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HomeMy WebLinkAbout12-2953U.S. RENAL CARE, INC. f/k/a DIALYSIS CORPORATIO14 OF AMERICA d/b/a DCA OF EDGEFIELD, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff V. Docket No.: ?a - o?Q U Vlf/it MATTIE STEVENS. ' Civil Action - Law - Defendant NOTICE TO DEFEND 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 the 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 Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS P LAWYER AT ONCE. IF YOU DO-NO] IAVE 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 1-800-990-9108 717-249-3166 Le han demandado a usted en la corte. Si usted quiere defenderse de estas de estas demandas expuestas an las paginas signientes, usted tiene veinte (20) dial de plazo al partir de is fecha de la demanda y is notificacion. Hace falta asentar una comparencia escrita o en persona o con un abogado y entregar a la corre en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisado que si usted no se defiende, le corte tomara medidas y puede continuar la demanda en contra Suva sin previo aviso o notificacion. Ademas, la corte puede decidir a favor del demandante y requiere que usted cumpla con todas [as provisiones de esta demanda. Usted puede perder dinero o sus propiedades u ostros derechos importantes para usted. AVISO LLEVE ESTA DEMANDA A UN ABOGADO 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. CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 1-800-990-9108 -1? 717-249-3166 lo3_,g5PbATV PIS& ? P.# a ?sd?s IN THE COURT OF COMMON PLEAS FOR CUMBERLAND COUNTY, PENNSYLVANIA U.S. RENAL CARE, INC. f'k/a CIVIL COURT DIVISION DIALYSIS CORPORATION OF AMERICA d/b/a DCA OF EDGEFIELD, Plaintiff V. Docket No.: MATTIE STEVENS, Civil Action -Law Defendant COMPLAINT NOW COMES, U.S. Renal Care, Inc. f/k/a Dialysis Corporation of America d/b/a DCA of Edgefield ("U.S. Renal Care"), by and through its attorney, Capozzi & Associates, P.C., and makes the following Complaint for a money judgment against Defendant, and in support thereof, respectfully avers as follows: 1. Plaintiff, U.S. Renal Care is a registered Pennsylvania limited liability corporation having its principal a place of business at Camp Hill, Cumberland County, Pennsylvania. 2. Defendant Mattie Stevens ("Patient' or "Defendant") is an adult individual with a last known address at 37 Monument Drive, Johnston, South Carolina 29832. 3. The clinic formerly known as DCA of Edgefield is an operating subsidiary of U.S. Renal Care with a dialysis clinic located at 306 Main Street, Edgefield, SC 29824. 4. U.S. Renal Care provides dialysis treatments and services to its patients. 5. On or about November 9, 2007, Defendant executed a Consent for Hemodialysis Agreement ("Consent Agreement") to allow Defendant to receive regular dialysis treatments 2 From U.S. Renal Care as scheduled by her physician and U.S. Renal Care. A true and correct copy of the Consent Agreement is attached hereto and incorporated herein as Exhibit "A." 6. On or about November 9, 2007, Defendant executed a Patient Assignment and Authorization of Payment of Insurance Benefits Agreement ("Assignment and Authorization .Agreement''), which required. the Defendant to assign and transfer any insurance money or benefits that. she received for the dialysis treatments from U.S. Renal Care. A true and correct copy of the .Assignment and Authorization Agreement is attached hereto and incorporated herein as Exhibit "B." 7. Paragraph 5 of the Assignment and Authorization Agreement provides that Defendant "hereby acknowledges that, notwithstanding the foregoing assignment and authorization of benefit payments to U.S. Renal Care, the Patient shall be responsible for any and all charges and costs billed by U.S. Renal Care for dialysis treatments and related services ... and that U.S. Renal Care is authorized to bill the Patient directly for payment of such charges and costs." 