Folweiler Chiropractic, P.s., App/cross-resp v. Fair Health, Inc., Resp/cross-app

Court of Appeals of Washington·Decided June 4, 2018·No. 75864-1·Unpublished

Opinion

COURT-OF APPEALS DIV 1 ST'ATE OF WASHINGTON

2010 JUN -14 Ml 10: 39

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

FOLWEILER CHIROPRACTIC, PS, ) a Washington professional services ) No. 75864-1-1 corporation, ) ) DIVISION ONE Appellant, ) ) v. ) UNPUBLISHED OPINION ) FAIR HEALTH, INC., a New York ) corporation, ) ) Respondent. ) FILED: June 4, 2018 )

LEACH, J. — Folweiler Chiropractic PS sued FAIR Health Inc., alleging a

violation of Washington's Consumer Protection Actl (CPA). Folweiler appeals

the trial court's summary judgment dismissal of this claim and denial of its motion

to continue. FAIR Health, in turn, appeals the trial court's assertion of specific

personal jurisdiction over it and the denial of its request for attorney fees under

the long-arm statute.

Because FAIR Health does not have contacts with Washington sufficiently

connected to this lawsuit, Washington courts do not have personal jurisdiction

over it. If we had personal jurisdiction to decide this case on the merits, we

would affirm. Folweiler does not show an issue of fact about two elements of its

1 Ch. 19.86 RCW. No. 75864-1-1 / 2

CPA claim: (1) that FAIR Health committed an unfair or deceptive act or practice

and (2) that act or practice caused Folweiler's alleged injury. Also, the long-arm

statute entitles FAIR Health to attorney fees incurred in this litigation, including

fees on appeal. We affirm the dismissal, but we remand so the trial court can

award these fees.

FACTS

FAIR Health is a New York nonprofit corporation. FAIR Health was

created as part of a settlement between UnitedHealth Group and the New York

State Attorney General after an investigation of lngenix Inc. This company

performed much the same function that FAIR Health now does. The New York

Attorney General determined that Ingenix, as a wholly owned subsidiary of

UnitedHealth Group Incorporated, had a conflict of interest. FAIR Health was

designed to operate independently of any insurer.

Fair Health provides an independent, impartial source of data about the

cost of health care procedures. It educates consumers and offers them free tools

to make it easier for them to estimate out-of-network expenses, disseminates its

data to all health care participants to promote fair billing and reimbursement

practices, and makes its data available for policy making and academic research.

-2- No. 75864-1-1/ 3

FAIR Health developed a national database with the help of academic

experts, statisticians, and health care economists. The database contains health

care charges for privately insured individuals. The database includes the actual,

nondiscounted fees charged by providers before network discounts or other

allowances are applied. FAIR Health maintains its database by collecting data

from health insurers and plan administrators, including Washington insurers, who

license the database for use in paying claims. FAIR Health organizes the data

based on "geo-zips," the first three digits of providers' zip codes, and a specific

procedure's current procedural terminology(CPT)code.2

Folweiler is a Washington professional services corporation that provides

chiropractic and massage therapy care in Washington. Folweiler provided care

to patients with personal injury protection (PIP) coverage under an automobile

insurance policy issued in Washington by Progressive Insurance. The PIP

statute requires insurers to pay all reasonable bills submitted.3 Insurers must

investigate if a bill is reasonable before refusing to pay it in full.4 Mitchell

Medical, a California company that does business in California, reviewed

2 The American Medical Association assigns a CPT code to every type of medical procedure. 3 RCW 48.22.085, .005(7). 4 WAC 284-30-330. -3- No. 75864-1-1 /4

Folweiler's bills for Progressive.5 Folweiler alleges that Mitchell used the FAIR

Health database to automatically reduce its bills to the 90th percentile of the

charges for the same procedure in the same geographical area. Progressive

then determined that Folweiler's charge of $95 for a certain procedure was

unreasonable and instead reimbursed it at the 90th percentile level, which was

$91.

Folweiler sued FAIR Health, alleging a CPA violation.6 The trial court

denied FAIR Health's motion to dismiss for lack of personal jurisdiction. The

court granted Folweiler's motion for class certification. Both parties moved for

partial summary judgment on the issue of liability. The motions were set to be

argued together. Folweiler asked the court to delay consideration of FAIR

Health's motion so Folweiler could do further discovery but to proceed to hear

Folweiler's own motion. The trial court denied the continuance request. It

considered both summary judgment motions at the same time. The trial court

granted FAIR Health's motion and denied Folweiler's.

Both Folweiler and FAIR Health appeal the trial court's various decisions.

5 The record does not establish that Mitchell is a California company, but the parties apparently agree that this is the case. 6 Folweiler also sued Progressive insurance companies, alleging a violation of the CPA. The parties settled the case. Folweiler Chiropractic, PS v. Progressive Max Ins. Co., No. 15-2-17846-6 SEA (King County Super. Ct., Wash.)(docket nos. 44, 45). -4- No. 75864-1-1 / 5

ANALYSIS

I. Jurisdiction

Due process limits a state court's authority to proceed against a

defendant.7 Thus, we first must consider FAIR Health's personal jurisdiction

challenge. We conclude that Washington state courts do not have personal

jurisdiction over FAIR Health in this matter.

We review the denial of a motion to dismiss for lack of personal jurisdiction

de novo.8 "When a motion to dismiss for lack of personal jurisdiction is resolved

without an evidentiary hearing, the plaintiffs burden is only that of a prima facie

showing of jurisdiction."9 Even when the trial court has considered matters

outside the pleadings, "[for purposes of determining jurisdiction, this court treats

the allegations in the complaint as established.'"19 For matters outside the

pleadings, this court draws reasonable inferences in the light most favorable to

the nonmoving party."

7 Noll v. Am. Biltrite Inc., 188 Wn.2d 402, 411, 395 P.3d 1021 (2017) (quoting Goodyear Dunlop Tires Operations, SA v. Brown, 564 U.S. 915, 923, 131 S. Ct. 2846, 180 L. Ed. 2d 796 (2011)). 8 State v. LG Elecs., Inc., 186 Wn.2d 169, 176, 375 P.3d 1035 (2016). 9 LG Elecs., 186 Wn.2d at 176. 19 State v. LG Elecs., Inc., 185 Wn. App. 394, 406, 341 P.3d 346 (2015) (alteration in original)(quoting Freestone Capital Partners LP v. MKA Real Estate Opportunity Fund I, LLC, 155 Wn. App. 643, 654, 230 P.3d 625 (2010)), aff'd, 186 Wn.2d 169, 375 P.3d 1035 (2016). 11 State v. AU Optronics Corp., 180 Wn. App. 903, 912, 328 P.3d 919 (2014). -5- No. 75864-1-1 /6

"Under Washington's long arm jurisdiction statute, RCW 4.28.185,

personal jurisdiction exists in Washington over nonresident defendants and

foreign corporations as long as it complies with federal due process."12 Due

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