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HomeMy WebLinkAbout13-3158 Supreme C, ' ' ; ennsylvania Cou f.0 " Mo leas For Prothonotary Use Only: it ' dert ;Z Docket No: CUM w L County 13- 31 -68 (IVI The information collected on this form is used solely for court administration purposes. This form does not supplement or replace the filing and service ofpleadings or other papers as required bylaw or rules of court. Commencement of Action: El Complaint El Writ of Summons ® Petition S 0 Transfer from Another Jurisdiction 0 Declaration of Taking 'E C Lead Plaintiff's Name: Lead Defendant's Name: PEDIATRIX MEDICAL GROUP INC HILARY G. MORROW IT I Are money dam req uested? Yes No Dollar Amount Requested: Owithin arbitration limits Y g 9 (check one) Doutside arbitration limits Q } N Is this a Class Action Suit? 0 Yes El No Is this an MDJAppeal? Yes F No I A Name of Plaintiff /Appellant's Attorney: JEFFREY L. TROUTMAN, ESQUIRE I ® Check here if you have no attorney (are a Self- Represented [Pro Sel Litigant) 1 -- Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your PRIMARY CASE. If you are making more than one type of claim, check the one that you consider most important. TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS ® Intentional 0 Buyer Plaintiff Administrative Agencies 0 Malicious Prosecution 0 Debt Collection: Credit Card 0 Board of Assessment 0 Motor Vehicle x1 Debt Collection: Other 0 Board of Elections 0 Nuisance MEDICAL SERVICES © Dept. of Transportation 0 Premises Liability 0 Statutory Appeal: Other S [3 Product Liability (does not include mass tort) 0 Employment Dispute: E © Discrimination Slander/Libel/ Defamation 0 0 C Other: Employment Dispute: Other Zoning Board . r] Other: I 0 Other: O MASS TORT 0 Asbestos N 0 Tobacco 0 Toxic Tort - DES 0 Toxic Tort - Implant I REAL PROPERTY MISCELLANEOUS ll Toxic Waste ! � Other: 0 Ejectment M Common Law /Statutory Arbitration B 0 Eminent Domain /Condemnation ® Declaratory Judgment 0 Ground Rent Mandamus ! 0 Landlord/Tenant Dispute Non - Domestic Relations 0 Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABLITY 0 Mortgage Foreclosure: Commercial Quo Warranto 0 Dental 0 Partition 0 Replevin © Legal 0 Quiet Title 0 Other: 0 Medical 0 Other: 0 Other Professional: Updated 1/1/2011 O F ROBERT D. KODAK, ESQUIRE KODAK LAW OFFICES, P.C. CU'iE E1;L.ANO '01J.N / 0 407 N FRONT STREET, PO BOX 11848 1' E NN SYL_' /A iN II'k HARRISBURG, PA 17108 -1848 (717) 238 -7159 Attorney for Plaintiff PEDIATRIX MEDICAL GROUP, INC. IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA v n NO. (3- 315'8 l�tvi ECM HILARY G. MORROW, Defendant(s) CIVIL ACTION - LAW NOTICE YOU HAVE BEEN SUED IN USTED HA SIDO DEMANDADO /A EN COURT. If you wish to defend against the CORTE. Si usted desea defenderse de las claim set forth in the following pages, you demandas que se presentan mas adelante en must take action within twenty (20) days las siguientes paginas, debe tomar accion after this complaint and notice are served, dentro de los proximos veinte (20) dias des by entering a written appearance personally de la notificacion de esta Demanda y HVISo or by an attorney and filing in writing with the radicando personalmente o por medio de un court your defenses or