Ayers v. Ciox Health, LLC

CourtDistrict Court, D. Maryland
DecidedMay 29, 2024
Docket8:23-cv-03079
StatusUnknown

This text of Ayers v. Ciox Health, LLC (Ayers v. Ciox Health, LLC) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ayers v. Ciox Health, LLC, (D. Md. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

EARL AYERS, et al., *

Plaintiffs, *

v. * Civ. No. DLB-23-3079

CIOX HEALTH, LLC, *

Defendant. *

MEMORANDUM OPINION Earl Ayers and Melissa Harmon sued CIOX Health, LLC (“CIOX”) on their own behalf and on behalf of a putative class for charging a medical records fee they claim violated Maryland’s Confidentiality of Medical Records Act (“MCMRA”), Md. Code Ann., Health-Gen. §§ 4-301 et seq.; Consumer Protection Act (“MCPA”), Md. Code Ann., Com. Law §§ 13-101 et seq.; and Consumer Debt Collection Act (“MCDCA”), Com. Law § 14-202(8). ECF 3. The plaintiffs filed their complaint in the Circuit Court for Montgomery County, Maryland. Id. CIOX removed the case to this court. ECF 1. Now the plaintiffs move to remand the case back to state court on the ground that the amount in controversy is not high enough to sustain federal jurisdiction. ECF 10. The motion is fully briefed. ECF 10-1, 17, 21. No hearing is necessary. See Loc. R. 105.6. For the reasons that follow, the motion to remand is granted. I. Background CIOX is a Georgia corporation that contracts with health care providers to maintain, retrieve, and prepare patients’ medical records. ECF 3, ¶¶ 2, 18, 21. When CIOX completes a response to a patient’s request, CIOX charges the patient certain fees. Id. ¶¶ 3–6. One fee is relevant here: When a patient requests a record that CIOX determines does not exist, CIOX charges the patient what it calls a “Basic Fee” as high as $22.88. Id. ¶¶ 6–7. The plaintiffs initially alleged that CIOX has collected between $2 million and $3 million from charging this Basic Fee for requests that are made through Maryland healthcare providers and that turn up no records. Id. ¶ 9. CIOX later estimated that between October 3, 2011 and October 3, 2023, the company collected

over $2,890,000—about $250,000 each year. ECF 1, ¶ 14 (citing ECF 1-2, ¶¶ 5, 8). The plaintiffs now accept that figure. ECF 10-1, at 15. On September 7, 2021, Harmon—a Maryland resident—requested her medical records from Medstar Health Physicians in Baltimore, Maryland through her attorneys. ECF 3, ¶ 15. On September 15, CIOX notified her attorneys that it had not been able to locate any records for her. Id. ¶ 16. CIOX also sent Harmon an invoice charging her the Basic Fee of $22.88. Id. Harmon’s attorneys paid the fee, and Harmon later reimbursed them. Id. On September 29, 2021, Ayers—also a Maryland resident—requested his medical records from Southern Maryland Hospital Center in Clinton, Maryland through his attorneys. Id. ¶ 13. On October 14, CIOX informed Ayers’ attorneys that it found no records for him. Id. ¶ 14. CIOX also

sent one of Ayers’ attorneys an invoice charging Ayers the $22.88 Basic Fee. Id. Ayers’ attorney paid the fee, and Ayers then reimbursed him. Id. On October 3, 2023, Ayers and Harmon filed a class action complaint against CIOX in the Circuit Court for Montgomery County, Maryland. ECF 1, ¶ 1. The plaintiffs claim that charging the Basic Fee for requests that yield no records violates the MCMRA, the MCPA, and the MCDCA. ECF 3, ¶¶ 94–122. The plaintiffs define the class they seek to represent as [a]ll persons who, during the time frame of this complaint, sought copies of Medical Records from a Maryland health care provider, or had their Medical Records requested by some other person pursuant to their authorization, and were charged a fee of any type by CIOX Health, LLC after it was determined that no such Medical Records existed. Id. ¶ 81. The plaintiffs request an order certifying the case as a class action, actual damages, a declaration under the Maryland Declaratory Judgment Act “that CIOX’s predatory conduct and unlawful billing and collections practices alleged herein” violate the MCMRA, and an award of reasonable attorneys’ fees and costs. ECF 3, at 23; see also id. ¶¶ 123–28. The plaintiffs also allege

