Andrea Townsend v. ChartSwap, LLC

2021 WI 86, 967 N.W.2d 21, 399 Wis. 2d 599
Wisconsin Supreme Court·Decided November 26, 2021·No. 2019AP002034·Published·Cited by 24 cases

Opinion

2021 WI 86

SUPREME COURT OF WISCONSIN CASE NO.: 2019AP2034

COMPLETE TITLE: Andrea Townsend, Plaintiff-Appellant,

v.

ChartSwap, LLC,

Defendant-Respondent-Petitioner.

REVIEW OF DECISION OF THE COURT OF APPEALS Reported at 395 Wis. 2d 229,952 N.W.2d 831 PDC No:2021 WI App 79 - Published

OPINION FILED: November 26, 2021 SUBMITTED ON BRIEFS: ORAL ARGUMENT: September 29, 2021

SOURCE OF APPEAL:

COURT: Circuit COUNTY: Milwaukee JUDGE: Paul R. Van Grunsven

JUSTICES: ROGGENSACK, J., delivered the majority opinion of the Court, in which ZIEGLER, C.J., REBECCA GRASSL BRADLEY, and HAGEDORN, JJ., joined, and in which ANN WALSH BRADLEY, DALLET, and KAROFSKY, JJ., joined, except for ¶¶17 and 23-26. DALLET, J., filed a concurring opinion, in which ANN WALSH BRADLEY and KAROFSKY, JJ., joined. NOT PARTICIPATING:

ATTORNEYS:

For the defendant-respondent-petitioner, there were briefs filed by Thomas L. Shriner, Jr., Andrew J. Wronski, Philip C. Babler, Anne-Louise T. Mittal, and Foley & Lardner LLP, Milwaukee. There was an oral argument by Thomas L. Shriner, Jr.

For the plaintiff-appellant, there was a brief filed by Robert J. Welcenbach and Welcenbach Law Offices, S.C., Milwaukee; with whom on the brief was Scott C. Borison and Legg Law Firm LLC, Baltimore, Maryland; with whom on the brief was Jon Craig Jones

and Jones & Hill, LLC, Oakdale, Louisiana. There was an oral argument by Scott C. Borison.

An amicus curiae brief was filed on behalf of Wisconsin Association for Justice by Brett A. Eckstein and Cannon & Dunphy, S.C., Brookfield.

2021 WI 86

NOTICE

This opinion is subject to further editing and modification. The final version will appear in the bound volume of the official reports.

No. 2019AP2034 (L.C. No. 2018CV9938)

STATE OF WISCONSIN : IN SUPREME COURT Andrea Townsend,

Plaintiff-Appellant,

FILED

v. NOV 26, 2021 Sheila T. Reiff

ChartSwap, LLC, Clerk of Supreme Court

Defendant-Respondent-Petitioner.

ROGGENSACK, J., delivered the majority opinion of the Court, in which ZIEGLER, C.J., REBECCA GRASSL BRADLEY, and HAGEDORN, JJ., joined, and in which ANN WALSH BRADLEY, DALLET, and KAROFSKY, JJ., joined, except for ¶¶17 and 23-26. DALLET, J., filed a concurring opinion, in which ANN WALSH BRADLEY and KAROFSKY, JJ., joined.

REVIEW of the decision of the Court of Appeals. Reversed.

¶1 PATIENCE DRAKE ROGGENSACK, J. We review the court of appeals' decision1 reversing the circuit court's2 dismissal of Andrea Townsend's claim against ChartSwap, LLC ("ChartSwap") for

1Townsend v. ChartSwap, LLC, 2020 WI App 79, 395 Wis. 2d 229, 952 N.W.2d 831.

2The Honorable Paul R. Van Grunsven of Milwaukee County Circuit Court presided.

No. 2019AP2034

unlawfully overcharging her for copies of her medical records in contravention of the fee restrictions set out in Wis. Stat. § 146.83(3f) (2017-18).3 On appeal, ChartSwap urges us to reverse the court of appeals, arguing that the statutory fee restrictions do not apply to it because it is not a health care provider, which is statutorily defined, and because principles of agency law do not impose personal liability on it for the fees it charged.

¶2 We conclude that, under a plain meaning interpretation of Wis. Stat. § 146.81(1), ChartSwap is not a health care provider; and, therefore, it is not subject to the fee restrictions in Wis. Stat. § 146.83(3f)(b), which regulate health care providers. Additionally, we conclude that neither common law principles of agency nor the plain meaning of Wis. Stat. § 990.001(9) supports the conclusion that an agent is personally liable for charging more for health care records than the statute permits its principal to charge. Accordingly, we reverse the decision of the court of appeals.

