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HomeMy WebLinkAbout11-9322, _ Tt] a- , r 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 AttorneAAn R PM 2: 552 `'J 98E tLAi : %?; i' IT Y PFNPASYLVAFI!A 152 WEST 57T" STREET CUMBERLAND COUNTY NEW YORK NY 10019 COURT OF COMMON PLEAS CIVIL ACTION NO ?1 '- Q3•?°Z ?'<<„ C? V. TROY A SMITH AKA TROY A SMI 4 EAST SOUTH STREET, APT 2 CARLISLE PA 17015 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) dial 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 [as 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 0 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 Ct: Carlisle, PA 17013 •Ud Telephone: 717-249-3166 t v e.t? ?L S ?, :,may ?- .2&9W78 SHERIFF'S OFFICE OF CUMBERLAND COUNTY Ronny R Anderson FILED -OFFICE Sheriff C`' IHE FP,OTHONOTAR',' Jody S Smith Chief Deputy Richard W Stewart Solicitor w t? r 2012 JAN -b AM 8.' 49 CUMBERLAND COUNTY PENNSYLVANIA Value Healthcare Management, LLC vs. Case Number Troy A. Smith 2011-9322 SHERIFF'S RETURN OF SERVICE 01/03/2012 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: Troy A. Smith, but was unable to locate him in his bailiwick. He therefore returns the within Complaint and Notice as not found as to the defendant Troy A. Smith. Request for service at 4 E. South Street, Carlisle, Pennsylvania 17015 and 625 Burgners Road, Carlisle, Pennsylvania 17015 the Defendant was not found. The Carlisle Postmaster has confirmed, Troy A. Smith has moved and left no forwarding address. SHERIFF COST: $45.00 SO ANSWERS, January 03, 2012 RbNIN? R ANDERSON, SHERIFF (" „oumy t' : ?f, h ` II -Ci-?Ff=I`;r ° I'?t.Jfk 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 Attorney for P ai tiff 9 PM 2: `i 2 r ? 13ERL 'ENNSYLVA IA 152 WEST 57TH STREET CUMBERLAND COUNTY NEW YORK NY 10019 COURT OF COMMON PLEAS CIVIL ACTION NO V. TROY A SMITH AKA TROY A SMI 4 EAST SOUTH STREET, APT 2 CARLISLE PA 17015 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 [as 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 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 TRUE COPY FROM RECORD In Testimony whereof, I here unto set my hand and theof said at Carlisle, Pa,./ This +L y of _, 20 ? ??j Prothonotary 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. TROY A SMITH AKA TROY A SMI 4 EAST SOUTH STREET, APT 2 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. Defendant, TROY A SMITH, is an individual residing at 4 EAST SOUTH STREET, APT 2, CARLISLE PA 17015. 3. As a result of a certain medical condition, Defendant, TROY A SMITH, was admitted to Carlisle Regional Medical Center on 03/12/2008 through 03/12/2008. 4. Carlisle Regional Medical Center rendered services to Defendant, TROY A SMITH, 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 $720.88 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, TROY A SMITH. 6. Said medical care was commensurate with the condition of Defendant, TROY A SMITH, 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 03/12/2008, Defendant, TROY A SMITH, was discharged from Carlisle Regional Medical Center. 9. No payments have been made, and Defendant, TROY A SMITH, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $720.88, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $720.88, 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 B . GE TWARDY, ., ESQUIRE ATTORNEY FOR PLAINTIFF EXHIBIT P-1 12/13/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9396083 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: :SMITH, TROY A ADMIT: 03/12/08 FINANCIAL CLASS: 9 P GAR NAME: SMITH, TROY A DISCHARGE: 03/12/08 CONTRACT FREQ: S STREET: 114 S PITT STREET LAST PAY: 03/12/08 MAIL RETURN: ADDR-2: PROGRAM: IPSBA PAT TYPE: E1 CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: M PHONE: (717) 701-8237 COUNTRY: US CURR BAL: .00 GAR SEX: M EMPLOYER: UNEMPLOYED TOT CHARGES: 1,864.70 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 100 03/12/08 25.00- CODE PLAN DATE STAT POLICY NO 2: 979 03;15/08 1,118.82- 1: 3: 978 01/08/09 720.88- 2: 4. 