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Home My WebLink About95-01774 ':"C. . .;~.'. '.., .l,t' '..". ~.'t 'V~~f :~~ .-:?>~ ~i '\~ ,~,;i~ .;tj ":\WN )~f!~~'; .~t<J '.\:ij, J ,;~~t; .:~ .~ Brlgid Q. Alford. Esquire Supreme Court 1.0. #38590 BOSWELL. SNYDER. TINTNER &; PICCOLA 3" N. Front Street PO Box 741 Harrisburg, PA 17 108.()74 I (717) 236-9377 Allomeys for Plaintiff GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA . . : v. : NO. 95-1774 CIVIL TERM . . ANNE M. HARDING, DEFENDANT . . : CIVIL ACTION - LAW 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 nnd 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. 4. On March II, 1994, John Harding, Defendant's husband, had out-patient surgery at and received necessary medical products and professional services from Grandview Surgery & Laser Center. 5. The total bill for services rendered by Plaintiff Grandview Surgery & Laser Center on 3/11/94 was $2,772.00. 6. As of March II, 1994, Defendant Anne M. Harding was party to a health insurance contract with Blue Cross/Blue Shield, which contract was identified as Contract No. 202426097 and Group No. 025742000 ("the Blue Cross policy''). Plaintiff doe not have access to the Blue Cross policy itself, the same being in the exclusive control and possession of Defendant Anne M. Harding. 7. Pursuant to the terms of the Blue Cross policy, Blue Cross agreed to compensate health care providers for major medical claims for services rendered not only to Defendant Anne M. Huding but also to her husband John Harding. 8. Blue Cross/ Blue Shield recognized and acknowledged Plaintiff Grandview Surgery & Laser Center as one of the health care providers for whose services it would provide payment under the Blue Cross policy. 9. Blue Cross/Blue Shield recognized and ncknowledged the March 11,1994 procedure and services performed at and provided by Plaintiff Grandview Surgery & Laser Center to John Harding as being among those services for which it would provide payment under the Blue Cross policy. 10. Plaintiff is the third-party beneficiary of the Blue Cross/Blue Shield health -2- 11. As of March 11,1994, John Harding also maintained health insurance coverage with Mail Handlers, which paid $2,079.00 of the $2,772.00 bill from Grandvlew Surgery & Laser Center. 12. Plaintiff then submitted the remaining portion of the unpaid bl11 to Defendant's health Insurance provider, Blue Cross/Blue Shield, as per the terms of Defendant's Blue Cross policy, and requested payment of the $693.00 balance owed. A copy of the Major Medical Claim submitted to Blue Cross/ Blue Shield is attached hereto and identified as Exhibit "A". 13. Blue Cross/Blue Shield paid the Plaintifrs claim of $693.00 on June 14, 1994, and, as part of the terms of the Blue Cross policy, forwarded the payment directly to Defendant, together with an Explanation of Major Medical Benefits form. A copy of the Explanation of Major Medical Benefits is attached hereto and identified as Exhibit "8". 14. Defendant received this payment, Check No. 6941644 on or about June IS, 1994, endorsed the same, and deposited the funds into her personal account, thereafter utilizing the funds for personal purposes. A copy of the endorsed check is attached hereto and identified as Exhibit "C". 15. Despite Plaintifrs numerous attempts at collection of this amount, Defendant has continuously refused to make payment to Plaintiff. -3- '~. ,Aov 17 '94 , , , , 09:42AM GRANDVIEW SURGERY I, +f s e P.4 Capital Blue Crou Pennaylvlnla Blu. Shield IfnI', Middl., Llltl ;N~ MAJOR MEDICAL CLAIM FORM ~~~ O'b!J.1:t. GO~&N~ ~aQll EMPLOVMENT STATUS OF APPLICANT. SUBSCRIBER CJ Acll.. CJ Retl,.d 1'~S-5" CJ DI..bl.d CJ D.c....d M..,. spoust'S SOCIAL Sf U I A"L1CANT.5UISCRIIIII'S DATI DF IllITH I I ~. " "-1 0.. Y... -----~... .... 2. ) JO t\iN H (~R~'\ NG- - SEX ";Ill M.I, C r-fl",.lt RELATIONSHIP OF rATlENT c S.U ",pown C N',,~jC'DPlCf Ot"nd''''' C Soft 0 Dlughltr 0 Ol~.' 1"IClty 0" ".e'l .P1T~?~ BIJWb ~ --.. PATIENT'S NAME IF~... M,.O". lU'1 II Iho p.li.nl I lull. 11m. IIUd.nl 0'0' 19 YOl.. of Ige? : CJ VII CJ No If yo I. upoc,od d.'. 01 g'.du.'ion I I Mo"'" 0" y," 3. WERE EXPENSES DUE TO AN ACCIDENTAL INJURV? 0 V.. No II YII. pi.... OOonplotl. .. Dlle 01 Accid.n, I I PI.eetTypo 01 Accld.nt 0 Work 0 Ham. 0 Sch~ol. C. Aula Mo,UIt 0., V..r b. Give. brief d..crlption of Iccident: c. H" c1eim been 0' will cllil'll b. flied under eny Wo,klf. Comp.nulion ACll d. HIS claim been or will c1.im b. fII.d .galnll .ny at he' pe..on Io.ble la, Ih. inju'Yl C MOIO'Cycl. 0 O1her C Vn C No C V.. C No MEDICARE: ..Is Ihe Pllilnl.nlillld 10 b.ne1\'1I under M.dlc... HOlpil.'lnluranceIP.n Al'OVnO No Elf.cll.. d... I 0.. I Manl" DIY c. Heallh il'\lurance number from the MediCI" 1.0. Card - - - - - - - --- I Mo..,h I ".1' 4. b.ls tho p.lienl enlitl,d 10 benel,," under M.dlc.'. M.diclllnsu..nce,P,n B)!OVe, ONo Elfectl., dl'. v,.' 5. OTHER COVERAGE: Do.. pltl.nt hov. Iddltlonll/ath.' h.lllh Inlu'lnCl CO""'II.? C V.. 0 No If YII, pI.... complet.. I. Inlured', Nlme: Inlu,.nee Comp'ny', NIl'll.: b. PollcV Numbe" Elf.cli.e dlte . I I Mo"'h DIY V,.' c. Emplov,"" Na",e: Emplovm.nl slltu, 01 inlured:DAcu.e CJR.t1rodD Disabled d. Check typ. of h"'lh In,u"nc. 0 HO'plll1 C MedlcllISu'gicll 0 Majo, M.dical C D.nl.1 0 Drug 0 Olhe, (SPIcily on blckl 6. INCOME: If you h... Blu. Shl.ld PI.n B, C D' 1BOO B. pl.... ch.ck on. olth. faUawlnll"t.t.m.nta.M, (au') f.mlly Incom. fo, tII. lilt 12 month. w.e: t. PLAN II C 1..'lhln S 4,000 for. I;ngl. subscriber b. 1 800 S a 1."lhen S ll.ooo lor a ,;ngll ,ublcllb.. c.PLAN C a 1...lhan 512.000 lor. I;ngl. ,ublc,iber o I... Ihln 5 6.000 10111 Ilmily Income o 'e..lhln 512.000 101.1 flmily incom. o I... th.n $24,000 101111lmlly income o Clall not Ipply C do.. nol Ipply o do.. nOI Ipply DESCRIBE CONDITIONS FOR WHICH YOU ARE REQUESTING BENEFITS: IIIn... a' Inju,., Nlma .nd D.II'" 01 Oocta, T..etlnllllln... D.t. FI,at DIIlIno..d 0' Treetod 7. I. / I I"''' I~. bad. 01 '''.1 cl"m Ie'''' .1 "ud..OI Mo',," 0" ,.., I I Mon'" 0.. Yu' b. -..., I hereby eIJlho,ize .ny p.rson or organIzation fu't''Il,h,no u"",c:es or suppltes to pro'llldl the Blul Cross ~ncl Blutll Shield Pllns With Ih. 8. f'1i~=fS mldlcal 'ecordl I c,".for that the In'O,ITI.t'cn g,v,l"'I by me in support of tnls ,Iaim 'I Hue .nd (",reCI. ..- X' 47/.. ~ /I f'l I I ..~QNATURE OF PATIENT 0 APPlICANT.SUIISCRI8E X S'IIn,"ulO 01h... th.., lublc,llMr (K lublcnbo, il unlbl. to . telephon, numb., includinG .,.. cod. PLAINTIFF'S EXHIBIT /q- hip oIlhi. Plrlon 10 ,ubac"b.. NOV 17 '94 09,: 4ZA!1 GRRNQVIEW SURG~RY ...' ~ . CaplIa1 BlucCroa. \- . PennsYlvania BlueShJeld HARRlslluRo. PI\ 17177 '~. ~ Information: (717) 2SI0Q820 In "'" HottIalluIll.... (211) 820-2700 In Ihl L'hiGh VoIloV .,..a ANNE M HARDING 3817 CHIPPENHAH ROAD HECHANICSBURG PA 17055.2199 ._,:.~..... .",- ,'''P'15 ,_... .... ,. . . , ",.t. ,.,; ,..~......, , '_i"D. .OP.'.";;.~ . ...21,). '! '..... .MAJOR MeDICAL IENEI'ITS 6941644 '~ClC_.": . 6941644 MTIIHra_ AllRII :P THIS STATEMENT FOR YOUR RECORDS. lie lie olha' Sid.. for Information about thle allll'menl. PIe... "'... III lhe Informelion _n a_ wIlIn inquiring Ibout ~ claim. PROVlOEn TOTAl. I!XPfNSeS M101V IASIC PLANS INEUOIBLE ElCPI!NUI INI!UOIlll! CODeS c..._rlo'_l '~IQItlLE eXPENSES Ftom 0 , I as ,11 194 03 ,11 03 ill :94 D5 III OS '11 '94 OS'll oS'In.!94' D5 11 OSI11 j94 03 11 , , , ! . , , , 1 , . , , , , . I JR RECORDS SHOW THE 1994 DEDUCTIBLE IR THIS PAT.IENT HAS BEEN SATISFIED. lNEFITS PAID FOR PATIENT IN 1994 TOTAL 8693,00, TOTAL PAID TOWARD PATIENT'S (FETIHE MAXIMUM BENEFIJ OF 11,000,000 ; 1895.86 ANDVIEW ANDVIEW ANDVIEW ANDVIEW 'ANDVIEW SURGE SURGE SURGE SURGE SURGE 595.00 0:00 SOO.OO . 0.00 .. 456.00... .. ..0.00 ...697.00" ,"'''.0.00. 724.00 0.00 '0.00 0.00: 0.00. : ,..,,~ a I~,:O 0 ~ .0.00 ,:.<"" ;/:.'.~,.':. 