ATLANTIC AMBULANCE CORPORATION VS. JOHN G. CULLUM ATLANTIC AMBULANCE CORPORATION VS. HALA HITTI(L-264-12 AND L-2097-12, MORRIS COUNTY AND STATEWIDE)(RECORD IMPOUNDED)

166 A.3d 260, 451 N.J. Super. 247
CourtNew Jersey Superior Court Appellate Division
DecidedJune 29, 2017
DocketA-1622-16T2
StatusPublished
Cited by8 cases

This text of 166 A.3d 260 (ATLANTIC AMBULANCE CORPORATION VS. JOHN G. CULLUM ATLANTIC AMBULANCE CORPORATION VS. HALA HITTI(L-264-12 AND L-2097-12, MORRIS COUNTY AND STATEWIDE)(RECORD IMPOUNDED)) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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ATLANTIC AMBULANCE CORPORATION VS. JOHN G. CULLUM ATLANTIC AMBULANCE CORPORATION VS. HALA HITTI(L-264-12 AND L-2097-12, MORRIS COUNTY AND STATEWIDE)(RECORD IMPOUNDED), 166 A.3d 260, 451 N.J. Super. 247 (N.J. Ct. App. 2017).

Opinion

RECORD IMPOUNDED

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-1622-16T2

ATLANTIC AMBULANCE CORPORATION,

Plaintiff-Respondent,

v. APPROVED FOR PUBLICATION

JOHN G. CULLUM and MARY CLARE June 29, 2017 CULLUM, APPELLATE DIVISION

Defendants-Appellants. ___________________________

v.

HALA HITTI and ANTOINE HITTI,

Defendants-Appellants.

_____________________________________

Argued May 23, 2017 - Decided June 29, 2017

Before Judges Reisner, Koblitz and Mayer.

On appeal from an interlocutory order of the Superior Court of New Jersey, Law Division, Morris County, Docket Nos. L-264-12 and L-2097-12.

Robert W. Mauriello, Jr., argued the cause for appellants (Graham Curtin, P.A., attorneys; Kelley J. Hastie and Mr. Mauriello, on the briefs). James W. Brown (Skadden, Arps, Slate, Meagher & Flom) of the New York bar, admitted pro hac vice, argued the cause for respondent (Schenck Price Smith & King, LLP and Mr. Brown, attorneys; Lauren E. Aguiar (Skadden, Arps, Slate, Meagher & Flom) of the New York bar, admitted pro hac vice, Mr. Brown and Peter A. Marra, on the brief).

The opinion of the court was delivered by

MAYER, J.S.C. (temporarily assigned)

Appellants John G. Cullum and Mary Clare Cullum (Cullum) and

Hala Hitti and Antoine Hitti (Hitti)1 were granted leave to appeal

denial of their motion for class certification. We affirm in part

and remand in part.

In reaching this decision, we hold that ambulance service

providers are not subject to consumer fraud claims under the

"learned professional" exception because ambulance services are

comprehensively regulated by a State agency. We also hold that

the reasonableness of rates charged for ambulance services is a

policy matter to be addressed by the Legislature and agencies

within the Executive branch of government. We further determine

that consumers are not required to pay a defendant's bill for

allegedly overpriced services, in order to establish an

ascertainable loss under the Consumer Fraud Act.

1 Because Hitti and Cullum were defendants and counterclaimants, for simplicity we refer to them as "appellants" although we usually refer to parties by their status in the trial court.

2 A-1622-16T2 We briefly recite the relevant procedural history. Atlantic

Ambulance Corp. (Atlantic) filed complaints in the Special Civil

Part against Cullum and Hitti seeking payment for ambulance

services. Cullum and Hitti filed answers and counterclaims,

alleging that Atlantic overbilled for ambulance services in

violation of the Consumer Fraud Act, N.J.S.A. 56:8-1 to -20 (CFA).

