Brain & Spine Surgeons of New York, P.C. v. Triple-S Saulud Inc.

CourtDistrict Court, S.D. New York
DecidedSeptember 11, 2024
Docket7:22-cv-08951
StatusUnknown

This text of Brain & Spine Surgeons of New York, P.C. v. Triple-S Saulud Inc. (Brain & Spine Surgeons of New York, P.C. v. Triple-S Saulud Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brain & Spine Surgeons of New York, P.C. v. Triple-S Saulud Inc., (S.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK BRAIN & SPINE SURGEONS OF NEW YORK, P.C., a New York professional corporation, Plaintiff, OPINION AND ORDER

-against- No. 22-CV-08951 (PMH) TRIPLE–S SALUD INC., d/b/a “BLUE CROSS

BLUE SHIELD OF PUERTO RICO,” a foreign corporation, Defendant. PHILIP M. HALPERN, United States District Judge: Brain & Spine Surgeons of New York, P.C. (“Plaintiff”) commenced this action against Triple-S Salud Inc., d/b/a “Blue Cross Blue Shield of Puerto Rico” (“Defendant”) on October 20, 2022. (Doc. 1, “Compl.”). The Complaint presses two claims for relief: unjust enrichment and breach of implied-in-fact contract. (Id.). The Court held a pre-motion conference concerning Defendant’s anticipated motion to dismiss on May 31, 2023 and, in light of Defendant’s jurisdictional arguments, directed the parties to conduct limited jurisdictional discovery. (See May 31, 2023 Min. Entry). The parties engaged in said discovery and the Court thereafter conducted a continued pre-motion conference on July 26, 2023, at which time a briefing schedule for Defendant’s motion was set. (See July 26, 2023 Min. Entry). Defendant moved to dismiss the Complaint under Federal Rules of Civil Procedure 12(b)(2) and 12(b)(6) in accordance with the briefing schedule set by the Court. (Doc. 28; Doc. 29, “Def. Br.”; Doc. 30, “Leitner Decl.”). Plaintiff filed opposition thereto (Doc. 33, “Pl. Br.”; Doc. 34, “Turner Decl.”), and the motion was fully submitted upon the filing of Defendant’s reply brief (Doc. 31, “Reply”).1 For the reasons set forth below, Defendant’s partial motion to dismiss is GRANTED in part and DENIED in part. BACKGROUND

Defendant, a foreign corporation based in Puerto Rico, provides health insurance coverage in the Commonwealth of Puerto Rico and the Virgin Islands of the United States. (Compl. ¶ 6). Defendant “does not have any office in New York, nor does it employ anyone who resides in New York,” and “is regulated by Puerto Rico and not New York.” (Leitner Decl., Ex. A, “Torres-López Decl.” ¶¶ 4, 16). Defendant is a licensee of the Blue Cross Blue Shield Association (the “Association”). (Compl. ¶ 49). Non-party Empire Blue Cross Blue Shield (“Empire”) is also a member of the Association. (Id. ¶ 50; Torres-López Decl. ¶ 12). The Association’s licensees participate in the BlueCard Program, which “facilitates cooperation among all licensees of the BCBS Association, allows the licensees to operate as a single national program, and provides ‘a single point of contact for . . . claims payment/adjustment and issue resolution.’” (Compl. ¶ 53).

Plaintiff alleges that pursuant to the BlueCard Program, when subscribers of certain health insurance plans issued by Defendant receive medical services in New York, Empire acts as Defendant’s agent in administering the claims for those services in accordance with its payment arrangements with providers in the state of New York. (Id. ¶ 56). Plaintiff “provides medical services to patients in Westchester County, New York” through its physicians. (Id. ¶ 18). Plaintiff alleges that between August 18 and 22, 2016, Plaintiff’s

1 Plaintiff requested, and the Court granted, permission to submit in native Excel format a Claims Spreadsheet in camera. (Doc. 32; Doc. 35). 2 physicians performed two emergency, medically necessary procedures on Patient I.F. as a result of their severe spinal injuries. (Id. ¶¶ 3, 35, 36). Plaintiff alleges that it was obligated under Federal and New York laws to perform these procedures due to the emergency nature of Patient I.F.’s medical condition. (Id. ¶¶ 43, 45). Patient I.F. was covered under Defendant’s policy and was a part of the Association’s