595,00 300.00 456.00 "697.00 72i1i.00 i'l~'.W:t,~:.':~..",; .. !':. . . .~.' '.~ ' ',' .~~ I' . . . - . .',..... ''\1 .>-:~:\i ,.;. " LESS 0" COPAV OF TO~ EU018U! ....N..S Lell _ LI.. DoducIIblI 695.00 2079.00 .00. .00 MARKS ...., . ,. . . .. ........ ..._. .',.., ...,0. ~ . ......._....... .....---...,.......... '. .;. ':. PLAINTIFF'S EXHIBIT .. A ...,.,.",..'fW:"'.~ .......,~I....;". ..;;_. .'..... I:' ,'.... . I. ~ f'- .' _, .._ ~i. i"~\~~' ~:".o ~: .. ./'. . ~~tllc ~ ~;,;!. ~.i6 . 6 .. .:~~f'1~~';~'t!3. .~...;. ... ~1 ,-.~ ."., ~~1 V;~.~. I..' .. .:'" Dt: ~~.~~~,t)..;~': - -. .. ;;:'i_i1~~;""'~:'~'f .;. _ .- :.~ll~.\.''"'''' ,. 'tl":1a.:il":.1'.. ~.. ~:Jr:~!. r'":~.:;.,. ~., .~," ~~; ~~: i~f:--'; . ....".. 1.::\ j.' . :"~'o-:...1.. ~, ;". 'l":;~-!. , IJ:;r:......!i -..~ .' ~'~::;:J I......"' r ;}'f .... ~, ~.; . ."'t .. ',':: - . ~ ~ . '~.rT. II ~~I :tJ ~'::''''''~ '1 ..~ -_. -- . i f . . to " .. , " '. i, . . -; I PLAINTIFF'S EXHIBIT C GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 95-1774 CIVIL TERM ANNE M. HARDING, DEFENDANT : CIVIL ACTION - LAW CERTIFICATE OF SERVICE I, Denise L. Foster, Paralegal, do hereby certify that I have served a true and correct copy of the Complaint on the following: Girard E. Rickards, Esquire 508 N. Second Street PO Box 845 Harrisburg, PA l7108.()84S Method of Service: ~ First class mall Certified mail Other BOSWELL, SNYDER, TINTNER & PICCOLA By: 'l){1.~ A ID:YLr Denise L. Foster, Paralegal l:R .. ,. ...... .t l.~ ~../t:. ..... "-t t\~~~. .-- :;~ "~) . d:.--' :,., ,;...., :'.."T.:' r - <::> In ~ ~ ~ ..j...., , J'.. ;:;i:.? ~ . .. ~ 1Il rs :i ~, gj Q,,< ~ Z t~ ZZ~ Ii:: O~ ~Q,,~ r-. E-t lot o'll ~ r-. :il ~'" Jdj 0" 3: lot U><~< >< E-t Cl a~ E-tH~ P: Z ~Z iH~ r-.z> ~ H C)~ OOHI ~ ~;S Zr-. Q"C) OU . H~ lk4~ ~I!~J E-tU Z OP:Q" > ~Cl P: ...0 1Il~ o III OCll-oH E-t ~~ OZl-oE-t ~Z U<.-lU ~~ Ul ~I< HU . ill I ~P:ltl ElP: :i: :I:~"'~ E-t1Il H Z~ ~ ~ .> ~1Il Z ZOOH C);S :il HUZU . . . " . .. SNELBAKER 8 BRENNEMAN ^ PIt.O'WIONAL COIU"OMnON ^TTORNEY5 ^T ~w 44 WDT MAIN ~TlUET MECHANICSBURC, PENNSYLVANIA 17055 klCHAAD c. ~NEL8AKER KEITH O. 8kENNEMAN PHIUP H. SPAIlE 717.e!i)7'8528 P. O. BOX 318 fACIMILf l1I7l 897.7881 February 13, 1996 Brigid Q. Alford, Esquire Boswell, Snyder, Tintner & Piccola P. O. Box 741 HarriSburg, PA 17108-0741 Girard E. Rickards, Esquire Wix, Wenger & Weidner 4705 Duke street HarriSburg, PA 17109-3099 Re: Grandview Surgery & Laser Center (Plaintiff) vs. Anne M. Harding (Defendant) No. 95-1774 Civil Term Dawn S. Sunday, Esquire Sunday & Sunday 39 West Main Street Mechanicsburg, PA 17055 Thomas Blackburn, Esquire 20 South Market Street Mechanicsburg, PA 17055 Dear Attorneys: This will confirm the following: 1, Attorneys Sunday and Blackburn have been appointed to a Board of Arbitration of which the undersigned is Chairman to hear the above case in which Attorney Alford represents the plaintiff and Attorney Rickards represents the defendant, 2, The Board of Arbitrators will hold a hearing at the office of the undersigned (44 West Main street, Mechanicsburg, PA 17055) on March 12, 1996 commencing at 9:00 A.M. Please consider this formal notice of the hearing scheduled as aforesaid. chard C, Snelbaker RCS:pjt the balance ($693.00) to Blue Cross/ Blue Shield under Anne Harding's policy. At the time of the surgery, John Harding was covered under Anne Harding's policy as a named insured. In due course, Blue Crossl Blue Shield honored the claim and forwarded a check to its policyholder, Anne Harding. The check included an "explanation of benefits" form indicating the purpose of the check, the provider (i.e., Grandview), the date of service, the type of service, etc. Between the date of surgery and the date she received the Blue Cross check, however, Anne Harding had separated from her husband, apparently under less-than- amicable circumstances. So, when Ms. Harding received the check representing payment of the balance due to Grandview for her estranged husband's surgery, she did not forward it to Grandview Surgery. Instead she kept the money for herself. Despite demands from Grandview Surgery to forward this insurance money, Anne Harding has refused to do so. Grandview Surgery filed a complaint against Anne Harding before District Justice Robert Manlove. Anne Harding appealed the District Justice's decision to the Court of Common Pleas of Cumberland County. A Complaint was filed by Grandview Surgery. Defendant filed Preliminary Objections to the Complaint which were denied by the Court. Defendant then filed an Answer and the case was listed for this arbitration. II. STATEMENT OF ISSUES. Can Grandview Surgery & Laser Center recover directly against Anne M. Harding, as a third-party beneficiary of the contract between Blue Cross/ Blue Shield and Defendant? Suggested Answer: Yes. 2 and not the provider or the named insured is a procedural nicety at best, and does not change the fact that the insurance company intended the payment to cover the medical services provided to Defendant's then-husband. Grandview Surgery is a third-party beneficiary to the contract between Blue Cross/Blue Shield and Defendant. An example of an analysis of third-party contract wording is found in Ludmer v. Erie Insurance Exchange. 295 Pa. Super. 404, 441 A.2d 1295 (1982). In that case, a doctor had provided medical services to a patient involved in an automobile accident. Apparently the patient did not pay the doctor or submit the claim to the patient's own insurance company. The doctor attempted to sue the insurance company for the insurance benefits due him as a third-party beneficiary. The doctor's theory was that the No-Fault Motor Vehicle Insurance Act obviated the need for the patient to submit the claim to the insurance company since the Act specifically allowed for payment to the "service provider" directly. The Superior Court disagreed and discussed the status of a service provider as a third-party beneficiary to an insurance contract. The Court distinguished the cases relied upon by the doctor which found that the government, as a service provider, was a third-party beneficiary to insurance contracts between servicemen and their insurance companies. See, United States v. AutomobUe Club Insurance Co., 522 F.2d 1 (5th Cir. 1975) and United States v. Government Employees Insurance Co., 461 F.2d 58 (4th Cir. 1972) as cited in Ludmer at 408. The Court distinguished these cases by noting the difference between the insurance contract language. 4 Although not quoting the language of the contracts directly, the Court indicated that the contracts involved in the government cases indicated an insurance obligation for more than just the "covered person." In contrast, the insurance contract in question in Ludmer obligated the insurance company only to the "covered person." After finding that the insurance contract of the patient obligates payment to a "covered person," the court determined that "[tJhere is no wording implying an obligation on the part of the insurance company to payout any monies to a third party." Ludmer at 408. Instead, the Court recommended that service providers obtain a judgment against the patient and garnish the insurance payments. Id. at 407. Obviously, the facts of this case differ significantly from the Ludmer case. Here, the insurance company has already satisfied its obligations under the contract. Grandview Is suing the other party to that contract, Anne Harding. This fact is significant because it demonstrates that the insurance company has already agreed to the validity of the medical cost and has agreed that John Harding is a covered person under the insurance contract. A recent Dauphin County case somewhat parallels this one. In Caremarlc. Inc. v. Rothstein, 114 Dauph. 