8. U. S. Renal Care, ,at the special insistence and request of Defendant during the period of November 2007 through February 2009 ("Dates of Service"), provided numerous separate dialysis treatments ("Dialysis") at the rates and on the dates set forth in U.S. Renal Care's business records ("Account Statement"). A true and correct copy of the Account Statement is attached hereto and incorporated herein as Exhibit "C." 9. On April 2 and June 9, 2010, U.S. Renal Care's counsel mailed to Defendant a demand letter, which provided information on how to pay the debt owed to U.S. Renal Care. A true and correct copy of the demand letters are attached hereto and incorporated herein as Exhibit "D." COUNT I - BREACH OF CONTRACT 10. Paragraphs 1 through 9 are incorporated herein by reference. 11. The rates and total charges set forth in the Account Statement are just and reasonable and are the rates that Defendant agreed to pay for the Dialysis. 12. Under the terms of Defendant's policy with her insurance provider, Blue Cross/Blue Shield of South Carolina, Defendant received monthly checks from Blue Cross/Blue Shield of South Carolina pursuant to the claims filed by U.S. Renal Care. 13. Defendant's insurance provider did not always pay 100°,'/0 of U.S. Renal Care's claims, which resulted in Defendant owing a co-pay to U.S. Renal Care ("Co-pay") 14. Pursuant to the Assignment and Authorization Agreement attached as Exhibit B, Defendant was required to transfer the payments she received from Blue Cross/Blue Shield of South Carolina directly to U.S. Renal Care on a monthly basis. 15. The amounts that Defendant received from Blue Cross/Blue Shield of South Carolina pursuant to the claims submitted by U.S. Renal Care are indicated in the "Amount Paid" column. 16. As provided from Blue Cross/Blue Shield of South Carolina's records, Defendant received a total of $38,400.64 from Blue Cross/Blue Shield of South Carolina for the Dialysis treatments during the Dates of Service. 17. Defendant failed to transfer the insurance checks that she received from Blue Cross/Blue Shield of South Carolina. 18. The total amount of principal that has become due and owing by Defendant to U.S. Renal Care as a result of her failure to transfer the insurance payments that she received is $38,400.64. 4 19. To date, Defendant has failed and refused to pay the total due as provided under the Account Statement and the Assignment and Authorization Agreement. 20. Under the terms of the Authorization and Assignment Agreement and Defendant's insurance policy agreement, Defendant had a duty to transfer $$38,400.64. 21. Defendant's failure to pay her Co-pay, her failure to transfer the insurance payments, and her failure to cure her default with U.S. Renal Care pursuant to the Assignment and Authorization Agreement constitute a breach of contract. 22. U.S. Renal Care has been financially damaged in the amount of $$38,400.64, plus interest and costs of collection. WHEREFORE, Plaintiff, U.S. Renal Care, demands judgment against Defendant in the sum of $38,400.64, plus interest at the legal rate of 6% per annum from the date of the judgment. COUNT II - QUANTUM MERUIT - UNJUST ENRICHMENT If this Honorable Court should find that an express contract did not exist between U.S. Renal Care and Defendant, which is denied, then, in that event, U.S. Renal Care pleads the following alternative cause of action in quantum meruit against the Defendant. 23. Plaintiff incorporates paragraphs 1 through 22 of this Complaint as if set forth at length herein. 24. Having requested U.S. Renal Care to provide the dialysis treatments and U.S. Renal Care having done so to the benefit of Defendant, Defendant became liable to U.S. Renal Care for the just and reasonable charges for the Dialysis. 25. The Defendant has been unjustly enriched by accepting the Dialysis. 