE PA 17013 PHONE: (717) 249-8334 COUNTRY: SSN: 174-58-8545 SEX: M RELATIONSHIP TO PATIENT: S NEXT OF KIN NAME: BLAIN, CAROLYN STREET: ADDR-2: EMPLOYER: GIANT DIST PHONE: (000) 000-0000 OCCUPATION: DRIVER CITY: PHONE: (717) 243-0062 COUNTRY: RELATIONSHIP TO PATIENT: MOTHER 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 XCAL6013 2/13 Printed on 06/13/11 10:49:58 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. Date: -6 -I 3 -'0?0/I SHERIFF'S OFFICE OF CUMBERLAND COUNTY rD T Ronny R Anderson = - Sheriff ,optic of cnlnG,,.t,{?n rrl Jody S Smith Chief Deputy K r r CD -j Richard W Stewart - Solicitor , M Value Healthcare Management, LLC vs. Carolyn S. Line (et al.) Case Number 2011-4952 SHERIFF'S RETURN OF SERVICE 06/20/2011 08:00 PM - Timothy Black, Deputy Sheriff, who being duly sworn according to law, states that on June 20, 2011 at 2000 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Arthur Paul Line, by making known unto himself personally, at 744 Mount Rock Road, Carlisle, Cumberland County, Pennsylvania 17015 its contents and at the same time handing to him personally the said true and correct copy of the same. TIM BLA , DEPUTY 06/21/2011 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: Carolyn S. Line, but was unable to locate her in his bailiwick. He therefore returns the within Complaint and Notice as not found as to the defendant Carolyn S. Line. The Defendant's Ex Husband Arthur Line, advised Deputies Carolyn S. Line is currently residing at 100 S. Johns Sims Parkway, Valparaiso, Florida 32580. SHERIFF COST: $55.00 June 21, 2011 SO ANSWERS, RON R ANDERSON, SHERIFF (C; ?GU:1P; Sri I@ JhE;n`:. (. 7F,1?U:Jt( It?;: cDavid D. Buell' Prothonotary Office of the (Prothonotary Cum5erCancfCounty, Pennsy[vania 7�yrkS. Sohonage, ESQ Solicitor //~7 9J CIVIL TERM ORDER OF TERMINATION OF COURT CASES AND NOW THIS 28TH DAY OF OCTOBER, 2014, AFTER MAILING NOTICE OF INTENTION TO PROCEED AND RECEIVING NO RESPONSE —THE ABOVE CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA R.C.P.230.2. BY THE COURT, DAVID D. BUELL PROTHONOTARY One Courthouse Square 0 Suite100 ® Cartisfe, TA ® (Phone 717 240-6195 0 'Fax 71 7 240-6573