474 (1995) (copy attached), Plaintiff Caremark, a medical service provider like Grandview Surgery, sought payment for services rendered to one John Rothstein, a minor. The minor's father, Arlan (then divorced from the minor's mother and since remarried), had previously agreed with his ex-wife to endorse over to her any and all insurance benefits paid to him as an insured. He later received such benefits from the 5 insurer for services that Care mark had provided to is minor son. Like Anne Harding, he did not turn the monies over to Care mark or to his ex-spouse; he deposited them. Caremark sued him, and then sought to join his new wife as an additional defendant, since she was a signatory on the credit union account into which he had deposited Caremark's payment. The new wife argued, in part, that she had no obligation to inquire as to the source of payments for treatments rendered to her stepson. The Court, nevertheless, granted Care mark's motion to add her as an additional defendant. More significantly, the Court ~ranted summary judgment in Caremark's favor against the original defendants, including Arlan Rothstein who, in many respects, stood in the same position as Anne Harding does in this case. For the same reasons, judgment should be entered in Grandview's favor here. Finally, with respect to Defendant's Counterclaim, seeking to impose liability against Grandview Surgery under the Debt Collection Practices Act, 15 U's.C.S. f 1692 et seq., that claim is as flawed as her defense of the case in chief. Not only are her allegations of false representations untrue, the Debt Collection Practices Act defines as "debt collectors"(whose actions it controls) those who regularly collect debts for others and D.2l. creditors of consumers. 15 U .S.C.S. f 1692a(6). See, Kizer v. Finance America Credit Corp.. 454 F'supp. 937 (N.D. Miss. 1978); Howe v. Readers' Digest Assoc.. 686 F.Supp. 461 (S.D. N.Y. 1988). Grandview Surgery is the creditor here, not a debt collector as that term is defined by the statute. Additionally, of course, the fact remains that Anne Harding ~a debtor, vis-a-vis Grandview's third-party beneficiary claim, and so there were no "false" representations as 6 1-,;. ,. -,' ",. "...."'.w.....~""'<!tllI..,.4,.,. j,-8.~'" .. <. .,' r : ~'; ;-:"f"..~.:':::"" X).: ~'P(~\F;;.<:".t'....:,~'a..~''$lll~~~J;~(l"~:~>:...... ;.1 .' -, ~ '(:', - .~ : ;_{":"';.~_'I:~.l;.j~;:~: : :';:i.:-;~;:-; ~,; ~.~ ,~.::r.:.~;k,; ~-~~'.~ :.;:;.:':\. ~.. 474 DAUPItlN COUNTY REPORTS (114 D.uph. '.'" ". ',';'.. :-:.::';,.;:.<;.', ' "," " :,;.,: Carcmark, Inc. v. Rolh.~leln, el al. I'ractke _ MoIlon co join additional pany -l'IaIntllT'. moIJon Cor IlUlIl11IIry Judgment _ Claimed misappropriation or Insurance bondlta - Money d<posll<d In jolnl""- count - Unjust enrlchmcnt. I. In an action for payment for Kf\"iccl rendcral to a dcfendant where there WlI an agreement to endorse ovcr to plainlier insurance bencrilS and it was averred thai the In- surance proceeds were deposilcd in I joint account. lhe Coon granted plainliff. motion to join the co-owner of the account IS an additional part)' .nd granted plaintifr. motion for summary judgment as 10 liabilit)' onl)', 2. One who has been unjustly enriched is responsible 10 make I'Citilulion 10 the other. 3. A joinder is permissible when the .ction Arisea out of. conunonalil)' of facts and the lime transaction.. thai averred apinsl lhe named defendanlS exlsu, Molion 10 join additional party and sununary judgment. C.P., Dau. Co., No. 329 S 1993. Motion 10 join granted and judgmenl granted as to liability only. Arthur A. .'Kusic, for Plaintiff H~rsch~1 Lock, for Defendanl, Arlan Rothstein Char/~s Ha~II, for Defendant, Susan Rothslein Mary Dissingu, for Defcndanl, Josephine Allen Before Kleinfelter, Ewns and Hoover, JJ. HOOVER, J., January 12, 1995 - MEMORANDUM OPINION This mailer is before us on plaintifrs molion 10 join an addilional par- Iy and plainlifrs motion for summary judgment. The underlying action is brought by plainliff Caremark. Inc. requesting paymenl for products provided and services rendered 10 defendant, John Rothstein. Defendant Josephine Allen, mother of John Rothstein, executed a Patient Agree- mentlo pay for Ihe services provided 10 her son. Defendant Arlan Rolh- stein executed an Assignment of Benefits clause agreeing to endorse OYer 10 plaintiff any and all insurance benefits paid direclly to him as insured. Arlan Rothslein admits Ihal he did receive paymcnts from his insurance carrier allhough he specifically denies Ihal the amount received was $40,351.47 as claimed by the plaintiff. Arlan Rolhslein is currently married 10 Alyce Suzanne Rolhstein,' Ihe party whom plainliff seeks 10 join as a defendanl. The basis for this mo- lion is plainlifrs assertion thal Alyce Rolhstein is a signalory and joinl owner of a credit union accounllilled in the name of Arlan Rolhslein. .;;,;::;;.. , ....11 .. . , ". ~ ~ J!~~ .::..;::,:.;:::~;j:ii;!:.h:;~;ii~U;::i. ;: I. Alyce SU1.ann< Ruth\lcin i.. :tho..., apJ"Irenl1y L:nuwn as Susan A. Ru.h~lein. ._, ~4_'".'''.'''''.''_''' " .- . . . . . 0'0 I '..::.:;,"..-~' . , ! '_'''''''.''' " . 'I"''''-~''''''-''''''';''-~'''!:l'' <;. ,,,,~...,,,,.- 'u.Il'''~".l'<''''-'''''.'.'.''''''''~'''''J!'~'' u, .-.. "'~ 1~~r,:'.:.,;I'" .' " \ ':}'i.~..,... .t,..."-"~l. .,..... eft .:_~ ;.,,~ ;!<""~:~~-:W<1\'1 :," ~".';~'r~~~tF~""~~"I:, ..:: ';.c,~~~~~~~~~~ . ,.. " " .:..<:,,,", . <'; . ::y:r<' ::)~~;::.;\'i:,.~~::~;,:: '..'.:-:. -...--...........------. .. .Li...._~,.;,;."'i.~...,...:...,i:J_. . ~. 0,-,.: . " ..",..,,' . :.ji'::.;>'~ ;:,~: ::;k;iiiji:::;.-;i:~::~::f;: .: .. '-::"'iI..:;.,..'",, . I , 476 DAUPHIr-; COUNTY REPORTS 1114 Douph. Carcmar". In.:. v, Rothslcin, eI .1, as plaintifrs abililY 10 access the funds in Ihe joint account Is dependenl upon joining Mrs. Rothslcin as joint owner of the account. Her liability, if any, is assened and is derivcd by vinue of hcr joint ownership of the credit union accounl. . " Accordingly, in view of the admined joint ownership of the credit union account and the uncontesled avennent thai Mrs. Rothstein has access 10 and control of Ihe depositc:d funds, we find that the action against Mrs. Rothstcin arises out of a commonalily of facts and the same transaction as that averred agalnsl the named defendants. Thus, the requirements of Rule 2229(b) are satisfied and joinder of Mrs. Rothsleln is pennissible. Plalntirrs mOlion for summary judgment asscns that there are no genuine issues of material faCI pertaining 10 the liabililY issue in this mat- ter. Specifically, plainliff contends that defendants admit the following: (I) that services were rendered by plaintiff 10 John Rothstein; (2) that payments were made by the insurer to Arlan Rothstein; (3) that Arlan Rothstein failed to remit 10 plaintiff the money he received from his in- surer for services and products rendered 10 John Rothstein; and (4) that in excess of 50% of the amount claimed due 10 plainliff can be directly traced to the credit union account jointly owned by Arlan and Alyce . Rothstein. Rule 1035(b) of the Pennsylvania Rules of Ci.1I Procedure provide for summary judgmenl "if thc pleadings, depositions, answers 10 inter- rogalories, and admissions on file, togethcr with the affidavits, if any, show that there is no genuinc issue as to any material faet and the l\1OYing pany is entitled 10 a judgmenl as a mailer of law." Upon examination of defendants' Answer we are unable to find any specific denials of the material facts placed at issue as Slaled above. Paragraph 10 of the Answer does allempl a gencral denial of all subsequent allegallons in the com- plaint. Rulc 1029(b) of Ihe Pennsylvania Rules of Civil Procedure pro- vides thai allegalions are decmed admined when not specifically denied. Pursuanllo this analysis. then. we conc1udc that all material facts as to Iiabilily are admilled and the mailer is ripe for entry of summary judg- menl as against derendants Arlan Rolhslein, Josephine A. Allen, and John Rolhslein.' - '. ~;:..";':;;'~.:.::.::,i:j:;(:j:;l~.::!wlh:!;;;;i:~:H:~::::i:: i~fN :::~:;:i': f:;~r.:ii~:~M!