26. The rates reflected in the Account Statement as Exhibit C are the just and reasonable rates for dialysis treatments and services. 27. The total value by which Defendant has become enriched on account of the Dialysis is $38,400.64, as is more specifically reflected in the Account Statement. 28. U.S. Renal Care has demanded Defendant pay this amount, but Defendant has failed to do so. 29. To date, the Defendant has not paid the total amount due. WHEREFORE, Plaintiff, U.S. Renal Care, demands judgment against Defendant in the sum of $38,400.64, plus interest at the legal rate of 6% per annum from the date of judgment. COUNT III -CONVERSION OF MONEY 30. U.S. Renal Care incorporates Paragraphs 1 through 29 of this Complaint as if set forth herein. 31. Defendant was aware that due to the contractual relationship between Defendant and U.S. Renal Care pursuant to the Assignment and Authorization Agreement, the insurance payments Defendant received from Blue Cross/Blue Shield of South Carolina properly belonged to U.S. Renal Care. 32. Defendant had a legal and contractual duty to safeguard and forward the insurance payments by Blue Cross/Blue Shield of South Carolina made payable to Defendant to reimburse U.S. Renal Care for the Dialysis it provided to her. 33. During the Dates of Service, Defendant's insurance provider paid to her $38,400.64. 34. Defendant intentionally and permanently retained possession of the monies owed to U.S. Renal Care by failing; to transfer a total of $38,400.64 of the insurance benefits Blue Cross/Blue Shield of South Carolina paid to her as required under the Assignment and Authorization Agreement. 6 35, Defendant's intentional possession of and her failure to forward the Blue Cross/Blue Shield of South Carolina insurance monies to U.S. Renal Care for the Dialysis provided to Defendant constitutes conversion. 36. U.S. Renal Care has been financially damaged by Defendant's conversion in the amount of at least $38,400.64. WHEREFORE, Plaintiff, U.S. Renal Care, demands judgment against Defendant for conversion in the sum of $38,400.64, plus interest at the legal rate of 6% per annum from the date of judgment. Respectfully submitted, CAPOZZI & ASSOCIATES, P.C. 1? ja Dated:' _ By: holic, Esquire Philip C. tr86341 Attorney 1200 Camp Hill Bypass, Suite 205 Camp Hill, PA 17011 (717) 233-4101 Attorneys for Plaintiff 7 11/09/200'P 141:17 8030,73929 EDGTUA-D rr,'A PAGt' 08/17 DIALYSIS C4iltPORAT'ION d A.MlMICA DCA OF EDGEII'1 I LD • ?' 1 SE?1 R 1F?>i?11?? >r . IyY,?1 ? . ipINumber:, _ ` .. nare_ I ar? ( it I, the undersigned patient; ( ) 1, tho undersigned parent or guar an of the above patient who is tinder 18 years of ago or otherwise iucat ablu of consonting; hereby request and authorize Tar. SOU!"V...?_. and whomever he or she may designate as his or her associato or assistant to Administer t ine (or to the above nuied patient) tho procedure known as hemodialysis, under such onditions as shall be deter3. hwd by the pi 'slrtan (s) in attendance. I agree to abide by the I Mcies, rules, and egula00 s established by the above named Dialysis Unit in can)+% t Its hernodialysis progtur. It has been explained to )no that homodittlynis is a i?rocMu used in the caso of patients With iatpainnent of failure of kidney function by which certain =pooents of the blood arc separated by a semi-permeable substance which permits th passage, of. certain molecules and hWers that of others when the blood Is circulated through t artificial kidney, called a dialyzer, I understand that there. axe different t}j)es of'equi cnt employed for the dialysis treatmem and Meront typos of atlificia.l kidlwys (dialyzer.) ttsed In tiro process. l aoknowledgo that tlr?o possiUlt: ta$l?s and compllciitians of emodfalysis such as but not limited to leakage of the dlnlyrer, changes W blood prGSSU artd malfunction of equipment have been explained to me by the professlonal personne) o- tiro Malysi.s Unit and I accept, on behalf of myself