objections to the abogado una comparencencia escrita y claims set forth against you. You are radicando en la Corte por escrito sus defensas warned that if you fail to do so the case may de, y objecciones a, las demandas presentadas proceed without you and a judgment may be aqua en contra suya. Se le advierte de que si entered against you by the court without usted falla de tomar accion como se describe further notice for any money claimed in the anteriormente, el caso puede proceder sin usted complaint or for any other claim or relief y un fallo por cualquier suma de dinero requested by the plaintiff. You may lose reclamada en la demanda o cualquier otra money or property or other rights important reclamacion o remedio solicitado por el to you. demandante puede ser dictado en contra suya por la Corte sin mas aviso adicional. Usted YOU SHOULD TAKE THIS PAPER puede perder dinero o propiedad u otros TO YOUR LAWYER AT ONCE. IF YOU derechos importantes para usted. DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH LISTED DEBE LLEVAR ESTE BELOW. THIS OFFICE CAN PROVIDE D O C U M E N T O A S U ABOGADO YOU WITH INFORMATION ABOUT INMEDIATAMENTE. Sl LISTED NO TIENE UN HIRING A LAWYER. ABOGADO, LLAME O VAYAA LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE IF YOU CANNOT AFFORD TO PROVEERLE INFORMACION A CERCA DE HIRE A LAWYER, THIS OFFICE MAY BE COMO CONSEGUIR UN ABOGADO. ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT SI USTED NO PUEDE PAGAR POR MAY OFFER LEGAL SERVICES TO LOS SERVICIOS DE UN ABOGADO, ES ELIGIBLE PERSONS AT REDUCED FEE POSIBLE QUE ESTA OFICINA LE PUEDA OR NO FEE. PROVEER INFORMACION SOBREAGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO O BAJO COSTO A PERSONAS QUE CUALIFICAN. * 0 3. 75 Pb Ate( CUMBERLAND COUNTY BAR ASSOCIATION c a�B9a TWO LIBERTY AVENUE 01��301 CARLISLE PA 17013 7 717- 249 -3166 Q PEDIATRIX MEDICAL GROUP, INC. i IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA v NO. HILARY G. MORROW, Defendant(s) `•. CIVIL ACTION - LAW COMPLAINT The Plaintiff, PEDIATRIX MEDICAL GROUP, INC., by its attorneys, KODAK LAW OFFICES, P.C., brings this action of Assumpsit against the Defendant to recover the sum of NINE EIGHTY DOLLARS AND THIRTY NINE CENTS ($9,080.39), along with interest thereon at the statutory rate from November 28, 2011, upon a cause of action of which the following is a statement: 1. The Plaintiff, PEDIATRIX MEDICAL GROUP, INC., is a corporation organized and existing under the laws of the State of Florida, duly registered.and authorized to do business in the Commonwealth of Pennsylvania, having an office and place of business at 111 S. Front Street, Harrisburg, Pennsylvania. 2. The Defendant, HILARY G. MORROW, is an adult individual residing at 350 W PENN STREET, CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA 17013 -2232. 3. On the dates and for the amounts set forth therein, Plaintiff, at the special insistence of Defendant, provided medical care to Defendant and /or Defendant's newborn child to the total amount of Nine Thousand Eighty Dollars and Thirty Nine Cents ($9,080.39) as set forth on Plaintiff's Statement of Account attached hereto, marked Exhibit "A" and made a part hereof. 