~!!;!~:li.u;!fUb!~Milil tl~IUii! , , . .' .. .-,)'.. ':: .'. ..... . '. ~ .' . :.: . -.':: '. " .' 2. While \lo'( hil\c a~rc(d to 01110\10 .Itllnth:r of Alyce Rothslein as I ddendant in Ihis mal- G Icr, the pmper pnll.'C'dufC allhis junclurt is 10 allow plainlin leave 10 amend its complaint " In include Ihi!l defcOtbnl iJnd any .311t'~.lIIt1R!io pertaining In her. As. mailer or coone. sum- mary jud~nlCnl CURnol t-: L'nlC'IN upln-l her allhis lime although our Order does not pn:clude !iuch a n:!iull in the (UlU!e. ... ,~ . I '.~': . . ~'........ ...,..'... r . . . ' ~:~., .,..\ .j .- 474 (l99'll DAUPHIN COUNTY REPORrS 477 earcmark, Inc. v, RDthscein. d II. ORDER AND NOW,this 12th clal of January, 1995, it is the Order of this Coun that plaintirrs motion to join an additional pany is GRANTED. Plaintiff is hereby granted twenty (20) days leave 10 amend Its complaint in ac- cordance with this Order. IT IS FURrHER ORDERED that plaintirrs motion for summary judg- mentis GRANTED as 10 liability only in favor of plaintiff and against dcfendants ArJan Rothstein, Josephine A. Allen, and John Rothstein. o f~liW~p;ni!iji;~n'i!itijimi;'l~t~liiii~!li~!!~!:~~;;:~lli:;jhiil!!~ ,ll:i!!!!;:;;;i;~:~~:;~:H;:'F::i:i~:~~~:':!W~'i' '.~.: ~'..i':'; ":- ~i. '0 i :: i I .- " -. \l) ;:;;:i!i!:l!:';'I;~~~j~t1~!~~!~}~::bill;i '{:::('.;:~::;;;\, ," ..~.,... . .. '. . , . '... . ". . . '.. '" --.....--..-.-, ", , .';,~i;v;~~""-~~*" ":;:.(i-:!;;~.-_. '~\iJ;' :.';/-.j~:,:;~-:~';~~;:~:;' j..;. . .....;.t.~.~: .. . CERTIFICATE OF SERVICE I do hereby certify that I have served on this date a true and correct copy of the foregoing Plaintifrs Arbitration Brief on the following by first class mail, postage pre-paid and addressed as follows: Girard E. Rickards, Esquire 508 N. Second Street Post Office Box 845 Harrisburg, PA 17108-0845 BOSWELL SNYDER TINTNER & PICCOLA BY: Brig~jjt;;d-j;,Pj;r~' 315 North Front Street P. O. Box 741 Harrisburg, PA 17108-0741 (717) 236-9377 Attorneys for Plaintiff Grandview Surgery & Laser Center Date: 3/11t/~ < III ~~ :i >'l>< "'lIl 'H .jJ @ Z 'H c:: ZZ~ '0-1 III ./1; Of.:! .jJ '0 '" ~"'~ c:: c:: f.:! ~ '" .0-1 Q) H ffi fi · O. :3: III 'H III D: U><>'l~ ~ o-i Q) - III ~2..-~ E-tH '" . 0 '" "'E5> f.:! t.!l '" Z c r.- o HI t.!l Z H 0 ~! i; OU D: . H E-t H E-tu Z OD: . ~ Z E-t g ~~i D: "'0 lIlf.:! > H i:! OOI'H :3:~ ~ ~ OZI'E-t E-t U~....U f.:!f.:! '" H Z ::; _ 1< ~U ~ II> _ . iif f.:! In :E: :Ilf.:!0'I>'l OD: E-t~ H ~ffi III ~ .> ~ ZOOH ~ HUZU t.!l~ , . . , Brlgld Q. Alford, Esquire Supreme Court #38590 BOSWELL, SNYDER, TINTNER &; PICCOLA 315 Nonb Front Street P. O. Box 74t Harrisburg, PA l7IOI (7t7) 236-9377 GRANDVIEW SURGERY & . IN THE COURT OF COMMON PLEAS . LASER CENTER, . CUMBERLAND COUNTY, PENNSYLVANIA . PLAINTIFF . . . . V. . NO. 95-1774 . . . ANNE M. HARDING, . . DEFENDANT . CML ACTION - LAW . NOTICE TO PLEAD TO: ANNE M. HARDING, Defendant, and her attorney GIRARD E. RICKARDS, ESQUIRE Wix, Wenger & Weidner 4705 Duke Street Harrisburg, PA 17109-3099 You are hereby notified to file a written response to the enclosed Answer and New Matter Pursuant to Pa. R.C.P. 22S2(d) within twenty (20) days from service hereof or a judgment may be entered against you. BOSWELL, SNYDER, TINTNER & PICCOLA By: r-J- DATE: September II, 1995 m;lhomolbqollltl.otIGRANOho,.anl Oron lIIl Sopt,mbor 11,1995 Brlgld Q. Alford, Esquire Supreme Court #38590 BOSWELL, SNYDER, TINTNER & PICCOLA 31' Nortb Front Street P. O. BOlt 741 Harrisburg, PA t7tOI (717) 236-9377 GRANDVIEW SURGERY & . IN THE COURT OF COMMON PLEAS . LASER CENTER, CUMBERLAND COUNTY, PENNSYLVANIA PLAINTIFF . . : V. . NO. 95-1774 . . . ANNE M. HARDING, . . DEFENDANT . CML ACTION - LAW . GRANDVIEW SURGERY & LASER CENTER'S ANSWER TO COUNTERCLAIM WITII NEW MATTER Plaintiff Grandview Surgery & Laser Center, by its attorneys, Brigid Q. Alford, Esquire and Boswell, Snyder, Tintner & Piccola, respectfully answers Defendant's Counterclaim as follows: 17. Denied as stated. On or about October 21,1994, Grandview reported to the Credit Bureau that Anne M. Harding had willfully retained, misappropriated and failed to deliver over to it the insurance proceeds delivered to her by Blue Cross/Blue Shield in payment of medical services provided to Harding's husband by Grandview. WRIFICATIOl'f. I, KAREN M. ZERBY, state upon personal knowledge or information and belief that the statements set forth in the foregoing Pleading are true. I understand that false statements herein are made subject to the penalties of IS Pa. C.S. ~4904 relating to unsworn falsification to authorities. Date: "f'(1t' ~ - ~- ~~ ..../...-- , t- ..- i:,i;l;.:' "~~ " -, i:E '" .... ,''') "-l - .- Ib ...., -, c_ tIl ~ I ril ml :'i ..:l gj 8 ""~ Z tIl u ZZ ~ ~8gj c:: Oril ..:l rz. E-o ~p. rz. ~ ell '-II H o.Il E-o !:l . 8 ~ o ~ ~ E-o C ~~~ u>< ~ >< Z Z ~~Li!l E-o ..:l ~ H ~ril rz.z ril ~ t!lrz. ~I! i= U~~ 00 t!l . Zril 0 ~ "" > HC = = ~ '; E-oU Z 0 ~ ta.lz ~ ~ ...0 tIl ~~= Q ~ z OCI'H >- ~ OZI'E-o ~ cnE-o :z :;; _ U~.-lU rz:I H- ~ U) - ~I~ H ~ . it ril III ~gj :Il ~~~ :I:ril"'..:l ~ E-oltl H ZE-o ril :Il .> ~&3 Z ZOOH Z t!l~d ltl HUZU t!lU ~ . . . ~ ' : ..:._:;./::.:::~. ~:;'~.':'.!:~;',~.:;::~"'~i.ij~"i;~:;;ii;~,;. ''-'';-;'-::;:. ....:. ~'. ~~'.;:':;.:.:!:.~:':'~~:.:.i;~': ::'_:~:l~;;;'::.':i..".":;;"~,:,:'.:,~."";:,, - :'.:.i-:'~":'i'. . '." .l~.;.:;::;J...... :.~:":.<:;.}:.~.; {,). NOV-1S-94 F';;'i:-:1~:;;;;' ':'., --. . .... ~.~2 . . ,. . ':.' h:'~h_:' ~7) .... ,~ ~; " .'0 '\ ?:.,.\ ~.~~.~:) .,) ;: , 1. .. ,. ~- , . .. HASTER DEBTOR ACCOUNT XHQUIRY " ." 'i ..: ,. --~-------------------------------------_._--------------------------------------------------- . I. . ~ - - . . NAHE: HARDIHG, ANNE A lADD: JiB E HAIH ST 2ADDI CITY: HECHAHICSBURG ST ZIP. PA 17055 LIC HO: REHI REH: **UN LECiAL PRCU:ESS*** SPOUSE. BAD ADD: BUSINESS: PHONE: SSN: EMFLOY: H H 7177615198 202426097 DELTA DENTAL IHS 10/93R ----------------------------------------------------------------------------------------------- ACCOUNT.. 471699 CLIENT bEBTOR t, OUR CLIENT HAHEI GRAHDVIEW SURGERY AND LAS~R FORe SELF DATE OF REFERRAL:10/~1/94 DAlE OF SERVICE: AMOUNT REFERRED: PRINCIPAL IlAt.A~lCE: ACCUHULATED INTEREST: OTHER CHARGES. COURT COSTS: ATTORNEY FEES: INTEREST: ACC'T DALe .. .' 10777-1 STATUS: CLC CLT . 2419 INTEREST ATI X FROH DATE OF SERVICE. 03/11/94 DATE OF LAST PHTI . 693,00 S 693.00 S 0.00 . 0.00 . 0.00 . 0.00 . 0.00 . 693.00 ()e4.,..oJ"", +'s i - . . : ~.:..:~r: .::~f~;:'i~~ ?~;~~f_.'~"~~.~:~'~.;.' .~!~li:S~.;t~_~:.:~~r:.~i 0:' :~. .;~ ....:..;j). ::'::::::~'~ !~~ :;~':~~:;;':'~':,~; ~::.,::,:,:~'.';'~~~";;,~:.~',:~:::;':~-:'J~~; :~' .l~'~::: L: ,L... i.::;';.:'_~~:;';::!: ;':'_. ':- ~'. I . ~ ..' . .. - , ) ~. .-. ...... - ... . N.a.~-1_a':-::::(.:t~_1,~ :~~ . . " .s) p.a2 '.' ,. . -~'.?~~':~T1TnTI~f~J'> '. ". - .. ....~'.::n::. - .. .. '.:'>'~: '; M'ASTER 'DEBTOR ACCOUNT INQUIRY '.::.i,,~:':t_'i"::~':~:;i~~~~-)'rz:~:._~'~;:,:.. .. '_' . ... ... .-.._-----------~------------------------------------------------------------------------------ ,..' :~:,'.,; :"'? .:;'_/f /.;-." ..~-~: :.::~. ~> "': . . HAME" 'HARDItU;,-AHNE A SPOUSE, lAIlD: 318 E HAIN ST BAD ADD: 2ADD: BUSINESS, CITY, - -. MECHANJCSBURG _ PHONE: ST ZI~: PA 17055 SSN: LIC NO, EMFLOY: REM: REM: **,IN LECiAL PRCU:ESS*** H H 7177615198 202.,26097 DELTA DENTAL INS 10/9JR ---------------------------------------------------------------------------------~------------ 10777-1 STATUS: CLli ACCOllNT h 471699 CLIENT bEllTOR +: OUR CLIENT NAME: GRANDVIEW SURGERY AND LASER FOR: SELF DATE OF REI"ERRAlI10/~1/94 DA'rE OF SERVICE: AMOUNT REFERRED: ~RINCIPAL PAI.AHCE: ACCUMULATED INTEREST: IlTlIER CHARGES: COURT COSTS: ATTORNEY FEES: INTEREST: Ace'T BAL: -....