ancbbr the above patient the dialysis trea ettt with all potontxal risks and complicaatiomg. I also understand that any disorder, which afflicts me, can have effects on my treatment and on myself during the Ilene that I am recelvit a dialysis treatment but that this fact does not mean that the dialysis treatment land atVtltina to do with the development of the problem related to this condition. I forthor consent to the a ministration of such drugs, transfusions of blood! or, blood components, or any outer tr atmont and testing, including IVV tt:4qting, tlccmCcl necessVkty Or desirable in fhe jud&:ent of e physician (s) in attendance, I am aware that the practice of medicine is not amt exact scf nco, and I acknowledge that 110 guarantee, wa malty o£zeptesotttatiozl wht3tsoevel leas been offered or made to me or anyono on my bahalf e nvz errting the results of the hemodialysis pt eedu>:e. Sigttaturc• ? ?-J?'/L??._.. of ._ .._._ .. .__._ ?_ ... 1 P?aricnt ? ? ?? }?c?ai Gtt?rdlan or Paccnt' Print Nerve: Vlitness,{? _ _ )7atc: ?, 1'// -? EXHIBIT it/rS /zC'0? 1?t,17 E3tiit.:i13229 FtX3F'lkt.U ;1, Ptw1F 16/17 DIALYR$ CORPORATION OI AAU UCA PATIENT ASSIGN EN'T AND OF PAYMENT OF INSURA Facility.- DCA of d ek Patient Name: 1411 J (Please Prot.-) iTHORIZATION le,, BENlWITS atlont XD#. 0005q___ 1. ASSIGNMENT The undoislgr;ed hereby s,<tlgns, tra„sfera ?rid sets over to IX whiol) thr, pationt le (or rntiy he) entitled from Any Insurance an county or Iecal gove"i.mental agenty, Including tiro Medicare who may be flnonalelly tlablo for the Patient's dialysis trcdtm by andlor At DOA of Edvcfr4ld, ineludiq health insurmecs I rttadlcal payinont covcrage or other P;?llcy coverogo for wbtoh dialysis traatrnorst and sen lees and any other medical care rcr Vgefield. of tdgtfiald monies and/or benefits to r hoalth care provider or nmfonol, stoic, tttrante program, as vtclt as any others s and services and related medical care ,fits, maior mWiral benefits and other Patient Is enthlod, to cowry the costs of red io rite Patient by and/or at WA of 2. 0THORIZATION Or VAY'NWNT OF Tiae undarFlgned itt;-ratty autltorizxs astd dtrccts that paytncnt of atinsurancc bcnc?'its, including A9cttirsrc benefits, if npp130blo„ Wolin?, to any charges and costs Incurre I as ix result of dislysiq treaimcnts turd rotated services and medical care provided to the Patlenl by an or at DCA of NgF('teld, be, paid and remitted directly to DCA, of Edgofield in auor<lance with Instrv tions provided or to bo proviW by an agent or rRpi<:wntativc of DVA of Ugetlold, If the tunietsiped's insurantr. polioy or program dons not prov€d. Cot mment of the monies or benefits in the name. of DCA of Ugofield, rho tsradwignod hereby fiutlt atttitOrizt=s and ittsimotc the insurantri provider or agency responsible for ianyrneni of the applicable Ins ranee benefits to issue tiro payrnwit In the Patient's natm and to deliver aaid payment to DCA of Rd? wfleld. at its address as set forth In rho irstrudkns provided arto be provided by In agent or repmscntati •o of DCA ofPdgefteld. :?. Al;,I:AVERYO IlI rr1 I{z'i°a'A?'M1<;iv`I'S The uudcrsigned bereby Ackno?rlodgts that the wonie-4 or susuronce providor or govorkiment agmiq for the ehorgos,I irdgcil0d to its provision of dialysis treabnonis and related se, Is and shall at :all times rexonlr, the property of JXA of Eft undersigned hereby covenants stud agrees that In the event the lucludlug Medicuro Ibenotlts, wbich Mate directly to the tbarg Rdgefleld as n result of its prati•iston of dlsls'sIs treatments aw the Patient is sent to the Patient or such Patton(', guardian, he case sans br, inndverte:aity or ofhonyis,e, drat thi unconditionally forward such payment directly to DCA of Ne itRO'>[ PROVIDER mo its to be paid by the Patient's :oats and fees incurred by DCA of vices and medical care to the Patient held, and in furtherance thereof the t any payment oflnsurawo benefits, .i, cost., anti