BlueCard Program. (Id. ¶¶ 1, 25, 58). Plaintiff submitted health insurance claim forms (the “Claims”) to Defendant, through Empire, requesting reimbursement for the subject medical services rendered to Patient I.F. (Id. ¶ 64). Plaintiff charged a combined total of $893,184.00 for those medical services, but Defendant (individually and/or through Empire) only paid Plaintiff a combined total of $17,814.71. (Id. ¶¶ 66, 67). Plaintiff is an “out-of-network” provider with Defendant and did not have any prior agreements for rates of payment with Defendant. (Id. ¶ 37). Plaintiff alleges that “industry standards dictate that . . . the amount Defendant should pay to Plaintiff for the Surgeries is based on ‘the reasonable and customary amount,’” and that “Defendant is therefore obligated to pay

Plaintiff for the reasonable value of the services provided as part of the Surgeries.” (Id. ¶¶ 39, 41). Plaintiff alleges that “Defendant’s actions have effectively prevented Plaintiff from recovering the amounts owed because . . . Plaintiff is prohibited by statute from requesting the additional payment from Patient.” (Id. ¶ 48). This litigation followed. STANDARD OF REVIEW I. Federal Rule of Civil Procedure 12(b)(2) “A party may move to dismiss an action for “lack of personal jurisdiction.” Fed. R. Civ. P. 12(b)(2). Although it is a plaintiff’s burden to establish jurisdiction in response to such a motion, 3 “the showing a plaintiff must make to defeat a defendant’s claim that the court lacks personal jurisdiction over it varies depending on the procedural posture of the litigation.” Dorchester Fin. Secs., Inc. v. Banco BRJ, S.A., 722 F.3d 81, 84 (2d Cir. 2013).2 At this stage, “[i]n order to survive a motion to dismiss for lack of personal jurisdiction, a plaintiff must make a prima facie showing that jurisdiction exists.” Licci ex rel. Licci v. Lebanese Canadian Bank, SAL, 732 F.3d 161, 167

(2d Cir. 2013); NuMSP, LLC v. St. Etienne, 462 F. Supp. 3d 330, 341 (S.D.N.Y. 2020) (“[T]he plaintiff in opposing a 12(b)(2) motion cannot rely merely on conclusory statements or allegations; rather, the prima facie showing must be factually supported.”). “Such a showing entails making legally sufficient allegations of jurisdiction, including an averment of facts that, if credited, would suffice to establish jurisdiction over the defendant.” Penguin Grp. (USA) Inc. v. Am. Buddha, 609 F.3d 30, 35 (2d Cir. 2010). The Court “may consider materials outside the pleadings” in analyzing a motion to dismiss under Rule 12(b)(2). Dorchester Fin. Sec., Inc. v. Banco BRJ, S.A., 722 F.3d 81, 86 (2d Cir. 2013). “The allegations in the complaint must be taken as true to the extent they are uncontroverted by the defendant’s affidavits.” MacDermid, Inc. v. Deiter, 702 F.3d 725, 727

(2d Cir. 2012). “However, where a defendant rebuts a plaintiff’s unsupported allegations with direct highly specific, testimonial evidence regarding a fact essential to jurisdiction—and plaintiff does not counter that evidence—the allegation may be deemed refuted.” Williams v. PMA Cos., Inc., 419 F. Supp. 3d 471, 480 (N.D.N.Y. 2019). “Assessing whether Defendants are subject to specific long-arm personal jurisdiction— that is, jurisdiction based upon their contacts with the state—is a two-step process.” Yak v. BiggerPockets, L.L.C., No. 19-CV-05394, 2020 WL 5505351, at *3 (S.D.N.Y. Sept. 10, 2020).

2 Unless otherwise indicated, case quotations omit all internal citations, quotation marks, footnotes, and alterations.

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Brain & Spine Surgeons of New York, P.C. v. Triple-S Saulud Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/brain-spine-surgeons-of-new-york-pc-v-triple-s-saulud-inc-nysd-2024.