4. The prices charged for said medical services provided were just and reasonable, were the legal and market prices therefor and were the prices which the Defendant promised and agreed to pay to Plaintiff. F: \USER \Z MASTER CMP FILES \P \PEDIATRIX MED GROUP \38959 akr.wpd 2 5. The balance due and owing by Defendant to Plaintiff is the sum of Nine Thousand Eighty Dollars and Thirty Nine Cents ($9,080.39), as appears by Exhibit "A" hereto. 6. Plaintiff's Invoices are not attached to this pleading due to the voluminous nature of same and have previously been provided to Defendant. 7. Plaintiff frequently demanded payment from Defendant of said amount due and owing as aforesaid, but Defendant refused and neglected and still refuses and neglects to pay said amount or any part thereof. WHEREFORE, Plaintiff bringsthis suitto recoverfrom Defendantthe sum of NINE EIGHTY DOLLARS AND THIRTY NINE CENTS ($9,080.39), together with interest as set forth herein. Respectfully submitted, KODAK LAW OFFICES, P.C. S.3 o rt P. - Kodak, Esquire 407 North Front Street Post Office Box #11848 Harrisburg, PA 17108 -1848 (717) 238 -7159 Attorney ID No. 18041 Attorney for Plaintiff F: \USER \Z MASTER CMP FILES \P \PEDIATRIX MED GROUP \38959 akr.wpd 3 r ' a MAKE CHECKS PAYABLE70: PEDIRTHA. OBSTEM k I IP utaM1r t;ao w vtttt'cu ear P 0 Box 100445 Atlanta, GA 30384 -0445 STATEMENT PERSONAL ACCOUNT # DATE BALANCE DUE BUSINESS OFFICE HOURS 11/07/2012 $ 0.00 PVA 907306440 To pay on -line, please visit us at wwwYediatrix.com/payonline. Or, call toll free: 1- 866 -866 -8542, M -F, 8:00 AM to 6:00 PM, EST Page 1 ADDRESSEE: HILARY G. MORROW 350 W PENN ST CARLISLE, PA 17013 -0000 REMIT TO: PEDIAM, OBSTETRc"o I - IP UJ00 6 attar In NCA ew P 0 Box 100445 Atlanta, GA 30384 -0445 PATIENT NAME: 0 W SERVICE DESCRIPTION PROVIDER CHARGES INSURANCE PATIENT ADJUSTMENTS BALANCED[ DATE PAYMENTS PAYMENTS Insurance consideration pending. 10/18111 S $916.00 $0.00 ($646.66) $0.00 $269.34 10 /19 /11 $916.00 ($79.26) $0.00 $0.00 5836.74 10/20/11 � � $916.00 ($79.26) $0.00 50.00 $836.74 10/21/11 $239.00 ($38.17) $0.00 $0.00 $200.83 10/21 /11 $916.00 ($79.26) $0,00 50.00 S836.74 10/22/11 $916.00 (579.26) $0.00 50.00 $836.74 10/23/11 ,_. $916.00 ($79.26) 50.00 $0.00 5836.74 10124111 $916.00 ($79.26) $0.00 $0.00 5836.74 10125111 $916.00 ($79.26) $0.00 $0.00 5836.74 10/26!11 S571.00 $0.00 $0.00 $0.00 $571.00 10/26/11 5916.00 ($79.26) $0.00 $0.00 $836.74 10/27/11 $916.00 (579.26) $0.00 $0.00 $836.74 10128/11 S571.00 (S62.44) $0.00 $0.00 $508.56 Section Summary $10,541.00 (S813.95) ($646.66) $0.00 $9,080.39 Balance is patient responsibility. If there was insurance, all charges have been considered. 10 /11 /11 $779.00 ($94.19) ($684.81) $0.00 $0.00 10 /11/11 54,131.00 ($506.57) ($3,624.43) $0.00 $0.00 10/12/11 $2,421.00 ($247.09) (52,173.91) $0.00 $0.00 10 /13 /1l $916.00 ($79.26) ($836.74) $0.00 50.00 10/14/11 5916.00 ($79.26) ($836.74) $0.00 $0.00 10115/11 $916.00 $0.00 ($916.00) $0.00 $0.00 10/16/11 $916,00 (S79,26) (5836.74) $0.00 $0.00 10/17111 $916.00 $0.00 ($916.00) $0.00 $0.00 Section Summary $11,911,00 ($1,085.63 ($10,825.37) $0.00 $0,00 CURRENT PAST DUE ACCOUNT # PATIENT INS URANCE PLE ASE PAY 0 -30 DAYS OVER 30 TOTAL BALANCE THIS AMOUN1 DAYS $ 0.00 S 0.00 PVA 907306440 $ 0.00 S9,080.39 50.00 