fees tnturrcd by DCA of r0ated services and medical cire to morney-la-fact or represontnilve, na tutdersfgsi0 will promptly and :fieltt, pagc 1 Of 2 EXHIBIT tI/09/900 tai:i7 003003229 EDGE1:IEt.U DC,'t\ r'nC?t ti/17 000 5 ?l 4. RELEASE OV INk OIti1'UTION The undorsignrd hereby authorizes And contents to the WOO t or representetivcsr of all or part of any 109ti tatlon, records nature, to or with any person, corporatlon or goverrimmi nbe and/or lteaiQt care provider, who is tinamlally liable for the scrvict?s do Kett as medical care, which lnformatlon is necessary conflrmstion of pa)uont of charges and costs to DCA of Edw--k dialysis tmatmontc and tainted scrOccx fs well as medical ow. S. RESPONSMILITY FOR PAYMENTS DCA of Edgefield, or any of Ite agents reports, either medical or financial In :y, including ally third-party Insurance at'ient's dla(ysls treatments and related sr the substrintiation, venflMlon andtor f for the provision to tha Patient of such `rho urdetsignM hen'Dy Acknowledges that, notwithstanding the foreyo(ng ess18nn3ent and authorization of benefit payments Io ACA of Edgefield, the Patient shall be etponsibls for any and all chartes mid costs billet by DCA of Edg4cid for dialysis truatmcnis and rein eti services provided and not otherwise coveted or pall by s,)ch third-party payor or governmental a oy, including, without llmitation all deduttQIA;, co-InAutan,cc and co-payment amounts, and that- T)C of BdgellOd Is su(ltorizad to bill the PAtlent directly for payment of such cbat$es and costs. 6, RMfrx' MILI Y Tho undersigned hereby uh-nowlodges (bat thls PA`WNT ASt 10N}riBNT AND AUTHORIZA7'10)q OP PAYMENT OF INSURANCE BENEFITS may not b r3voked unicss such revocation is accompanied by the written consent to such rovocation try DCA o ftofleld. 7 PHOT'OCO:F WS Tlyd undcrciped he'r'eby agroos drat a Photocopy of tills PATIUNI' ASSIONlt4ENT AND AUTHORCyATION OF PAYMMT 0? INrSUMME, l ESM-P TS shall be cortslderrd as valid its on original for purposos horeof and may be used to place of tho o ldinal with respect to each of ttctns I througn 5 above. Signature: • f? C.f. ?'?'ttnt hint Natrte: If you art signing as a guardian, attorney-in-fact of rcprrsentstiv4 f e patient, picric indicate by marklnp t1w box and Complete this infortnalfon WOW: 0 CERMCATXON OF CII}A1tt?7ARIATTOItiVEX?\-kA?t°I`/k?EP SEi?'t#TIVE The undersigned hcreay cw1ftes Owt hJs e i c duly a;.rpo4t ted gu_rdtan, attorney-in•fACt author rcpresentativo of (ha above- tnclidonod ?tler , a at helshe h ' full auti,ority to execute this for,n on behalf of such tlapenrl-,ant patient. ? Signature: Print Name: Date: Pago J of 2 a? co M Oo 00 OD 0 O 00 C) 0) O ON 00 M ON C) 00 O N O m NO N V 0(M (> O N M- O r r 0) O r N ((D O O C N Y U N L U WIT 0 V- ?Ornr- 00 0(DMLO tl- MM LO ?cov ui 0 6 r- ao 6 6 6 O M (D (D V IT r- M M N (n I- N O O ?- M U) L r r- O M In Y M M ?- M6'3" r r M f- (D (D (D 64 69 69 69 69 64 64 69 69 60 0- 0 (D Q C M O E Q Z Z Z Z Z Z Z Z Z Z Z 0 0 0 0 0 0 0 0 0 0 0 F-F-f-hF-t-hF-f-hh U U U U U U U U U U U W W W W W W W W W W W J J J J J J J J J J J J J J J J J J J J J J 00000000000 U U U U U U U U U U U c W W W W W W W W W W W WZZZZZZZZZZZ Ewwwwwwwwwww X500000000000 .? h h h h h h h h h h h ?hhhhhhhhl-I-h <<<<<<<<<<<< m O O O O O O O O O O O oO?0M lqM cO C) C) -O ? M (\ N N N M N M M M c N- NMVUncirnO W . . 0 0 0 0 0 0 0 0 W W W W W W W W W W W ? V V 14 I' ? d' V It 'IT LO LO U-) LO U') V7 U') 0 t0 0 0 W W W W W W W W W W W W_ _W W_ W_ W_ W W_ W_ W_ W W_ hI-FFFFhhhhh F- <<<<<<<<<<< U)U)U)U)( C6 U1(6 (6 U1 U Z Z Z Z Z Z Z Z Z Z Z W W W W W W W W W W W W W W W W W W W W W W U h h h h h h h h h h h QU1 (?U)U)(?(?