Dr. Robert L. Meinders, D.C. v. United HealthCare Services

7 F.4th 555
CourtCourt of Appeals for the Seventh Circuit
DecidedJuly 30, 2021
Docket20-2832
StatusPublished
Cited by25 cases

This text of 7 F.4th 555 (Dr. Robert L. Meinders, D.C. v. United HealthCare Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dr. Robert L. Meinders, D.C. v. United HealthCare Services, 7 F.4th 555 (7th Cir. 2021).

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________ No. 20-2832 DR. ROBERT L. MEINDERS, D.C., LTD., individually and as the representative of a class of similarly-situated persons, Plaintiff-Appellant,

v.

UNITED HEALTHCARE SERVICES, INC., et al. Defendants-Appellees. ____________________

Appeal from the United States District Court for the Southern District of Illinois. No. 3:14-cv-00548-SMY — Staci M. Yandle, Judge. ____________________

ARGUED APRIL 14, 2021 — DECIDED JULY 30, 2021 ____________________

Before MANION, ST. EVE, and KIRSCH, Circuit Judges. KIRSCH, Circuit Judge. In 2013, Dr. Robert L. Meinders, D.C., Ltd., received a single fax advertisement from United Healthcare Services, Inc., a company with whom Meinders had done business for around seven years. Meinders believed 2 No. 20-2832

that, by sending the fax, United violated the Telephone Con- sumer Protection Act. Accordingly, Meinders sued, and after seven years of litigation, a threshold question remains: Should the litigation proceed in federal court, or should United be al- lowed to force Meinders to arbitrate? The answer to that ques- tion turns primarily on resolving whether United assumed the duties that a related company, American Chiropractic Network, Inc., 1 promised to perform for Meinders in a pro- vider agreement. The district court held that United had assumed ACN’s obligations and as a result could enforce an arbitration clause Meinders had agreed upon with ACN. We agree with the dis- trict court, and thus affirm. I A Meinders 2 offers chiropractic services in St. Louis County, Illinois. United 3 provides or administers insurance plans na- tionwide. In 2006, Meinders decided to become a “participat- ing provider” with United so that he could expand his cus- tomer base to include individuals within United’s insurance network. To become a participating provider in United’s net- work, Meinders entered into a provider agreement with ACN, a wholly owned subsidiary of UnitedHealthcare Ser- vices, Inc., in order to access United’s network of patients.

1 ACN is now OptumHealth Care Solutions, Inc.; because the parties con- tinue to refer to the company as ACN, we do as well. 2 We refer to Meinders directly instead of as a corporate entity. 3For simplicity, we refer to defendants United Healthcare Services, Inc., and UnitedHealthcare of Illinois, Inc., collectively as “United.” No. 20-2832 3

ACN provided administrative and network management ser- vices for chiropractors and had a preexisting master services agreement with United. The provider agreement that Meinders entered into with ACN is the focus of this appeal. The basic terms of the agree- ment established that Meinders promised to provide chiro- practic services to those with “participating plans” in ex- change for ACN’s promise to provide Meinders with admin- istrative services. More specifically, ACN promised to pro- vide “case management, quality management, reporting, [and] claims processing, including, but not limited to coordi- nating and transmitting billings and payments between Payors and Provider.” R. 83-1 at 3. The “Provider” was Meinders, and a “Payor” was defined as an “[e]mployer, in- surance carrier, ... or other entity, including, but not limited to ACN …, which is responsible for direct payment of Covered Services in accordance with a Plan.” Id. Additionally, ACN agreed to, among other things, “enter into arrangements with Plans to offer a network of Providers to provide Chiropractic Services to Members,” and to furnish plan summaries for Meinders. Id. Several other provisions governed the relationship of the parties to the agreement. First, the provider agreement al- lowed ACN, “in its sole discretion,” to “assign its rights, du- ties or obligations” under the agreement “without approval” from Meinders. Id. at 11. ACN also promised to notify Meinders in writing if it assigned any duties or obligations before assignment. Id. Second, the provider agreement stated that if a dispute arose and neither ACN nor Meinders agreed to a mutual resolution, either party “may” submit the issue “to arbitration.” Id. at 12. Both ACN and Meinders agreed that 4 No. 20-2832

any arbitration decision would be “final and binding as to each of them.” Id. Once Meinders signed the provider agreement, he submit- ted claims for United-insured patients directly to United, and United paid those claims. Those claims were submitted on United forms. Over several years, Meinders submitted up- wards of 6,000 claims to United. And if an explanation-of-ben- efits form was requested, United provided it. United also pro- vided a “Network Bulletin” monthly to Meinders that dis- cussed changes in United policies. Additionally, Meinders confirmed a patient’s eligibility either through United’s web- site or through a United phone number. Meinders testified that the business relationship ran “through United,” and United’s corporate representative confirmed that it provided these services (and more) from “day one” of the provider agreement. Five years before Meinders agreed to the provider agree- ment with ACN, ACN had entered into a master services agreement with United. At that time, ACN was not yet a wholly owned subsidiary of United, so the agreement al- lowed United to access the chiropractors with whom ACN had relationships. The master services agreement bound United to “use commercially reasonable efforts to comply with obligations set forth in” ACN’s “Participating Provider agreements,” including a variety of provider-related services R. 83-7 at 4. In exchange, ACN promised to perform various tasks related to developing the network of providers and to give United access to those providers. Meinders was not party to this agreement, and it did not contemplate third-party ben- eficiaries. No. 20-2832 5

B In 2013, United sent the fax that forms the basis for Meinders’s TCPA claim. Since then, the litigation has traveled a long and winding journey, much of which we discussed in not one, but two prior appeals. See Dr. Robert L. Meinders, D.C., Ltd. v. UnitedHealthcare, Inc., 800 F.3d 853, 855–56 (7th Cir. 2015) (“Meinders I”); Dr. Robert L. Meinders, D.C., Ltd. v. United Healthcare, Inc., No. 16-2994, slip op. at 1–2 (7th Cir. June 1, 2020) (“Meinders II”). So we limit our discussion here to the procedural history relevant to this appeal. United initially moved to dismiss Meinders’s TCPA claim for improper venue under Federal Rule of Civil Procedure 12(b)(3) in 2014, citing the provider agreement’s arbitration clause. After the district court granted United’s motion, we reversed on procedural grounds. See Meinders I, 800 F.3d at 857–58. But we also noted that, on the merits, “both parties acknowledge that the contractual theory of assumption is one through which a nonsignatory to an arbitration agreement can enforce the agreement.” Id. at 858. What was left to decide in the litigation, we observed, was “whether such an assump- tion occurred here.” Id. Because the factual record was sparse on that point, we remanded to the district court for adversar- ial testing of United’s factual assertions concerning assump- tion and to “delineate the metes and bounds of United’s as- sumption.” Id. at 859. On remand, Meinders amended his complaint. He real- leged his TCPA claim and added other state law claims and seven United entities as defendants. After the district court al- lowed limited discovery focused on assumption, United re- newed its motion to dismiss for improper venue under Rule 12(b)(3). The district court again granted United’s motion and 6 No. 20-2832

stayed the litigation as it concerned the seven other United entities.

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7 F.4th 555, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dr-robert-l-meinders-dc-v-united-healthcare-services-ca7-2021.