3 All references to the Wisconsin Statutes are to the 2017-

18 version unless otherwise noted.

No. 2019AP2034

I. BACKGROUND

A. Factual History4

¶3 On August 2, 2016, Andrea Townsend ("Townsend") was injured in a car crash. Townsend retained a law firm for her personal injuries, and the firm, with her written consent, sought certified health care records and billings from Milwaukee Radiologists, which was involved in her care.

¶4 Following her attorney's request, ChartSwap replied on behalf of Milwaukee Radiologists and provided a one page certified health care record to Townsend, for which it charged $35.87. Townsend's attorneys paid the bill. Townsend then asserted claims against ChartSwap for negligent or intentional violation of the fee structure dictated for health care providers in Wis. Stat. § 146.83(3f)(b) and a claim for unjust enrichment.5 Townsend also

4 This case presents in the context of a motion to dismiss.

Therefore, facts are drawn from the complaint and taken as true and undisputed for purposes of the motion. Data Key Partners v. Permira Advisers LLC, 2014 WI 86, ¶18, 356 Wis. 2d 665, 849 N.W.2d 693.

5 In pleading "UNJUST ENRICHMENT," Townsend incorporated by reference all allegations about ChartSwap's charging more for the copy of her medical record than Townsend asserts ChartSwap lawfully could charge under Wis. Stat. § 146.83(3f)(b). Complaint ¶60. Townsend alleged that ChartSwap knew its charges were unlawful, and that it appreciated and received a benefit of the illegal charges that was inequitable. Id., ¶¶61-63. All of her allegations require that ChartSwap's charge for medical records were controlled by § 146.83(3f)(b), were in excess of the statutorily stated charges, and therefore were unlawful. As we explain fully below, her contentions are legally incorrect.

Before us Townsend asserts, "The Complaint sets forth facts and a cause of action in which it alleges that Milwaukee Radiologists was not entitled to charge these fees, that Chart[S]wap . . . acted as the agent of Milwaukee Radiologists and

No. 2019AP2034

alleged that ChartSwap had collected fees as the agent for and on behalf of Milwaukee Radiologists.

B. Procedural History

¶5 In the circuit court, ChartSwap moved to dismiss the complaint for failure to state a claim upon which relief can be granted. ChartSwap alleged that Wis. Stat. § 146.83(3f)(b) applies only to "health care providers" and that Townsend's complaint did not allege that ChartSwap was a health care provider within the statutory definition of that term. Moreover, ChartSwap, after initially disputing that it was the agent of Milwaukee Radiologists, argued that even if it were its agent, ChartSwap was not personally liable under Wisconsin common law principles of agency.

¶6 The circuit court granted ChartSwap's motion to dismiss.

It relied on the plain language of Wis. Stat. § 146.83(3f)(b) to determine that the fee restrictions applied only to health care providers. Therefore, because the complaint failed to allege that ChartSwap was a health care provider, it failed to state a claim

that Chart[S]wap illegally charged and obtained the money knowing it was illegal and must return it." Reply Br., 34.

Townsend does not allege facts sufficient to support a claim for unjust enrichment. Rather, she simply incorporates her statutory violation claim in paragraph 60 and labels it unjust enrichment. However, the type of claim is not determined by the label a party gives to a pleading. Tikalsky v. Friedman, 2019 WI 56, ¶14, 386 Wis. 2d 757, 928 N.W.2d 502. It is the facts alleged that matter. See Green Spring Farms v. Kersten, 136 Wis. 2d 304, 315, 401 N.W. 816 (1987). Here, no facts were alleged sufficient to support a claim for unjust enrichment. See Puttkammer v. Minth, 83 Wis. 2d 686, 688-89, 266 N.W.2d 361 (1978).

No. 2019AP2034

upon which relief could be granted. Additionally, the circuit court held that, regardless of whether ChartSwap was an agent for Milwaukee Radiologists, the common law of agency in Wisconsin does not impute a principal's liability for failing to comply with § 146.83(3f)(b) to an agent. The circuit court entered judgment dismissing Townsend's complaint, and she appealed.

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Andrea Townsend v. ChartSwap, LLC, 2021 WI 86, 967 N.W.2d 21, 399 Wis. 2d 599 (Wis. 2021).

2021 WI 86 (Andrea Townsend v. ChartSwap, LLC) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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