that “[a]s a result of CIOX’s failure to comply with the MCDCA,” they and the members of the class “suffered actual loss, emotional distress, mental anguish and other damages.” Id. ¶ 122. On November 10, 2023, CIOX removed the case to this court. ECF 1. On December 7, the plaintiffs moved to remand. ECF 10. CIOX opposed the motion. ECF 17. The plaintiffs replied. ECF 21. CIOX moved for leave to file a surreply. ECF 22. The plaintiffs opposed that motion. ECF 23.1 The plaintiffs later filed a notice of supplemental authority. ECF 24. Meanwhile, on December 1, 2023, Ashley Hoggard and Maia Bar Am, on behalf of themselves and a putative class, sued CIOX in the Circuit Court for Montgomery County, Maryland over several fees CIOX charges for the delivery of electronic medical records: among them, the “Electronic Data Archive Fee,” “Digital Archive Fee,” “Retrieval Fee,” “Instant

Download Fee,” and “Handling Fee.” ECF 2 in Hoggard v. CIOX Health, LLC, Civ. No. DLB- 23-3457 (D. Md.) (“Hoggard”). The complaint in that case expressly disclaimed making any challenge to the Basic Fee for requests yielding no records. Id. ¶ 6. On December 21, 2023, CIOX removed Hoggard to this court. ECF 1 in Hoggard. And on January 19, 2024, the Hoggard plaintiffs moved to remand that case to state court. ECF 17 in Hoggard. One other, prior case provides relevant context. On February 3, 2022, Charles Pugh and Veronica Stewart, individually and on behalf of a class, sued CIOX in the Circuit Court for

1 The Court denies CIOX’s motion for leave to file a surreply because CIOX has not shown that it is necessary. See Khoury v. Meserve, 268 F. Supp. 2d 600, 605–06 (D. Md. 2003). Even if the Court were to consider the surreply, it would make no difference to the holding of this opinion. Montgomery County, Maryland. ECF 2 in Pugh v. CIOX Health, LLC, Civ. No. PX-22-617 (D. Md.) (“Pugh”). The Pugh plaintiffs challenged both sets of fees that the plaintiffs challenge in this case and in Hoggard: the Basic Fee for requests where no records are found and the fees for the delivery of electronic records. See id. ¶¶ 7, 54–60. CIOX removed that case to this court. ECF 1

in Pugh. The plaintiffs moved to remand. ECF 40 in Pugh. Ultimately, the court denied the motion on the ground that the court would have original jurisdiction over the case pursuant to the Class Action Fairness Act (“CAFA”), 28 U.S.C. § 1332(d). On September 26, 2023—about a week before Ayers was filed—the Pugh plaintiffs voluntarily dismissed their case. See ECF 54 in Pugh. Counsel in Pugh represent the plaintiffs in Ayers and in Hoggard. II. Standard of Review When a plaintiff files a case in state court, the defendant has “[t]he right to remove [the] case from state to federal court” if a United States district court would have original jurisdiction. See Mulcahey v. Columbia Organic Chems. Co., 29 F.3d 148, 151 (4th Cir. 1994) (citing 28 U.S.C. § 1441). If the defendant predicates removal on diversity jurisdiction, “the cause of action must be

between parties of completely diverse state citizenship, that is, no plaintiff may be a citizen of the same state as any defendant, and the amount in controversy must exceed $75,000.” Elliott v. Am. States Ins. Co., 883 F.3d 384, 394 (4th Cir. 2018) (citing 28 U.S.C. § 1332(a)(1)).

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