Gege Odion v. Avesis, Inc.

CourtCourt of Appeals of Georgia
DecidedJune 18, 2020
DocketA20A0658
StatusPublished

This text of Gege Odion v. Avesis, Inc. (Gege Odion v. Avesis, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gege Odion v. Avesis, Inc., (Ga. Ct. App. 2020).

Opinion

SECOND DIVISION MILLER, P. J., MERCIER and MARKLE, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. https://www.gaappeals.us/rules

DEADLINES ARE NO LONGER TOLLED IN THIS COURT. ALL FILINGS MUST BE SUBMITTED WITHIN THE TIMES SET BY OUR COURT RULES.

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).

2 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

3 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.

4 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.”

5 violations were barred by either their respective statutes of limitation, or Odion’s

failure to refile his claims within six months of the trial court’s August 2014 order,

as permitted by the renewal statute (OCGA § 9-2-61). Regarding Odion’s claim for

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