Gege Odion v. Avesis, Inc.

Court of Appeals of Georgia·Decided June 18, 2020·No. A20A0658·Published

Opinion

SECOND DIVISION

MILLER, P. J.,

MERCIER and MARKLE, JJ.

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June 18, 2020

In the Court of Appeals of Georgia A20A0658. ODION et al. v. AVESIS, INC. et al.

MILLER, Presiding Judge.

This case, which appears before this Court for the second time, involves a dispute between a health care provider, Dr. Gege Odion, and various health insurance provider defendants (collectively “Avesis”), concerning Odion’s provider agreement. On appeal, Odion argues that the trial court (1) erred by granting Avesis’ motion for judgment on the pleadings; (2) erred by denying his motion to vacate the final arbitration award entered in this case; (3) erred by dismissing his claims for equitable relief; and (4) erred by granting Avesis’ motion for attorney fees under OCGA §§ 9- 15-14 (a) and (b).

We determine that the trial court partially erred in granting Avesis’ motion for judgment on the pleadings because it could not reach the question of whether Odion’s

substantive claims were time-barred, and, concomitantly, the trial court erred in ruling that any request for equitable relief stemming from Odion’s substantive claims was therefore moot. We affirm, however, the trial court’s denial of Odion’s motion to vacate the arbitrator’s final award, and we also affirm the trial court’s denial of Odion’s request for an order permanently enjoining Avesis from “continuing their discriminatory practices” against him. Accordingly, we affirm in part and reverse in part.

“On appeal, we review de novo the trial court’s decision on a motion for judgment on the pleadings, and we construe the complaint in a light most favorable to the appellant, drawing all reasonable inferences in his favor.” (Citation omitted.) Hewell v. Walton County, 292 Ga. App. 510, 510-511 (664 SE2d 875) (2008).

Where the movant does not introduce affidavits, depositions or interrogatories in support of the motion, such motion is equivalent of a motion to dismiss the complaint for failure to state a claim upon which relief can be granted. The motion to dismiss should not be granted unless the averments in the complaint disclose with certainty that the plaintiff would not be entitled to relief under any state of facts which could be proved in support of the plaintiff’s claim.

(Citation and punctuation omitted.) Id. at 511 (1).

This Court recited much of the pertinent factual history of this case in its decision in Odion v. Avesis, Inc., 327 Ga. App. 443 (759 SE2d 538) (2014) (“Odion I”). “An agreement between Odion and Avesis Third Party Administrators established Odion as a ‘Participating Provider,’ which the agreement defined as an ‘optometrist, ophthalmologist or optician who has been approved by Avesis to provide covered vision care benefits to certain patients.” (Punctuation omitted.) Id. (1). “The agreement described each party’s responsibilities regarding the provision of those benefits.” Id. In 2013, Odion filed suit against Avesis, claiming that

Avesis breached the agreement by failing to notify his business, Optiworld Vision Center, LLC, of an impending audit; by improperly conducting that audit; by improperly suspending Odion’s status as a Participating Provider; by failing to disclose that suspension; and by terminating the agreement without providing ‘adequate alternative means of resolution.’

Id. at 444 (1). “Odion sought general and punitive damages, costs of litigation, and injunctive relief.” Id. “Avesis answered and asserted several defenses, including that the terms of the agreement barred the action. Avesis also moved to dismiss on the ground that the agreement’s arbitration clause barred the action.” Id. The trial court dismissed Odion’s complaint with prejudice, determining that “the agreement’s

arbitration clause was clear and unambiguous, making it a valid and enforceable arbitration clause. The trial court also found that the complaint did not assert claims of medical malpractice and, therefore, was not excepted from the binding arbitration clause. . . .” (Punctuation omitted.) Id. at 444-445 (1).

Upon Odion’s initial appeal to this Court, we issued two holdings most applicable to the present appeal. First, we reversed the trial court’s dismissal of Odion’s claims for injunctive relief, determining that the parties intended to except these claims from arbitration. Odion, supra, 327 Ga. App. at 446 (3) (a) (physical precedent only). Second, we held that the trial court correctly determined that Odion’s claims for breach of contract, tort, and constitutional violations were subject to arbitration, id. (3) (b), but that the trial court should have dismissed these arbitrable claims without prejudice, rather than with prejudice. Id. at 449 (3) (d). We therefore vacated the order of dismissal and remanded for proceedings not inconsistent with the opinion. Id.1

1 We also dismissed the appeal to the extent that Odion had advanced claims on behalf of three corporate entities, “Optiworld Vision Center, LLC, Dr. Gege Odion, P.C., and Gege Odion Enterprise, LLC.” Odion, supra, 327 Ga. App. at 445 (2). We reasoned that because Odion is not a licensed attorney, he could not represent these entities in a court of record. Id.

In an order entered on August 5, 2014, the trial court adopted this Court’s decision as its own, reversed the portion of its order that had dismissed Odion’s claims for injunctive relief, and reinstated Odion’s claims against the defendants.2 Later that month, Odion filed a demand for arbitration with the American Arbitration Association (the “AAA”). Subsequently, however, Odion filed a motion to stay the arbitration in the DeKalb County Superior Court, contending that the AAA had improperly chosen Arizona as the locale for arbitration. Odion also requested orders to prevent the AAA’s administrator from acting further on the case, to prohibit the AAA from changing the locale of the case to Arizona, and to prohibit the AAA from “listing arbitrators that are licensed attorneys in Arizona state as the only potential arbitrators in this case.”

The arbitration proceeded, but before the entry of the arbitrator’s final award Avesis filed a motion for judgment on the pleadings in the trial court in February 2015. First, Avesis requested the trial court to dismiss Odion’s complaint with prejudice because Odion’s claims for breach of contract, tort, and constitutional

2 Although Odion contends that the trial court did not dismiss his arbitrable claims without prejudice as directed, the trial court clearly stated in its order: “[T]his court HEREBY adopts and makes the Remittur issued in the above styled case by the Georgia Court of Appeals in case number A14A0264 on June 3, 2014 into an order of this Court.”

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