-._--- -- _..._.__.__._---._----.._-~ .' eLT .. 2419 INTEREST AT: X FROM DATE OF SERVICE. ll3/11/94 DATE OF LAST PMT: S 693.00 S 693,00 $ 0.00 $ 0.00 .. 0.00 s 0.00 s 0.00 to 693.00 -. ~.._- --.-------...-----.--- -.. De.f 1. NOV 17 '94 09:47AM GRFlNDVIEW S~GE:RY P.16 .....,. ., , ',.... '-" August 4, 1994 MS KAREN ZERBY GRANDVIEW SURGERY & LASER CENTER 20' GRANDVIEW AVENUE CAMP HILL PA 17011 Dear Ms Zerby: This letter is in response to your certified letter to me dated July 28, 1994. First let me say that I am in no way responsible for any debt incurred by John Harding. I did not have any knowledge of the services that your office preformed on March 11, 19~4. It should have been John Harding'a responsibility to know that your office is a NON-Participating office. My experience wiah Non Par offices is a8 follows: When I 8ee a Non Par office and I 8ee only one, I pay at time of services and they send in the bill or I do myself. Any payment is then sent to ms directly. When thie check was sent to me this is exactly what I ass~med: That thie bill had be paid and then sent by John Harding to Major Medical for reimbursement to him - However, this cheek came to me, Based on his record of paying my support I kept this check. It was in fact, made out to me - Nothing on that notification indicates that the check was to be forwarded to your office. I signed no promissory note - John's signature makes him solely responsible to you. At present, I am getting one child ready to start college. My credit rating has been hard earned. Therefore, If you in any way try to discredit me 1 will have no recourse but to take legal action. This problem is between you and John Harding. with him. Pleaee resolve it Sincerely, J2U4~ ~~~ Ann Harding U " .. . \ \' \ \ , , ... \ \ \ \ \ PLAINTIFF'S EXHIBIT cc: Gerard E Ri~kards, Esq. Encloures (2) RICHARD H. 'IX.'IX THOMAS L WENGER DEAN 1\. \l'EIDNER UEVEN C. \l'!LDS THE REM L. SHADE WIX. DAVID R. CETZ STEPHEN J. OZURAN,N ct"-^110 e. RICKARO.s STEVEN R. \l'ILLlAMS THOMAS ^. HUTTON WIX. WENGER 8 WEIDNER ATTORNEYS AT LAW 4705 DUKE STREET HARRISDURC, PENNSYLVANIA 17109-3099 P.O, BOX 845 508 NORTH SECOND STREET f.MRkl58UkC, PA. 17108'0845 1717\ 234.4'82 TELeCOPIER 1717\ 234-4224 171716S,l.8455 TELECOPlfR 17171652'8200 PLEASe REPLY TO N. SECONO STREET OFFICE I 1 'ALSO MtN.lft MASSACHU'C"S .Aft March 11, 1996 Ms, Anne Harding 6 East Portland street Mechanicsburg, PA 17055 Re: Harding v, Harding Tax I.D. #25-1756308 DATE DESCRIPTION HOURS 03/06/95 Attendance and Representation at District Justice Hearing 2.5 04/10/95 Correspondence to Grandview surgery Center ,2 05/02/95 Correspondence to Client and Attorney Alford; Preparation of Preliminary Objections ,6 05/08/95 Preparation of Brief 2.0 05/31/95 Attendance and Representation at Argument Court re: Preliminary Objections 2.3 08/18/95 Preparation of Answer and Counterclaim 1.5 09/21/95 Preparation of Reply to New Matter ,5 09/29/95 correspondence to Client .2 03/11/96 Preparation for Arbitration Hearing 2,5 The handling of this matter through March 11, 1996 required a total of 12.3 hours of time at $75.00 per hours $922.50 ,:k +: ;;. NOV 17 '94 09~ 4'?flt1 GRANQVIEW 5URG~R~ ..' ~ . Capital BtueCroas \- . , . Penll3ylvanlll BtueShleld .. HARRISbURG. "" 17177 . ~ Info"".tio"; 17171 26600820 In tho HanlaIlur; .... 12161 620-2700 In tho Uhlgh Valley "'III ANNE H HARDING 3817 CHIPPENHAH ROAD HECHANICSBURG PA 17055-2199 , I D5 ,11 :94 03, 11 D5 111:94 nl11 03 '11 '94 03 '11 03',11!94' 03111 03 '111 :94 03:11 I : " , I! I " , " , I: : " . " , " , " , " , " , :: '1 I' I ,I , JR RECORDS SHOW THE 1994 DEDUCTIBLE IR THIS PATIENT HAS BEEN SATISFIED. ,HEFITS PAID FOR PATIENT IN 1994 TOTAL t693,OO, TOTAL PAID TOWARD PATIENT'S (FETIHE MAXIMUM BENEFIT OF .1,000,000 ; t895.86 · :P THIS STATEMENT FOR YOUR RECORDS. IIG I8G other .Id.. 10' Intormallon about lhl. ,tat,ment PR0\l10En FIOI!I o ANDVIEW ANDVIEW ANDVIEW AHDVIEW 'ANDVIEW SURGE SURGE SURGE SURGE SURGE MARKS: ." ,.. .: ~".. . ., TOTAl. EXPENSES 595.00 300.00 456.00 697.00' 724.00 " '.. , ~ '. '. , '-' .... -,.~",.. PIS ~'I;.' ',., ....... . '; ".~ ...:r.... ";. "...'...... '. .U'>:IJ( OF".?~. - ....l "i\, ..' '''~ .MAJOR MEDICAL BENEFITS 6941644 CLAN NUIotIIII PIe... relit 10 Ihllnforllllllon Ihown a_ _1nqu\tI"" Ibout ~r claim, PlW IV BASIC PlANS INItUOIBLe ElCPI!NaEa INEUOIlll! CODES 1__'_1 lU01II1.l EXPENaES iI.oo . 0.00 0.00 ':"":0' '00'.' , " . 0 :00 '0.00 O 00 ". ., . .: ' ' !j~ ': ' 0.00.. _ :...'~~ al~:aQ~ (.iI~:W:k::':~ .0.00 '. l!,~' . 595.00 SOO.OO 456.00 "697.00 724.00 ";-- .". . ..... :1'_'..;'.:~.J;~. ,.;. I.. Tcml EUQ"~I IllPIINII' L... her .""".nc, LlII Doducllble LESS OX COPAV OF '9S.00 2079.00 .00 .00 . . .- .--.---....., . .......~.,... .... :'" " .' , ...... .,- PLA'NT'FF'S EX.."e\T to - NOV 17 '94 09:49AM ~DVIEW ~GERY P.21 , , , - '-' f/~9r Z>a.....- k~ '2~J e~ ,d9lhf1-B:ik ~1J" tI~ "r.~jW ~~ sk {).... ~Y'dJ... .s~.<~ Jl~ L %k ,p.3 tit ZZ:~'--~.f"~- '. (JJfL~ ,. .,. 'Pa.:AIt.inFF'8 EXHIBIT 5 NOV 17 '94 09148AM GRFlNDVIEW SURGERY I , - P.1S , . ""' .:'... ~ '. J~.l I. . I . .ll,l' "'''''''...,....,. It' ,... ,.;,,~." . "r1,_ ""'.. ' " ,~..~.,...;;t. to. '1r4t. ... . .. '. , '. .- . , J 09143AM GRANoVIElT~"" -----.. ...--.- __. . P,7 GRFlNOVIEW SURGe#' & LRSER CENTERO 2011 QrancMew Avenue. Camp HIlI. PA 17011 (717) 7S1.a4U, FAX (717) 731~15 J July 28. 1984 John r. Hardin. 823 Peal' Street taIllO",., PA 17043 Dear HI'. and Hzo.. Hal'd1q: We are wzolt1n. to both of you 1n 1I.'''.no. to "Z'Yio.. rendered to John on Haroh 11, 1984. ':he aocount balano. 18 'B93.~O, thi. aooo~nt h.a alra.dy .one >>aat the d.l1n;uant .'a.a and muet b. ra.olved ~di.t.lv. lit It 1. unfortunate tal" the o1roWlletal\o.. batween YOU and YO\lr Wife aurl'ound1n. the ~.~ent ot thi. aocount, but w. oan not ..t into the m1ddl. of thla a1tuat10n. W. have been advl.ed that YCU er8 bothulti~at.lY r..POn.1b18 tor thie account. Hr. Hardin, becau.e You allnad :tal' ..rvioee and promieed to ~ay and Mr.. Hardin. becau.. .he i. the ~011~y holder and .h. will not turn. over tbe mon.y tbat belon.. to no one other tban Grandview Sur,ery and ta..r Center. If thi. eocount 1. not reeolved by AUlUat 12, 1894. W. w1l1 have no other alternative than to ..nd both ot yoUI' name. to OUI' collection a,eney. w. r8,r.t havin. to de thi., bu~ 1'GU have .iven U8 no other alternative. 81neer.ly, ~~b~'~ aualne.. Offloe Hana.er XZ/pmh !no. Prom1B..ry e: Anne Hardin. PLAINTIFF'S EXHIBIT 3 ... .I' '-""v 1/ '94 '...-~.,...;" , , , , 09:42AM GRAN~VIEW SURGERY +t s e P.4 Clpltal Blue Cro.. P,nn.ylvlnla Blu. Shield PLEASl! PRINT APPLICANT,SUBSCRIBER NAM ,_ . i\J~ (1\.#, ; N~ 1 ',CURRENT MAILING -,\DORESS IS"U" ,:.' 301:r C~;~)P1N(-{l'lM lei Y1Y1a ~ fiN i ) APPLICANT, SUBSCRIBER'S EMPLOYER MAJOR MEDICAL CLAIM FORM ~~:r 'b!J.1:t. ~~&N~ ~~Qll EMPLOYMENT STATUS OF APPLICANT. SUBSCRIBER CJ Aell.. CJ Retl,od 1'~s-5" CJ DI..bl.d CJ oec....d Mo.,' S'OUS('S SOCIAL 5E , f(j) A"L1CANT.SUISCR'IIIl'S Oil TE OF IlliTH I I D.... YI.. _____........... 1 ,--., PATIENT'S N.o.ME IF.... M,d".. '"" 2.) jQ t- \iN H (~ a,j) I N G- , SEX -;lII M.I. e e....... RELATIONSHIP OF rATIENT c S,If 1'Spov" C H."tlicIDped o.Hnll'"' o Son C O'''OhuI 0 01"" I.pu'.... 0" Mclll 01' Y. I..n. Plli.nt I lull,tlm. _Iud.nl ov.. '9 y.... 01ag.1 : CJ v.. 0 No If y... upeclOd d.t. 01 gradullion I I MOft'ft 0.., V.., 3. WERE EXPENSES DUE TO AN ACCIDENTAL INJURY? 0 Y.. 0 No "VII. pi.... 0","",",'. .. Dato of Accid.nt I I PII"!Typ. of Accid.ntO Work 0 Hom. ,0 SCII!,OI" ,,0;,.,,' AulO '-'ani" O'f' v.., b. Giv. . brief d..c,lption of Iccident: c. Has claim bun 0' will cll"" ba lIIed undal eny Wo,k.