(?U)U)U)U) W W W W W W W W W W W w z- Z_ Z_ Z_ Z_ Z_ Z_ Z_ Z_ Z_ Z_ Z W W W W W W W W W W W J J J J J J J J J J J v O O V M M 64 EXHIBIT a 1 .1 Louis J. Capozzi, Jr., Esquire* Daniel K. Natirboff, Esquire Donald R. Reavey, Esquire Craig 1. Adler, Esquire Bruce G. Baron, Esquire Andrew R. Eisemann, Esquire Michael M, Jerominski, Esquire Dawn L. Richards. Esquire Timothy Ziegler, Reimb. Analyst Karen L. Fisher, Paralegal Jennifer Kain, Paralegal Keyoung Gill, Paralegal •(licrnscd in PA. NJ and MD) Mattie Stevens 37 Monument Drive Johnston, SC 29832 Re: Account with Dialysis Corporation of America Patient Name: Mattie Stevens Account Balance: $57,918.64, plus costs of collection Our Matter No.: 1087-08 Dear Ms. Stevens: 2933 North Front Street Harrisburg, PA 17110 Telephone: (717) 233-4101 Fax: (717) 233-4103 www.capozziassociates.com Please be advised that our law firm represents Dialysis Corporation of America regarding your delinquent account. Although you have 30 days to make payment or settlement arrangements, we will prosecute a lawsuit, if necessary, against you to obtain asset information, force a settlement, or obtain a money judgment. You received numerous treatments from our client's facility in Edgefield from November 9, '1007 through February 19, 2009, and your health insurance carrier, Blue Cross/Blue Shield, provided checks to you for the specific purpose of reimbursing the Dialysis Corporation of America. You have failed, however, to transfer the payments as required by the Provider Agreement. When suit is filed it may give rise to the following consequences: 1. To defend this suit, it may be necessary for you to appear in court. 2. If a judgment is obtained against you, you may be required to pay court costs, attorney's fees, and interest in addition to the money you now owe. 3. If a judgment is obtained against you, a writ of execution may be issued ordering the seizure and sale of your personal or real property. 4. A judgment is a matter of public record, and it will negatively affect your credit rating. NOTICE: UNLESS YOU DISPUTE THE VALIDITY OF THIS DEBT, OR ANY PORTION THEREOF, WITHIN 30 DAYS AFTER RECEIVING THIS NOTICE, THE EXHIBIT April 1, 2010 DEBT WILL BE CONSIDERED TO BE VALID. IF YOU NOTIFY OUR OFFICE IN WRITING WITHIN 30 DAYS AFTER RECEIVING THIS NOTICE THAT THIS DEBT, OR ANY PORTION THEREOF, IS DISPUTED, WE WILL OBTAIN VERIFICATION OF THE DEBT AND WE WILL MAIL A COPY TO YOU. THE NAME OF THE ORIGINAL CREDITOR OF THIS DEBT IS IDENTIFIED ABOVE. THIS LETTER AND ALL OTHER COMMUNICATIONS FROM US ARE ATTEMPTS TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. Please make arrangements to pay this debt in one or more installment payments, or you may call me if you have any other questions. You have the right to consult with an attorney for advice regarding this serious matter. I trust that you will give this Notice your immediate attention. Very truly yours, ^14W *. ),--- MM. Jerominski MMJ/kjg I= Lisa A. Laudeman, DCA Louis J. Capozzi, Jr., Esquire* Daniel K.. Natirboff, Esquire Donald R. Reavey, Esquire Craig I Ajler. Esquire** Bruce G, Baron, Esquire Andrew R. Eisemann, Esquire Michael M. Jcrominski, Esquire Dawn L. Richards. Esquire Timothy Ziegler, Reimb. Analyst Karen L. Fisher, Paralegal Keyoung J. Gill, Paralegal Janice 1. Fisher, Paralegal * (Licensed in PA, NJ and MD) ** (Licensed in PA and NJ) Mattie Stevens 37 Monument Drive Johnston, SC 29832 Re: Account with Dialysis Corporation of America Patient Name: Mattie Stevens Account Balance: $57,918.64, plus costs of collection Our Matter No.: 230-10 Dear Ms. Stevens: 2933 North Front Street Harrisburg, PA 17110 Telephone: (717) 233-4101 Facsimile: (717) 233-4103 www, capozziassociates, com Mid-Penn Abstract Company Charter Settlement Company Telephone: (717) 234-3289 Facsimile: (717) 234-1670 As you will recall, our law firm represents the Dialysis Corporation of America regarding the above-referenced delinquent account. From November 9, 2007 through February 19, 2009, you received treatment from Dialysis Corporation of America in Edgefield. As part of this treatment, you agreed to and signed a Payment Agreement with our