The counterclaims also asserted causes of action against Atlantic

for negligence, common law fraud, breach of contract and unjust

enrichment.2 Appellants also sought class certification on behalf

of themselves as class representatives and on behalf of all

proposed class members who were overcharged for ambulance services

during a six-year period. The Cullum and Hitti matters were

transferred from the Special Civil Part to the Law Division and

were consolidated. After five years of discovery, appellants

filed a motion seeking class certification.

The facts giving rise to appellants' overbilling claims

against Atlantic are undisputed. Cullum and Hitti initially

alleged that they did not receive services from Atlantic and,

therefore, the fees charged by Atlantic for services were improper

and/or excessive. However, during oral argument on the class

2 On appeal, appellants are pursuing their CFA and breach of "quasi-contract" claims only.

3 A-1622-16T2 certification motion, counsel clarified that Cullum and Hitti

received services, but claimed the bills they received were

unconscionably high. The dispute focused on Atlantic's provision

of ALS services, which are divided into three categories: ALS

Assessment, ALS-1 and ALS-2. Different services are provided to

patients for each ALS category, ranging from a basic physical

examination and electrocardiogram readings to more complex medical

treatments.

The amount billed to patients receiving ambulance services

depends on the category of the support rendered. For ALS services,

Atlantic charged the following: $1500 for an ALS Assessment, plus

a mileage fee; $1750 for ALS-1 services, plus a mileage fee; and

$2300 for ALS-2 services, plus a mileage fee. Appellants

challenged Atlantic's formulation of the billing rates for ALS

services. They claimed that Atlantic's fees for ALS services

should be itemized, specifying the amount charged for each service,

rather than bundled. Appellants alleged that Atlantic's uniform

flat rates were excessive and disproportionate to the

reimbursement rates assessed by insurance providers for similar

services.

In Cullum's case, he passed out at his gym and Atlantic was

called to provide ambulance services. Other than blood pressure

monitoring, Cullum denied receiving any medical services from

4 A-1622-16T2 Atlantic. Cullum's bill from Atlantic was $1750, plus a mileage

fee for transporting him to the hospital. Cullum's health

insurance provider paid a portion of Atlantic's bill, and he was

responsible for payment of the outstanding balance of $1459.20.

In Hitti's case, she fainted in her home and Atlantic

performed an ALS Assessment. Hitti declined transportation to the

hospital but was charged $14 for transport of one mile. Hitti's

bill was $1500, plus the mileage fee. Hitti's health insurance

provider declined to pay Atlantic's bill due to a purported billing

code error.

Appellants sought class certification on behalf of themselves

and approximately 36,000 individuals who were allegedly overbilled

by Atlantic.3 Appellants claimed that their cause of action

satisfied the requirements for class certification. See R. 4:32-

1(a); see also Muise v. GPU, Inc., 371 N.J. Super. 13, 30 (App.

Div. 2004) (the requirements are numerosity, commonality,

typicality and adequacy). Appellants also argued that they met

the requirements of Rule 4:32-1(b)(3) by raising "questions of law

3 In the six-year period, appellants contend there were approximately 10,000 individuals who were charged a $14 mileage fee despite not being transported to a hospital (the non- transported individuals are identified as the "Hitti class") and 26,000 individuals who were transported to a hospital but were charged an exorbitant bundled rate for ambulance services (these individuals are identified as the "Cullum class").

5 A-1622-16T2 or fact common to the members of the class [that] predominate over

any questions affecting only individual members, and that a class

action is superior to other available methods for fair and

efficient adjudication of the controversy." R. 4:32-1(b)(3); see

also Iliadis v. Wal-Mart Stores, Inc., 191 N.J. 88, 106-07 (2007).

Appellants maintained their claims were common, typical and

adequate with respect to the claims of the proposed class members

because all were victims of Atlantic's unlawful billing practices

and unconscionable rates in violation of the CFA.4 Appellants

contended that Atlantic had a duty to charge a reasonable fee for

services and breached that duty. For the Hitti class, the issue

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166 A.3d 260, 451 N.J. Super. 247, Counsel Stack Legal Research, https://law.counselstack.com/opinion/atlantic-ambulance-corporation-vs-john-g-cullum-atlantic-ambulance-njsuperctappdiv-2017.