(o Componutlan Actl d. HII claim been 01 will cl.im b. liIed .glln.tlny olhe, p...on Iilble 10' th. inju'Vl o MOlo,cycl. 0 Otll.. o YII o V.. C No o No MEDICARE: ' .. Is tno Dlti.nt .nlitl.d to b.ne1l'IO unda' Madlc... Ho.pilll In.u,ance I Pin A)10 YII 0 No Ell.ctl.. dll. I Irl'O"lh I ,..' 4. b. Is tn. plliont .ntitl.d to banef.1S und.. M.dlcar. M.di"llnsuranca t Pan 8110Y.. 0 No Ellecli.e dat. I Dor I -"onl" 0" c. Heallh inluran," numb.. from the MediCI'. 1.0. Clrd _ _ _ _ _ _ _ ___ v,.' 5. OTHER COVERAGE: DOli patl.nt h... .ddltlon.l/oth... II..1th In.ur.ne. COVOf-.!.? 0 V.I 0 No II V", pl.... complllt.. .. 'nlur.d', N.ma: In,u,""" Comp."v', Nlm.: b. Pohcv Number: EH.cti.e dlle . I I Mo"'''' 0,., ,.,, c. Emplov.,. Name: Employm.nt IllIu. 01 i"lured:OAclive CJR.lllldO Dl..bled d. Check typ. 01 hllllh InSU'lnc. 0 Ho.pll.1 0 MedlcaVSurgicl1 0 Mljo, M.dic.1 0 D.nlll 0 Dl\lg 0 0111.. (SPlclfy on b.ck) INCOME: II you II... Blu. Snl.ld PI.n B. Cor' BOO 8. pi.... cllock on. 01 tho lollowlnvltll.m.ntI.My (....rl '_11y '"com. tor tho 1.1t 12 mo"th. w..: I. PLAN" 0 I... Ihan $ 4.000 10' I oingl. ,ublc,ib.. C '.n Ihln $ 6.000 101l1'.milV Incom. 0 dOli nOllpply b.'IOO S 0 1..lIn.n $ 11.000 lor I oinvl. ,ub.criba, 0 lenlh.n $12.000 tot.lI.mily Incom. 0 do.. "OIlPDIV c. PLAN CO,... IIIln $12.000 lor. .Ingl. lub.criba, C I... tnan $24.000 101.llomlly income 0 do.. nOI .pply 6. DESCRIBE CONDITIONS FOR WHICH YOU ARE REQUESTING BENEFITS: IIIn... D' I"jury N.m. end O.g... 01 Doctor Tr.lltlnVllln... 011. Flr.t DI_.1d or Tr.lted 7. .. ("'" ''''I blear. of ,fl.I c',.m '0,", I' "tlef.ctl I I Mo',," 0" ,.., I I Mon," DIY V." b. ---- 8. I hereby authorize Iny p.rson or g'9.niUhon fu,t\.sh.ng """'U:150' supplil. to pro\f,d. thl Blue Cron and Blue Shi,ld PII"S with th. att.l"'ll's m.dlcal 'ecordl. I c.rtify t"ll 'hI!! In'o,,,,lllon glvln by me in 'UPQort of this claim II true and cor'ect, X ~ ;il/f'! QI'jATURE 0' PATIENT 0 IIPPLICANT.8UBSCRIIIER DATI I ) D.rtlm. t.l.phon PLAINTIFF'S EXHIBIT I _.- X Sign...u.. otto... thin .ub.c,llN, IH lub.cribol II unelll. 10 .Ion) "Illtion.lllp of thil extent that a response is deemed required, each and every averment of paragraph 24 is specifically denied and strict proof thereof is demanded at the time of trial, , I Respectfully submitted, WIX, WENGER & WEIDNER By: Esqu re i i , , I I I , 4705 Duke street Harrisburg, PA 17109 (717) 652-8455 Dated: 11J-?-1?5 VBRII'ICATION I, Girard E. Rickards, Esquire, of the firm, WIX, WENGER & WEIDNER, verify that the statements made in the foregoing are true and correct to the best of my knowledge, information and belief. The undersigned understands that its statements therein are made subject to the penalties of 18 Pa, C,S,A. section 4904 relating to unsworn falsification to authorities. Dated: ;1 ?-~5 '~~ E. R ckards, Esqu re ~ - ~,,- ,.'- 1,...- ::;,.". ...("; \l: ',''- .~} .,' ':-' ,,'; :..: ~.' ':-: '."::::j ('.,! -, "" M l'1") \ ,", .-.I "'- \0' V' t:t: u.l Z Q ~ ~ C9 ~ t:t: S u.l ;?: \J <t Z g u.l ~ ~ X X ... G\ G\ o '" '" o Iii ~ ~ UJ ~ If' <t;?: '" ~ t; ~ ~ ~ ~ ~ I ~ ~ "';?: ,,- o z ;::;; ~ In lJJ r;:A: o a.. .. 0 ~ g ~ '" .. .. ... '" iil <t ~ ...' I' . t. . GRANDVIEW SURGERY & . IN THE COURT OF COMMON PLEAS . LASER CENTER, . CUMBERLAND COUNTY, PENNSYLVANIA . Plaintiff . . . CIVIL ACTION - LAW . v. . NO. 95-1774 CIVIL TERM , ANNE M, HARDING, : Defendant . CIVIL ACTION - LAW . NOTICE TO PLEAD TO: Grandview Surgery & Laser Center; BRIGID Q, ALFORD, ESQUIRE, Attorney for Plaintiff You are hereby notified to plead to the enclosed Counterclaim within twenty (20) days from service hereof or a default jUdgment may be entered against you, WIX, WENGER & WEIDNER B~~~f~ Girard E, R1ckards, I,D, #58867 Attorneys for Defendant 4705 Duke Street Harrisburg, PA 17109-3099 (717) 652-8455 Dated: <fIJ.;lIICJ~ GRANDVIEW SURGERY & LASER CENTER, plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW v. NO. 95-1774 CIVIL TERM ANNE M. HARDING, Defendant CIVIL ACTION - LAW ANSWBR AND COUNTBRCLAIM 1. Denied, After reasonable investigation, Defendant is without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 1; same are therefore denied, and strict proof thereof is demanded at the time of trial, 2, Admitted, 3. Admitted in part, denied in part, Admitted that Defendant Anne M, Harding was the wife of John M, Harding. By way of further answer, John Harding and Anne Harding became separated and estranged on or about October 10, 1993, Defendant and John Harding have been separated since that date. 4, Denied, After reasonable investigation, Defendant is without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 4; same are therefore denied, and strict proof thereof is demanded at the time of trial. 5. Denied. After reasonable investigation, Defendant is without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 5; same are therefore denied, and strict proof thereof is demanded at the time of trial, 6, Admitted in part, denied in part, Admitted that as of March 11, 1994, Defendant Anne M, Harding was a party to a health insurance contract with Blue cross/Blue Shield, which contract was identified as No. 202426097 and Group No. 025742000. It is specificallY denied that said contract is in the possession or control of Defendant Anne M. Harding. It is further denied that the Plaintiff does not have access to said policy, in that the Plaintiff has access to the Blue Cross policy through a subpoena duces tecum, By way of further answer, the plaintiff has as much access to the Blue Cross policy as does Defendant Anne M. Harding, 7. Denied as stated. The Blue Cross policy speaks for itself. By way of further answer, Blue Cross provides payments only to participating health care providers, plaintiff is a non- participating health care provider. It is admitted that John Harding was an insured under the Blue Cross policy, 8, Denied. After reasonable investigation, Defendant is - 2 - without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 8; same are therefore denied, and strict proof thereof is demanded at the time of trial, 9, Denied. After reasonable investigation, Defendant is without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 9; same are therefore denied, and strict proof thereof is demanded at the time of trial, 10, The averments set forth in paragraph 10 state a conclusion of law to which no further response is required, To the extent that a response is deemed required, each and every averment of paragraph 10 is specifically denied, and strict proof thereof is demanded at the time of trial. By way of further answer, Plaintiff Grandview Surgery & Laser Center is a non- participating provider. Accordingly, Grandview is not a third- party beneficiary under the Blue Cross policy, 11, Denied, After reasonable investigation, Defendant is without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 11; same are therefore denied, and strict proof thereof is demanded at the time of trial, - 3 - 12. Denied. After reasonable investigation, Defendant is without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 12; same are therefore denied, and strict proof thereof is demanded at the time of trial, 13. Denied, After reasonable investigation, Defendant is without information or knowledge sufficient to form a belief as to the truth or falsity of the averments set forth in paragraph 13; same are therefore denied, and strict proof thereof is demanded at the time of trial, 14. Admitted that Defendant Anne M. Harding received a payment, Check No. 6941644 on or about June 15, 1994. Said check was payable to Anne M, Harding. It is further admitted that the Defendant endorsed the check and deposited the funds into her personal account, Admitted that a copy of the endorsed check is attached to the Plaintiff's Complaint as Exhibit "C", 15. Admitted. By way of further answer, the Defendant has no legal grounds to collect this amount from Defendant Anne M, Harding, 16, Denied. The averments set forth in paragraph 16 state a conclusion of law to which no further response is i r - 4 - required. WHEREFORE, Defendant Anne M. Harding respectfully requests Your Honorable Court to dismiss the Plaintiff's Complaint with prejudice, COUNTBRCLAIM 17, On or about October 21, 1994, Plaintiff Grandview reported to the Credit Bureau of Greater Harrisburg that Defendant Anne M. Harding owed the debt referred to in the Plaintiff's Complaint, 18, A true and correct copy of the Credit Bureau's report regarding this debt is attached hereto as Exhibit "A" and incorporated herein by reference, 19. Plaintiff Grandview Surgery & Laser Center intentionally, recklessly and/or negligently provided false and misleading information to the Credit Bureau of Greater Harrisburg regarding the alleged debt owed by Defendant. 