client, which I have enclosed for your convenience. As a result of the treatment on the dates above, you received checks from Blue Cross/Blue Shield of South Carolina totaling $57,918.64. To date, not one of these checks has been endorsed and sent to Dialysis Corporation of America to satisfy your outstanding account balance. It is our position that this represents a breach of contract and possibly insurance fraud. This is a very serious balance that has accrued and a very serious matter. This will be our firm's final correspondence to you before recommending legal action to Dialysis Corporation of America. Contact me at once so that we may discuss settlement arrangements. Thank you for your prompt attention to this ]matter. Very truly yours, Michael M. Jerominski /kj g Enclosure ce: Lisa A. Laudeman, DCA THIS LETTER AND ANY FUTURE LETTERS FROM OUR FIRM ARE AN ATTEMPT TO COLLECT A DEBT, AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. June 9, 2010 11169/2807 14;65 8036373229 D .? DALYSIS CURPQRArim or AAaSi cA EDCEFTFID DCA Novamber 8, Manic Stcvcas Rv Payment AUMPA Par Me, Stevens, ...... I Iliie l ettor is to confirm our "Mont rogaming Par by our Mgeffeld foollity. Our 1d41goffeld facility is loaded hear your bume and t for your sohodute. We ere viludful of th t eorrdatfoia I schedule, Wity comoalenee and anwities said coiq dialysis mglmen. At Dialysis Corporation of America aocomimvdate our patients' needs and teailhate their el We understand that you ere inewwl under a plan issue Our Rdgefield unit cvrrontly.does not participate in IN ponallmd for choosing our Acuity. Tbaref % We wit rupmslble for the same arnotmts as you would be if r Mth Your plan. Picric oumtact me if you have any questions ropardlas W c look Pbnvard to providing services io you. Sincerely, Susan Kenny Coordination of Beftnts Spociallst M 5IW" Awwa %a" $00 • Grop 40/b0 'd FFIM R)ID. InN XVA for services furnished to you S an opening that is aonvenlent ttwevn f r-fto such as tsealOwt Ilanoe writ a three. t1ma weekly we make every effort to oice Udialysis unit. by SCIUS of Saudi Carolina. plan. We do not want you to be agreo dW you will only be e were a patilclpstiag ytvvider lather. PAGE 61/82 aoai-y 1701141141 11717!W-6t64 • Fa: rt I n 7W91J.3 Moo S113'f d i a W Rq ; l l ARL LOOZ-90-Aoki 11/09/2887 14:35 8836373229 ^lata) ' ED(EFIE1A DCA ?leuec, per E i ' PAGE 82/82 000 tj?e viem (PfrticlltNante) Magma AoccuAl N) RS: (Name oflnmgrance C mpelly) Paym=u DW(PIMC tNat>aa) /ya* tf?tver? I have been aWOW by (Name of Iaslm es Compwny) t dt payom t for y= &*sis WViM may be "M dirootl3? to you. MA bft ittatp>d m oompisiae cvay 30 days. In appoxtsnately 4$.60 da^ you may nmlve a Cheek with an eocplhnW of ba oft (BOB) !lent ym im mace ooimpamy. Upoa receipt dixo lr np=w the* view hthk the ohark and the BOB to your Wlfly, DCA of (Nance of i4oci'iify); aft payment oafs 66 poseed to You smootimlt is *timely it aura. The eectetuy at d» frallity will gin you a no* and all* make it copy Of the Chock and *a BOB for year reoosde. Choc6 will ooio?d == to 6 anal to your vz mstt address Picase remit all cheCka wad BQB's to your tbaiiify npm Mood PIWO sign on the lice below acicaowlsdSW$ that you 1?ve read IMs lefties end win Mlit, upon rece4K, all nhsokx ad BOB's far dialysis services to DdA1 of (Name of facility). 9 Lo? AaL-L? jkhk? , P?rti, 'er si?cuae , Thank you for c miles DCA for your diolyals needs. Sirac+inly, • Save IGaanr Owdiaation of Benefits Specialist aft/till 'a f77nfU'11 i f *nN m ,iTtM M."Id W 99111 hill. 1.003-90-AON ivy, _ s Ih hiV,1 U.S. RENAL CARE, INC. f/k/a DIALYSIS CORPORATION OF AMERICA d/b/a DCA OF EDGEFIELD, Plaintiff V. MATTIE STEVENS, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Docket No.: 2012 - 2953 : Civil Action - Law PRAECIPE TO ATTACH VERIFICATION To The Prothonotary: Kindly affix the attached Verification to the Complaint filed on May 14, 2012 in the above-captioned