ALLSTATE FIRE & CASUALTY INSURANCE COMPANY v. KENNESTONE HOSPITAL, INC. D/B/A/ WELLSTAR KENNESTONE HOSPITAL

CourtCourt of Appeals of Georgia
DecidedJanuary 8, 2019
DocketA18A1822
StatusPublished

This text of ALLSTATE FIRE & CASUALTY INSURANCE COMPANY v. KENNESTONE HOSPITAL, INC. D/B/A/ WELLSTAR KENNESTONE HOSPITAL (ALLSTATE FIRE & CASUALTY INSURANCE COMPANY v. KENNESTONE HOSPITAL, INC. D/B/A/ WELLSTAR KENNESTONE HOSPITAL) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ALLSTATE FIRE & CASUALTY INSURANCE COMPANY v. KENNESTONE HOSPITAL, INC. D/B/A/ WELLSTAR KENNESTONE HOSPITAL, (Ga. Ct. App. 2019).

Opinion

FIFTH DIVISION MCFADDEN, P. J., RICKMAN and MARKLE, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. http://www.gaappeals.us/rules

January 3, 2019

In the Court of Appeals of Georgia A18A1822. ALLSTATE FIRE & CASUALTY INSURANCE COMPANY v. KENNESTONE HOSPITAL, INC.

MCFADDEN, Presiding Judge.

At issue are the requirements for perfecting a medical services lien set out at

OCGA § 44-14-471, particularly the requirement of written notice to the alleged

tortfeasor and his insurer. The claimant here did not provide such notice. But the

notice requirement is conditioned by the phrase “to the best of the claimant’s

knowledge[.]” OCGA § 44-14-471 (a) (1). The trial court held that the undisputed

evidence of the claimant’s due diligence was sufficient to show that this failure

should not invalidate the lien. We affirm.

The claimant is Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital.

It brought suit against Allstate Fire & Casualty Insurance Company to enforce its lien

for medical treatment and services provided to David Pruitt following a motor vehicle

collision with Allstate’s insured, Ginger Gentry. The parties moved for summary judgment. Allstate argued that Kennestone failed to perfect its lien under OCGA §

44-14-471, and Kennestone argued that it had satisfied all requirements to perfect its

lien. The trial court granted summary judgment to Kennestone on its claims. Allstate

filed this direct appeal.

We note at the outset that we have jurisdiction over this direct appeal, even

thought the amount in dispute is less than $10,000. The requirement that “[a]ppeals

in all actions for damages in which the judgment is $10,000.00 or less” be taken by

application, OCGA § 5-6-35 (a) (6), is not applicable. An action on a lien is not an

action for damages, so even if the amount of an award is less than $10,000, an

appellant is not required to pursue a discretionary appeal. Kelly v. Pierce Roofing Co.,

220 Ga. App. 391, 391-392 (469 SE2d 469) (1996).

The parties stipulated to the following facts. On January 20, 2012, Kennestone

mailed to Pruitt, the patient who had received hospital services, a notice of its intent

to file a lien. Kennestone filed the lien on February 9, 2012.

Before filing the lien, Kennestone attempted to identify the alleged tortfeasor

and her insurer by telephoning Pruitt and by twice attempting to locate the accident

report. It left a voice mail for Pruitt, which was not returned, and the Georgia

2 Department of Public Safety informed Kennestone that no accident report had been

found.

On March 6, 2012, after it had filed the lien, Kennestone was made aware that

Pruitt had hired an attorney to potentially pursue filing a personal injury lawsuit. On

that date as well as on April 27, 2012, Kennestone attempted to contact the attorney

but failed to make contact. It again attempted to contact the attorney on June 12,

2012, and September 19, 2012.

Kennestone made further unsuccessful attempts to locate the accident report

on March 6, 2012, April 27, 2012, June 12, 2012, June 13, 2012, September 19, 2012,

and September 28, 2012. On December 13, 2012, Kennestone received the accident

report which identified Gentry and Allstate. It sent a notice of the lien to Allstate on

December 20, 2012. It never sent notice to Gentry.

Allstate argues that OCGA § 44-14-471 required Kennestone to send notice of

the lien to Gentry. Kennestone counters that during the time period for providing

notice, it had not identified the tortfeasor, despite exercising due diligence, so it had

nowhere to send the notice. It also argues that the statute does not require notice to

the tortfeasor after the lien has been filed.

3 In pertinent part, OCGA § 44-14-471 (a) provides that in order to perfect a lien

for the provision of medical services, a hospital

(1) [s]hall, not less than 15 days prior to the date of filing the statement required under paragraph (2) of this subsection, provide written notice to the patient and, to the best of the claimant’s knowledge, the persons . . . and their insurers claimed by the injured person or the legal representative of the injured person to be liable for damages arising from the injuries . . . ; and

(2) [s]hall file in the office of the clerk of the superior court of the county in which the hospital . . . is located and in the county wherein the patient resides, if a resident of this state, a verified statement setting forth the name and address of the patient as it appears on the records of the hospital . . .; the name and location of the hospital . . .; the dates of admission and discharge of the patient therefrom . . .; and the amount claimed to be due for the hospital . . . .

OCGA § 44-14-471 (a). Hospitals must file the statements described in subsection (a)

(2) within 75 days after the patient is discharged from the hospital. OCGA § 44-14-

471 (a) (2) (A). Since the written notice of (a) (1) must be provided not less than 15

days before the verified statement of (a) (2) is filed, and the verified statement of (a)

(2) must be filed within 75 days of a patient’s discharge, then the written notice of (a)

(1) must be provided within 60 days after a patient’s discharge.

4 As for the “best of the claimant’s knowledge” standard of subsection (a) (1),

we have held that the phrase describes the lienholder’s knowledge and imposes upon

the lienholder the requirement “to exercise at least some degree of diligence in

acquiring the information necessary to send the notice.” Kennestone Hosp. v.

Travelers Home & Marine Ins. Co., 330 Ga. App. 541, 544 (1) (768 SE2d 519)

(2015).

The parties do not dispute that Kennestone filed its lien on February 9, 2012,

and they do not assert that it was untimely under OCGA § 44-14-471 (a) (2) (A). So

Kennestone had to provide notice to patient Pruitt and, “to the best of [its]

knowledge,” the alleged tortfeasor and her insurer not less than 15 days before then,

which was on or before January 25, 2012. It sent such notice to Pruitt on January 20,

2012.

The parties stipulated that Kennestone “exercised due diligence in attempting

to obtain the motor vehicle accident investigation report and identify the person

allegedly responsible for causing David Pruitt’s injuries as well as that person’s

automobile insurance company.” But there is no record evidence that Kennestone

knew the tortfeasor’s or her insurer’s identity on or before January 25, 2012, in spite

of exercising due diligence. Accordingly, the record supports the trial court’s

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Abdulkadir v. State
610 S.E.2d 50 (Supreme Court of Georgia, 2005)
Kelly v. PIERCE ROOFING CO., INC.
469 S.E.2d 469 (Court of Appeals of Georgia, 1996)
Kight v. McG Health, Inc.
769 S.E.2d 923 (Supreme Court of Georgia, 2015)

Cite This Page — Counsel Stack

Bluebook (online)
ALLSTATE FIRE & CASUALTY INSURANCE COMPANY v. KENNESTONE HOSPITAL, INC. D/B/A/ WELLSTAR KENNESTONE HOSPITAL, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allstate-fire-casualty-insurance-company-v-kennestone-hospital-inc-gactapp-2019.