20, The Plaintiff's conduct constitutes a violation of the Fair Debt Collection Practices Act, 15 U,S.C. S1692-1692(m), 21. The Plaintiff's conduct constitutes a violation of the Unfair Trade Practices Act and Consumer Protection Law, 73 - 5 - . '.' . .;',' ~-: .: ~.' . ...':'~: '::;/ ::;::,~:':' !~~~~:.~':~ 1:.:J~:~ - ..:'i, ~ ;, '; ::: :: "":':'~.(' ".~~'~':,;:':'~:.;.;:...';;, ~:i.~:: ;.: !':~ ./:. ~;~:;~~'::..',~;;:':~-;":~~,;:'::":"':',:,:~':":'~:';''::~:Z';~~'::::l~~~;~ ::':':.'''' :~,,:,~'l!Xi:::a."~;:' NDV- 1 a'-94 FR'I - 16: CIa ... ~.~. ~.~.-:~ -;~.?;';;_'~1'i.~~-. .. '. (J.'....... I . "........ .":C')' ,,""'_ .....:....__.__ ,." '....u.:.: _,r:-:\.,;;. ..._.. ...-..._.__. . .,/ . -:-':-:'-~-:~'7~"'-::T>~~'~'~ ':,::'.:.;.~>~... ; ':,-:. ~.: ~':'.~~~~. 'r >:~\'.?'~~~::: HASTER DEBTOR ACCOUNT INllUIRY: ::.'. .::::~:; ,:;:,::;'-:;'.;;:;:~-;:= .--------~---::::----':::;;:;::::;-:--------',-,--:::;;:'---------";c~~7,~,i~'~lf~~;} lAIlD. J18 E HAIH ST BAD ADD: N 2ADD; BUSINESS. N CITY; HECHANICSBURC PIlONE: 7177615198 ST ~IP: PA 17055 SSHI 202426097 LIC NOI EHFLOY: DELTA DENTAL INS 10/93R REH. REH: **_IN lE&AL PR[~ESS*** -------------.-------------------------------------------------------------------------------- ACCOllHT h 471699 ClIEt-lT llEllTOR 41 OUR CLIENT NAME: ~RANDVIEW SURGERY AND LASER FOR: SELF DATE OF REFERRALllO/21/94 DATE OF SERVICE: AMOUNT REFERREDI PRINCIPAL PAI.~HCEI ACCUMULATED INTEREST: OTHER CHARCESI COURT COSTS: ATTORNEY FEES: INTEREST: ACC'T BALI 10777-1 STATUS: CLli ClT t 2419 INTEREST ATI X FROH DATE OF SERVICE. 03/11/9~ DATE OF lAST PHT; . 693,00 . 693.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 . 693.00 - . - ~.,-- ._---------_.__.,~-._._..~...._..~._-_._-- _.._-._-- Exhibit "A" .' CERTIPICATE OP SERVICE AND NOW, this~r.a:t-day of 0.7 E. Rickards, Esquire, of the firm of Wix, ~ , 1995, I, Girard wenger & Weidner, attorneys for Defendant, hereby certify that I served the within Answer and Counterclaim this date by depositing a copy of same in the United states mail, postage prepaid, in Harrisburg, Pennsylvania, addressed to: Brigid Q, Alford, Esquire Boswell, Snyder, Tintner & piccola P. 0, Box 741 Harrisburg, PA 17108-0741 (717) 236-9377 WIX, WENGER & WEIDNER rard E. Ri Attorneys for #58867 4705 Duke street Harrisburg, PA 17109-3099 (717) 652-8455 ~ - ::C c... :Q ~ u ::=> .... >->- ~t- "I."~...t. .... ""-:-,.. Q;r.....r ~.ciu..' ~;~~~..., ~. ..1 . -I ,J':': '. <1: ~ i'~!:. . ~;' ':,~', ~ ell UJ g Z ':' Q ell 0 - !S ~ ILl ~ I- ~ w < w ~ ~ Z " ~ ~ ~ ~~ ~ S w ~I ." " :;p: ILl 2 " .. - U Q ;i( - " ".. ~ 8 ~ - 0: Z ~o ILl ~ ~ ~ u j ~ " .. III l- X '" ~ ~ ~ . . . ~ GRANDVIEW SURGERY AND LASER CENTER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. 95-1774 CIVIL TERM ANNE M. HARDING, Dcfcndant CIVIL ACTION - LAW IN RE: DEFENDANT'S PRELIMINARY OBJECTIONS TO PLAINTIFFS COMPLAINT BEFORE SHEELY. P.J.. HESS. J.. AND OLER. J. Dcfcndant Anne Harding has raiscd prcliminary objcctions to thc complaint of plaintiff Grandvicw Surgcry & Loscr Ccntcr (Grandvicw). On March 11, 1994, thc plaintiff providcd mcdical services to John Harding, husband of thc dcfcndant, totaling $2,722.00. Aftcr Grandvicw receivcd partial paymcnt of thc bill from Mr. Harding's primary insurer, Grandvicw submitted the balance of $693.00 to Bluc CrosslBluc Shicld undcr Mrs. Harding's policy, which also covcred Mr. Harding. Blue CrosslBluc Shicld honorcd thc claim and rcmittcd paymcnt dircctly to Annc Harding on Junc 14, 1994. Bctwcen March 11 and Junc 14, howcvcr, thc Hardings apparcntly scparatcd. Dcfcndant Annc Harding allcgcdly dcpositcd thc check into hcr pcrsonal account and utilizcd thc funds for personal usc. Plaintiff initiatcd this suit against dcfcndant for thc outstanding sum, claiming third-party bcncficiary status in the insurancc contract bctwccn Mrs, Harding and Bluc CrosslBluc Shicld. Thc contract itsclf, however, is not part of thc rccord, allegcdly bccausc "Plaintiff doc [sic) not havc access to thc Bluc Cross policy itsclf, thc samc bcing in thc cxclusivc control and posscssion of dcfcndant Annc M. Harding." (Complaint at para. 6.) Dcfcndant's prcliminary objcction is in thc naturc of a dcmurrcr, claiming that the facts 95-1774 CIVIL TERM as allcgcd in thc complaint fail to statc a causc of action for which thc plaintiff is cntitlcd to rclicf. Spccifically, dcfcndant Harding objccts that Grandvicw cannot statc a claim as a third- party bencficiary. Whcn rcvicwing prcliminary objcctions in thc naturc of a dcmurrcr, all matcrial facts sct forth in thc complaint as well as all infercnccs rcasonably dcduciblc thcrcfrom arc admittcd as truc for thc purposcs of rcvicw. Jackson v. Garland, 424 Pa.Supcr. 378, 381, 622 A.2d 969, 970 (1993). A dcmurrcr should bc sustaincd only in cascs that arc clcar and frcc from doubt that thc law will not permit recovcry by thc plaintiff. Id. Pcnnsylvania Rulc of Proccdurc 2002 providcs that "all actions shall bc prosccuted by and in thc name of thc rcal party in intcrcst." A rcal party in intcrcst "must not mcrcly havc an intcrcst in thc result of thc action, but must bc in such command of thc action as to bc Icgally cntitlcd to givc a complctc acquittancc or dischargc to the othcr party upon performance." 3 Standard Pcnnsvlvania Practice 2d scction 14:51. A third-party bcncficiary is cntitled to cnforce its rights undcr thc contract as a rcal party in intcrcst. Id. at scction 14:51. To bc a third-party bcneficiary cntitlcd to rccovcr on a contract, a pcrson must show that thc intention of both partics to thc contract to confcr bcncfits upon that third party affirmativcly appcars in thc contract itscif. Guv v. Licdcrbach, 501 Pa. 47, 459 A.2d 744, 750-51 (1983); Hall v. Goodman Co., 310 Pa.Supcr. 465,456 A.2d 1029 (1983); Rcstatcmcnt Sccond of Contracts scction 302. For plaintiff Grandvicw to statc a claim as a third-party beneficiary, it must aver that both Annc Harding nnd Bluc CrosslBluc Shicld affirmativcly intcndcd to bcncfit Grandvicw in thc insurance contract. Thc plaintiff, howcvcr, allcgcs that it docs not havc acccss to thc Bluc Cross Policy. In the abscnce of thc contract, wc rcvicw gcncrally thc law of the Commonwealth applicablc to thc instant mattcr. Wc havc found no other Pcnnsylvania casc whcrc a third party sucd an insurcd claiming it was a bcncficiary to thc insurcd's contract with the insurcr. On thc 2 . 95-1774 CIVIL TERM othcr hand, in Hilzh-Tcch-Entcroriscs. Inc. v. Gcncral Accidcnt Ins. Co., 430 Pa.Supcr. 