3. 5: LST ACTN: 99 08/06/09 3: ZZ 06/05/08 PAY AUD 1: KK 10/25/08 4: L1 05/18/08 PROCESS REVIEW PAY AUD 2: UU 10/18/08 5: S1 03/17/08 DATE USER DATE EARLYOUT ASSGN: 03/27/08 RETN 05/18/08 REASON 985 08/06/09 PBY454 00/00/00 1 SOLD A/R $720.88 08/06/09 PBY454 00/00/00 1 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 10/28/08 ASET 00/00/00 18:25 is #8 61297 66306 10/26/08 ASET 00/00/00 15:51 lser #999 et T02MFXCR 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 XCAL1010 #§ 2/13 Printed on 12/13/11 15:01:03 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: 1)'-1 6'?'?l) 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. . TROY A SMITH AKA TROY A SMI 4 EAST SOUTH STREET, APT 2 CARLISLE PA 17015 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, TROY A SMITH, is an individual residing at 4 EAST SOUTH STREET, APT 2, CARLISLE PA 17015. 3. As a result of a certain medical condition, Defendant, TROY A SMITH, was admitted to Carlisle Regional Medical Center on 03/12/2008 through 03/12/2008. 4. Carlisle Regional Medical Center rendered services to Defendant, TROY A SMITH, 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 $720.88 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, TROY A SMITH. 6. Said medical care was commensurate with the condition of Defendant, TROY A SMITH, 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 03/12/2008, Defendant, TROY A SMITH, was discharged from Carlisle Regional Medical Center. 9. No payments have been made, and Defendant, TROY A SMITH, breached the agreement with Carlisle Regional Medical Center by failing and/or refusing to pay the balance of the agreed price, $720.88, although requested to do so by Plaintiff and their attorneys. WHEREFORE, Plaintiff demands judgment against Defendant in the amount of $720.88, plus six percent (6%) interest per annum, from the date of discharge to the date of judgment, and record and non-record costs. D ASSOCIATES GEORGE TWARDY, JR., ESQUIRE ATTORNEY FOR PLAINTIFF 12/13/11 HEALTH MANAGEMENT ASSOCIATES DA04 COID: 858 ACCOUNT #: 9396083 DISCHARGE ACCOUNTS RECEIVABLE RECORD PAT NAME: SMITH, TROY A ADMIT: 03/12/08 FINANCIAL CLASS: 9 P GAR NAME: SMITH, TROY A DISCHARGE: 03/12/08 CONTRACT FREQ: S STREET: 114 S PITT STREET LAST PAY: 03/12/08 MAIL RETURN: ADDR-2: PROGRAM: IPSBA PAT TYPE: El CITY: CARLISLE PA 17013 CONTRACT: .00 PAT SEX: M PHONE: (717) 701-8237 COUNTRY: US CURR BAL: .00 GAR SEX: M EMPLOYER: UNEMPLOYED TOT CHARGES: 1,864.70 AGENCY CNCL: CSA CODE DATE INSURANCE AGENCY BAL: .00 1: 100 03/12/08 25.00- CODE PLAN DATE STAT POLICY NO 2: 979 03/15/08 1,118.82- 1: 3: 978 01/08/09 720.88- 2: 4. 3. 5: LST ACTN: 99 08/06/09 3: ZZ 06/05/08 PAY AUD 1: KK 10/25/08 4: Ll 05/18/08 PROCESS REVIEW PAY AUD 2: UU 10/18/08 5: Sl 03/17/08 DATE USER DATE EARLYOUT ASSGN: 03/27/08 REIN 05/18/08 REASON 985 08/06/09 PBY454 00/00/00 1 SOLD A/R $720.88 08/06/09 PBY454 00/00/00 1 PRIM CD:CSA-UNCOLLECTABLE ; SEC CD:CSA-UNCOLLECTABL 10/28/08 ASET 00/00/00 18:25 is #8 61297 66306 10/26/08 ASET 00/00/00 15:51 lser #999 et T02MFXCR index 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 4-© A Sess-1 10.200.98.7 XCAL1010 #§ 2/13 Printed on 12/13/11 15:01:03 VERIFICATION The undersigned does hereby verify subject to the penalties of 18 Pa.C.S. § 4904 relating to unswom 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: a' - 0011