Your insurance states that payment for these services will be sent to you. This account is now responsibility - please pay today. Please endorse in sendthern to us with copies of the Explanation of Benefits. a c� Charges appearing under "Insurance consideration pending" have been submitted to your insurance company. Additional monies maybe due after vnn a J J Q s 1 J i VE RIFICATION - t'tAA„� ����C. (name) (taie) of PEDIATRIX MEDICAL GROUP, INC., verify that the statements made in the aforegoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C. S. §4904, relating to unsworn falsification to authorities. PEDIATRW MEDICAL GROUP, INC. By: Title: 15 Dated: 38959/5163900 -1 -99 Morrow SHERIFF'S OFFICE OF CUMBERLAND Ronny R Anderson ND COUNTY Sheriff Jody S Smith 0t-- THE P OF Chief Deputy Richard W Stewart Y � 2013 JUN ]4 PM 3t 45 s Solicitor CUMBERLAND. . y r;� OFFICEOF7kE�t{>FfFr 0f7E1Nt 1 PENNSYLVANIA Pediatrix Medical Group, Inc. vs. Hilary G Morrow Case Number 2013-3158 SHERIFF'S RETURN OF SERVICE 06/05/2013 09:35 PM-Deputy Dennis Fry,copy being duly sworn according to law, served the requested Complaint& accepted as"Adult Person inCha gee for Hilary G Morrow ow at 350 W.tP nn Srtrre Morrow Father, who Carlisle, PA 17013. et, Carlisle Borough, DENNI FRV DEPI�i 1 SHERIFF COST: $35.24 SO ANSWERS, June 06, 2013 4RRON4ANDERSON, SHERIFF (c)CountySuito,3hariff,Toleosoft,Inc. PEDIATRIX MEDICAL GROUP, INC. IN THE COURT OF COMMON PLEAS OF._ Plaintiff CUMBERLAND COUNTY, PENNT YIX-_AMA v NO. 2013 -3158 CIVIL TERM HILARY G. MORROW Defendant(s) CIVIL ACTION-LAW PRAECIPE FOR DEFAULT JUDGMENT 4 -< Enter judgment in favor of Plaintiff and against Defendant(s), H I LAiY G. MORROW. named for failure to file within the required time an Answer to the Complaint in the above-captioned case and assess the Plaintiff's damages as follows: Amount claimed in Plaintiff's Complaint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,080.39 Interest at the rate of 6% from 11/28/13 to 7/9/13 ($1.49 per diem) . . . . . . . . $ 877.61 Less payments, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.00 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,958.00 PLUS any and all court costs incurred by Plaintiff . . . . . . . . . . . . . . . . . . . . . . . . TBD I hereby certify that a written Important Notice of the intent to file this Praecipe was mailed or delivered to the Defendant(s)and/or his/her Attorney of Record,if any,after the default occurred and at least ten (10) days prior to the date of the filing of this Praecipe and a copy of the notice(s) is/are attached. KODAK LAW OFFICES,P.C. By nQA4V1J -1 Jeffr y . rJoutman, Esquire #53984 DATED: -7//j//� judgment entered a dam es a ssed as a e. Prothonotary 4 9 Sot.? KODAK LAW OFFICES, P.C. CAMERON MANSION Telephone Robert D.Kodak 407 NORTH FRONT STREET 717.238.7159 x101 Jeffrey L.Troutman POST OFFICE BOX 11848 Facsimile HARRISBURG,PA 17108-1848 717.238.7158 June 27, 2013 FILE upy HILARY G MORROW 350 W PENN STREET CARLISLE PA 17013 RE: Pediatrix Medical Group,Inc. VS: Hilary G. Morrow No. 13-3158, Court of Common Pleas, Cumberland County, PA Our File No.. 38959 Greetings: In accordance with Pennsylvania Rules of Civil Procedure 237.1(a)(2),we are enclosing