605, 635 A.2d 639 (1993), thc court considcrcd a third-party bcncficiary claim madc not against an insurcd, but rathcr against the insurcr. Thc Supcrior Court affirmcd thc sustaining of a prcliminary objcction of thc dcfcndant insurer, finding that a corporation could not maintain an action against an insurer as a "forcsccablc, vcstcd third-party bcncficiary to the insurancc contract." Id. at 610, 635 A.2d at 642. Thc court found "no cxprcsscd intcntion on thc part of both contracting partics that [thc third party) bcncfit from thc insurancc contract," and thus held "it is c1car that undcr thc law (thc insured) is the only onc who had thc contractual relationship with [thc insurer), and thc only onc who could maintnin an action arising out of that relationship. [The third-party) has no such right." Id. at 611-12, 635 A.2d at 642. Although thc third party in Hil!h-Tcch-Enteroriscs sued the insurcr rather than the insured, thc court's rationalc would appcar to apply to the instant mattcr whcrc the third party has sucd thc other party to an insurancc contract, namcly, the insured. Here, however, the insurancc contract is not part of the rccord nnd, thcrcforc, a preliminary objection cannot be sustaincd based on it. ORDER AND NOW, this defendant is OVERRULED. z ~. day of July, 1995, the preliminary objcction of the BY THE COURT, ( -t'~ &.. .,/.}'/o/- Kcvin A. Hcss, J. / 3 IN THE COURT OF CO~~ON PL&AS OF Ct.~IBERL.\ND COUNTY, I'ENNSYLVAllIA GRANDVIEW SURGERY & LASER CENTER. PLAINTIFF CIVIL 1!95 NO, 1774 v. ANNA M. HARDING. DEFENDANT RULE 1312-1, The Petition for Appointment of Arbitrators shall be substant~ally in the following form: PETITION FOR APPOIN~IENT OF ARBITRATORS TO THE HONORABLE, THE JUDGES OF SAID COURT: BRIGID Q. ALFORD. ESOUIRE. , counsel for the plaintiff~mant in the above 1. 2, action (or actions), respectfully represents that: The above-c:lptioned action ltlllKJlXJdIca6) is UxItK at issue. The claim of the plaintiff in the action is S 693.00 The counterclaim of the defendant in the action is 1.000.00 The following attorneys are ~nterested in the wise disqualified to sit as arbitrators: c:lse(s) as counselor nre other- Briqid O. Alford. Esquire. for ':P1aintiffJ Girard E. Rickards. Esquire for Defendant WHEREfORE. your petitioner prays your Honorable Court to appoint three (3) arbitrators to whom the case shall be submitted. Respectfully submit:ed, ORDER OF COURT ~ :J. ~-I-- Briqid Q. A1f rd. Esquire AND NOW, _jJf (J ",/;1'/,' (~ ,19 1-!5, in consideration of the foregoing petition, tZ','r)v!t( /) _(fir //;/',/:.";-;(.:. . Esq., j)J/.,V/V (/{ I1f//1'/ _ ; /,1 J Esq., and -/h) 111/1 \ hI/It II)!, 17 /1/ . Esq., are appointed arbitrators in the above-captioned action (or actions) as prayed for, I Court, ,--. Ct L, /~. P. J. $ ~ ~ f1~ 90 @rt: -J<L: ct: 'JJ :t: t- & ~) l.1.I c::.; /n C;n C7'l <:::> S2 ::: ~ fi ::5 O.~ 0~} r:)~ ....(-1 ...:.. ~""'" :.!4.y;J !/"":'.., lU<<- "..,l" . ~ - c.:: 51 u LrJ ~ ~ ~ ~ ,- = ,;' ~y ~ ~ .' "- ., , i ., ~.. -, :.n " ~ .'J \ ~ "'oJ ~ ~ t'\... U, ~ (..'~ N - . GRANDVIEW SURGERY & LASER CENTER, PLAINTIFF IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 95-1774 ANNE M. HARDING, DEFENDANT : CIVIL ACTION - LAW CERTIFICATE OF SERVICE I do hereby certify that I have served on this date a true and correct copy of the foregoing Praecipe for Arbitration on the following by first class mail, postage pre-paid and addressed as follows: Girard E. Rickards, Esquire Wlx, Wenger & Weidner 4705 Duke Street Harrisburg, PA 17109-3099 BY: LL SNYDER TINTNER & PICCOLA Date: September 27,1995 l:R . ....;.... I.;,,,: ,..,- g;: "' II'> N ,,"' - .. ~. , " '........, - ~ :;. :~ ,- C'-.l .... ...... <.n -' PRAECIPE FOR LISTING CASE FOR ARGUMENT (Must be typewritten and subnitted in duplicate) TO THE PROTHONOTARY OF CUMBERLAND COUNTY: Please list the within matter for the next Argunent Court. --------------------------------------------------------------------------------------- CAPTION OF CASE (entire caption /lIJBt be stated in full) GRANDVIEW SURGERY AND LASER CENTER, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : (PLDntiff) : CIVIL ACTION - LAW VB. . . ANNE M. HARDING, : NO, 95-1774 CIVIL TERM , , , , . . (Defendant) : JURY TRIAL DEMANDED No. 1774 Civil 19 95 1. state matter to be argued (i.e., plaintiff's llDtion for new tria1, defendant's darurrer to CCJrIllaint, etc.): Defendant's Preliminary Objections to Plaintiff's Complaint. 2. Identify counsel. who will argue case: (a) for pLDntiff: Brigid Q. Alford, Esquire ~: BOSWELL, SNYDER, TINTNER & PICCOLA 315 N, Front St., P. O. Box 741 Harrisburg, PA 17108-0741 (717) 236-9377 (b) for defendant: Girard E. Rickards, Esquire ~: WIX, WENGER & WEIDNER 4705 Duke Street Harrisburg, PA 17109-3099 3. I wll1 notify all parties in writing within two days that this case has been listed for argunent. 4 . l\rglIrerlt Court Date: May 31, 1995 Dated: May 9, 1995 ~ ? P#t:' """- . 1'--- Attorney or Plainti f Brigid Q. Alford, sq. U'> :;n "'. = ::c ~ ~, '.., .. r- ....' "" ~"~" .;~ C'") = - ... "':.t = '" >- ~ L. !R iE r- ... 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'i ~ ~ - ~ ~. - '\' '- co ~ '-Q. - ..,...,: ~ \J "" '--";;,--- --- ~--..." "- - '-'-; -. ~ \'- '- -..;.. - '--' " '-_.- \ ~ ---.; ~ ~ N ~.; :- - . ,. ' J.j . .. ~ f ,;. >.-) - ;l. '!".~.. r- 0:: .... ..... '\lJ -::r- ':::;- r- r , ',,", " ~ -- GRANDVIEW SURGERY AND LASER . IN THE COURT OF COMMON PLEAS OF . CENTER, . CUMBERLAND COUNTY, PENNSYLVANIA . Plaintiff . . : v. CIVIL ACTION - LAW : ANNE M. HARDING, , NO. 95-1774 CIVIL TERM , Dtlfendant : JURY TRIAL DEMANDED ORDER AND NOW, this _ day of , 1995, upon consideration of the Preliminary Objections of Anne M. Harding in the Nature of a Demurrer, the Plaintiff's complaint is hereby dismissed with prejudice. J. GRANDVIEW SURGERY AND LASER : IN THE COURT OF COMMON PLEAS OF CENTER, , CUMBERLAND COUNTY, PENNSYLVANIA . Plaintiff . . : v. . CIVIL ACTION - LAW . . . ANNE M. HARDING, . NO, 95-1774 CIVIL TERM , Defendant . JURY TRIAL DEMANDED . PRELIMINARY OBJECTIONS TO THE PLAINTI~~'S COMPLAINT IN THE NATURE 01' A DEMURRER 1. Plaintiff, Grandview Surgery and Laser Center allegedly performed surgery on John Harding, 2, John Harding is not a party to this case, 3. The Plaintiff's complaint alleges that Defendant, Anne M. Harding was at all times relevant to this action, the spouse of John Harding. 4. The Plaintiff's Complaint alleges that Grandview Surgery and Laser Center is a third party beneficiary to a Blue Cross/Blue Shield contract between Defendant, Anne M. Harding and Blue cross/Blue Shield. 5. The Plaintiff's Complaint alleges that the Defendant is liable to the Plaintiff as a result of a check that was issued by Capitol Blue Cross/Pennsylvania Blue Shield to Anne M. Harding in the amount of Six Hundred Ninety-three ($693,00) Dollars, 6, The Plaintiff's Complaint fails to state a claim upon which relief may be granted. Lr') ~ ;... ..'" ;>- "''''' ., ,.., tiJ '0 f.-,~" ,- .":' ~ Ol UJ 8 z ~ o 0 ~~~~ ~ .on !( ...:z :ll:it "'" ill ~ ;\.. ~S~~I~~ UJ :z Q::>:Z ..;t ,,~ :z -... v 0 .... ~ Z I:; :g.. !5o ~<~li ~ - ~ ~ >< !! ~ ~ .oi .. . . Grandview SurRerV & Laser Cpntnr Plaintiff, In The Court of Common Pleas of Anne M. Harding. } ) } ) ) ) ) Cumberland County. Pennsylvania ,/ L No. 95-.1774 19 Civil Actiun - Law Defendant OATH We do solemnly swear (or affirm) the Constitution of the United States and th wealth and that we will discharge the dutie -.. 0 i c;- - rman ,. .. w " - . .: f~\ .. .- , .1...._ . '--~ L..... ~- \ . .~,! ,-.:' l".J ". ., c '. l..; ..' .. L r: j AWARD '. ..- ~We".~the;'.anders1gned arbitrators, having been duly appointed and sworn (or affi~ed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) ~".., ;1\ P"D;o 'IIf~~"'''+ (,)...,1 4"'~.& file P/l, II ~ief) 01\ 'i1I.'l. ~I.i", dll.f,..J ill -+4.. (''''''pl.:,..+. A..J Wf file' jl'l fALl"" Ot iAe..J?~I~~;ff (~tlc! ~AI;.l. 'HIll ~lIdM4-) Oil H.~ cf",;., ~l/P".J \1'1 ~,,~'s ~u.w.,d';,," . Arbitrator, if applicable. ) Date of Hearing: !fJlcit I:t. 1'96 Date of Award: I1fJlfA 1.:1, 1'l9 6 NOTICE OF ENTRY OF AWARD Now, the ().+4.ay of gill/a.. award was entered upon the docket and pArties or their atturneys. , 19~. at /d.Q.., :f..u., notice thereof given by mail the above to the Arbitrators' compensation to be psid upon Bf/eal: $_dC,d By: I