Loading...
HomeMy WebLinkAbout11-7621!-fJ F!CL ;JTHONOTAk' 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 VALUE HEALTHCARE MANAGEMENT,LLC 152 WEST 57TH STREET NEW YORK NY 10019 V. CHANDRA L HORSH AKA CHANDRA L FOGAL AKA CHANDRA L YOHE 21 LOREE LANE APT #1 SHIPPENSBURG PA 17257 2 I CT ') PM ':R&rney for Plaintiff "I 14DERLAND COUNTY ?" E N'SYLVANIA CUMBERLAND COUNTY COURT OF COMMON PLEAS CIVIL ACTION NO ?oai Ci?+ 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 "ISO 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 provisioner 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 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA 0 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 0 C" ;-1A9 F, i-? 9 to S5 CO 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 VS. CHANDRA L HORSH AKA CHANDRA L FOGAL AKA CHANDRA L YOHE 21 LOREE LANE APT #1 SHIPPENSBURG PA 17257 CUMBERLAND COUNTY COURT OF COMMON PLEAS 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. Defendant, CHANDRA L HORSH, is an individual residing at 21 LOREE LANE APT #1, SHIPPENSBURG PA 17257. 3. As a result of a certain medical condition, Defendant, CHANDRA L HORSH, was admitted to Carlisle Regional Medical Center on 08/08/2007 through 08/08/2007. 4. Carlisle Regional Medical Center rendered services to Defendant, CHANDRA L HORSH, 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 $9960.00 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 Defendant, CHANDRA L HORSH. 6. Said medical care was commensurate with the condition of Defendant, CHANDRA L HORSH, 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 Defendant 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 08/08/2007, Defendant, CHANDRA L HORSH, was discharged from Carlisle Regional Medical Center. 9. Last payment was made on May 31, 2011, and Defendant, CHANDRA L HORSH, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $9960.00, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $9960.00, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. TWARDY AND ASSOCIATES ORGE TWARDY, JR., ESQUIRE ATTORNEY FOR PLAINTIFF EXHIBIT P-1 07/28/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9376841 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: HORSH, CHANDRA L ADMIT: 08/08/07 FINANCIAL CLASS: 9 P GAR NAME: HORSH, CHANDRA L DISCHARGE: 08/08/07 CONTRACT FREQ: S STREET: 115 E ORANGE ST LAST PAY: 08/08/07 MAIL RETURN: ADDR-2: PROGRAM: PAT TYPE: 05 CITY: SHIPPENSBURG PA 17257 CONTRACT: .00 PAT SEX: F PHONE: (717) 532-8239 COUNTRY: US CURR BAL: .00 GAR SEX: F EMPLOYER: NOT EMP TOT CHARGES: 26,534.31 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 979 08/1-3/07 15,920.59- CODE PLAN DATE STAT POLICY NO 2: 978 06/05/08 10,613.72- 1: 3: 2: 4. 3: 5: LST ACTN: 99 11/19/09 3: TT 11/14/07 PAY AUD 1: QQ 04/23/08 4: L1 10/31/07 PROCESS REVIEW PAY AUD 2: UU 04/16/08 5: S3 10/15/07 DATE USER DATE 11/19/09 PBY454 00/00/00 1 SOLD A/R $10,613.72 11/19/09 PBY454 00/00/00 1 PRIM CD:CUN-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 11/09/09 JBAO 00/00/00 Cancel back principal 10613.72 06/11/08 JBAO 00/00/00 ML SAID SHE DOESN'T LIVE THERE, HOME # DISCONECTED 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 XCAL5090 #§ 2/13 Printed on 07/28/11 16:42:00 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: LY-)oii SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson Sheriff v,FF(.'E FT?E E?zi?E i OCT 18 P[j {. PENNSYftf A Jody S Smith Chief Deputy Richard W Stewart Solicitor Value Healthcare Management, LLC Case Number vs. 2011-7621 Chandra L. Horsh SHERIFF'S RETURN OF SERVICE 10/11/2011 12:55 PM - William Cline, Corporal, who being duly sworn according to law, states that on October 11, 2011 at 1255 hours, he served a true copy of the within Complaint and Notice, upon the within named defendant, to wit: Chandra L. Horsh a/k/a Chandra L. Fogal a/k/a Chandra L. Yohe, by making known untc herself personally, at 21 Loree Lane, Apartment 1, Shippensburg, Cumberland County, Pennsylvania 17257 its contents and at the same time handing to her personally the said true and correct copy of the same. /-/Z/ 1-,7 /Z-12- wiluiAff L E, DEPUTY SHERIFF COST: $68.00 October 13, 2011 (c.) CountySwe Shenlf. I eleosoft 6x. SO ANSWERS, RON R ANDERSON, SHERIFF David(D. (Buell Prothonotary Office of the Prothonotary Cum6erfand County, Pennsylvania rkS. Sofionage, ESQ Solicitor /1- 71.021 f 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 ® cart -isle, TA ® None 717 240-6195 0 rFa;( 717 240-6573