herewith a Notice of a Praecipe for Entry of Default Judgment. According to the records as they are found in the Office of the Prothonotary of Cumberland County, you have not filed responsive pleadings to the Complaint filed against you to the above term and number,nor has any attorney entered an appearance on your behalf. Accordingly,we are forwarding to you the enclosed Notice which indicates that if you do not take action as set forth in this Notice, we, at the expiration of time indicated therein, will request the Office of the Prothonotary of Cumberland County to enter judgment against you in the amount as set forth in said Complaint. Very truly yours, KODAK LAW OFFICES, P.C. ROBERT D. KODAK,ESQUIRE rkodak@kodaklazt).com RDK/rzs Enclosures THIS IS AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. THIS COMMUNICATION IS FROM A DEBT COLLECTOR. c B MILLER IC SYSTEM INC PO BOX 64137 ST PAUL MN 55164-0137 51693900-1-99 PEDIATRIX MEDICAL GROUP, INC. IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA v :: NO. 13-3158 HILARY G. MORROW Defendant(s) CIVIL ACTION-LAW IMPORTANT NOTICE j AVISO IMPORTANTE TO/ A: HILARY G. MORROW Defendant(S-) / Defendido(s) DATE OF NOTICE/ FECHA DEL AVISO: June 27, 2013 YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. .......................................................................................................................................................I................................................................................... I USTED ESTA EN REBELDIA PORQUE HA FALLADO DE REGISTRAR COMPARENCENCIA ESCRITA POR ST MISMO 0 A TRAVES DE UN ABOGADO Y SOMETER CON LA CORTE SUS DEFENSAS U OBJECCIONES A LOS CARGOS QUE SE HAN PRESENTADO CONTRA USTED. A MENOS QUE USTED ACTUE DENTRO DE DIEZ DIAS DE HABER RECIBIDO ESTE AVISO,LA CORTE PUEDE TOMAR UNA DECISION EN CONTRA SUYA SIN TENER DERECHOS A UNA VISTA Y USTED PUEDE PERDER SU PROPIEDAD U OTROS DERECHOS IMPORTANTES. USTED DEBE LLEVAR ESTA DOCUMENTO A SU ABOGADO INMEDIATEMENTE. SI USTED NO TIENE UN ABOGADO, LLAME 0 VAYA A LA SIGUIENTE OFICINA. ESTA OFICINA PUEDE PROVEERLE INFORMACION A CERCA DE COMO CONSEGUIR UN ABOGADO. SI USTED NO PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO,ES POSIBLE, QUE ESTA OFICINA LE PUEDA PROVEER INFORMACION SOBRE AGENCIAS QUE OFREZCAN SERVICIOS LEGALES SIN CARGO 0 BAJO COSTO A PERSONAS QUE CUALIFICAN. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE PA 17013 717-249-3166 PEDIATRIX MEDICAL GROUP, INC. IN THE COURT OF COMMON PLEAS OF Plaintiff ' CUMBERLAND COUNTY, PENNSYLVANIA v HILARY G. MORROW NO. 2013 -3158 CIVIL TERM Defendant(s) CIVIL ACTION- LAW TO/A: HILARY G. MORROW Defendant(s) / Defendido/a, Defendidos/as You are hereby notified that on U_� I I 203 Judgment has been entered against you in the above-captioned case. the following Por este medio se le esta notificando que el de siguiente(Fallo) ha sido anotado en contra suya en el caso menc nad n el afee120 , el/la Date: Fecha : -7 1, 3 "�' Prot onotary/ Protonotario Judement entered in the amount of $ 9,958.00 I hereby certify that the name and address of the proper person(s) to receive this notice is: HILARY G. MORROW 350 W. PENN STREET CARLISLE PA 17013 Attorney for Plaintiff Abogado del Demandante