matter. It was inadvertently omitted at the time11001lini A Date: And ann, Esquire Attorney ' .: 87441 Capozzi ociates, P.C. 1200 Camp Hill Bypass, Suite 205 Camp Hill, PA 17011 (717) 233-4101 Attorney for Plaintiff IN THE COURT OF COMMON PLEAS FOR CUMBERLAND COUNTY, PENNSYLVANIA U.S. RENAL CARE, INC. f/k/a CIVIL COURT DIVISION DIALYSIS CORPORATION OF AMERICA d/b/a DCA OF EDGEFIELD, Plaintiff V. MATTIE STEVENS, Defendant Docket No.: Civil Action -Law VERIFICATION I, Charla Williams, Vice President of Reimbursement of U.S. Renal Care, Inc., owner and operator of DCA of Edgefield, do hereby verify under penalties of perjury and upon personal knowledge that the contents of the foregoing Complaint are true and correct. Date: 5 12 t Z Ctt e'? '6- Charla Williams Vice President of Reimbursement U.S. Renal Care, Inc. 8 U.S. RENAL CARE, INC. f/k/a IN THE COURT OF COMMON PLEAS OF DIALYSIS CORPORATION OF AMERICA CUMBERLAND COUNTY, PENNSYLVANIA d/b/a DCA OF EDGEFIELD, Plaintiff Docket No.: 2012 - 2953 MATTIE STEVENS, Civil Action - Law Defendant PRAECIPE TO REINSTATE TO THE PROTHONOTARY: . Nk Pursuant to Pa. R.C.P. 401, please reinstate the above-captioned Complaint, attached. Date: l? ?) Andrew R. se , Esquire 7?iCbrney I. o.: 7441 Capozzi & A ates, P.C. 1200 Camp Hill Bypass, Suite 205 Camp Hill, PA 17011 (717) 233-4101 Attorney for Plaintiff I') ???- av?35 d U.S. RENAL CARE, INC. f/k/a DIALYSIS CORPORATION OF AMERICA d/b/a DCA OF EDGEFIELD, Plaintiff V. MATTIE STEVENS, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVAP Docket No.: 2012 - 2953 Civil Action - Law Defendant Cl c? -GPM N PRAECIPE TO ENTER RETURN OF SERVICE Z -! CO .[CD TO THE PROTHONOTARY/CLERK OF SAID COURT: xd A =? Kindly enter as a matter of record the attached Affidavit of Service forms o of personal service of the above-referenced Complaint upon the Defendant Mattie Stevens, 102 Aiken Avenue, Johnston, SC 29832. A competent adult served the Complaint in accordance with Pa.R.C.P. No. 402(a) on July 3, 2012. Dated: `7 6 l 9rrew use Esquire Attorney I.D. o, 87441 Capozzi & ate s, P.C. P. O. Box 5866 Harrisburg, PA 17110 (717) 233-4101 Attorney for Plaintiff ?YT3 C..) -4 r J. U.S. RENAL CARE, INC. F/K/A DIALYSIS CORPORATION OF AMERICA D/B/A DCA OF EDGEFIELD vs. MATTIE STEVENS Person to be served (Name and Address): MATTIE ALEWINE STEVENS 102 AIKEN AVENUE JOHNSTON SC 29832 By serving: MATTIE ALEW INE STEVENS Attorney: PHILIP C. WARHOLIC, ESQ. Plaintiff Defendant Papers Served: NOTICE TO DEFEND, COMPLAINT, EXHIBITS A-D Service Data: [r] Served Successfully [ ] Not Served Date/Time: 67 - 0.3 - J01.2 9:5o Ani k Deiivered a copy to him/her personally [ ] Left a copy with a competent household member over 14 years of age residing therein (indicate name & relationship at right) [ ] Left a copy with a person authorized to accept service, e.g. managing agent, registered agent, etc. (indicate name & official title at right) I1 2 0 1 "216111512101311111 I n Tn'J Court Venue Docket Numbel: 12 2953 AFFIDAVIT OF SERVIC (For Use by Private Service) Cost of Service pursuant to R. 4:4-3(c) Attempts: Date/1-ime: Date/Time: Date/Time: Name of Person Served and relationship/title: Description of Person Accepting Service: J? SEX: AGE: EIGHT: 53 WEIGHT: t SKIN: b lK HAIR: A OTHER: Unserved: [ ] Defendant is unknown at the address furnished by the attorney [ ] All reasonable inquiries suggest defendant moved to an undetermined address [ ] No such street in municipality [ ] Defendant is evading service [ ] No response on: DateMme: Date/Time: Date/Time: Other: Served Data: Subscribed and Sworn to me this 3 4 day of u 201 Notary Signat e: "I" 09.0'7 - >o,'7 Name of Notary Commission Expiration was at the time of service a competent adult, over the age of 18 and not having a direct interest in the litigat' n. I declare under penalty of perjury hat the f is is true an rrect. ?/20 1?- Sign ure of Pr ess Server Dat JB