George Raymond Williams, M.D., Orthopaedic Surgery, Apmllc v. Bestcomp, Inc.

Louisiana Court of Appeal·Decided February 3, 2016·No. CA-0015-0761·Unknown

Opinion

STATE OF LOUISIANA

COURT OF APPEAL, THIRD CIRCUIT

15-761 consolidated with 15-715

GEORGE RAYMOND WILLIAMS, M.D., ORTHOPAEDIC SURGERY, APMLLC

VERSUS BESTCOMP, INC., ET AL.

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APPEAL FROM THE

TWENTY-SEVENTH JUDICIAL DISTRICT COURT PARISH OF ST. LANDRY, NO. 09-C-5242-A HONORABLE JAMES PAUL DOHERTY, JR., DISTRICT JUDGE

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ULYSSES GENE THIBODEAUX

CHIEF JUDGE

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Court composed of Ulysses Gene Thibodeaux, Chief Judge, Shannon J. Gremillion, and Phyllis M. Keaty, Judges.

AFFIRMED.

Christine Lipsey Jamie D. Seymour McGlinchey, Stafford, PLLC 301 Main Street – 14th Floor Baton Rouge, LA 70801 Telephone: (225) 383-3683 COUNSEL FOR:

Defendant/Appellee - Cigna Health Management, Inc.

John Stanton Bradford Stockwell, Sievert, Viccellio, Clements & Shaddock, L.L.P. P. O. Box 2900 Lake Charles, LA 70602 Telephone: (337) 436-9491 COUNSEL FOR:

Plaintiff/Appellee - George Raymond Williams, M.D.

Stephen Barnett Murray Murray Law Firm 650 Poydras Street Suite 2150 New Orleans, LA 70130 Telephone: (504) 525-8100 COUNSEL FOR:

Plaintiff/Appellee - George Raymond Williams, M.D.

Maureen O’Connor Sullivan Tabitha R. Durbin Christie Noel Lewis, Brisbois, Bisgaard 100 E. Vermilion - Suite 300 Lafayette, LA 70501 Telephone: (337) 326-5777 COUNSEL FOR:

Defendants/Appellants - Illinois National Insurance Company and Westchester Surplus Lines Insurance Company

George Davidson Fagan Margaret F. Swetman Leake & Anderson, L.L.P. 1100 Poydras Street – Suite 1700 New Orleans, LA 70163 Telephone: (504) 585-7500 COUNSEL FOR:

Defendant/Appellant - Chartis Specialty Insurance Co.

Thomas Allen Filo Cox, Cox, Filo, Camel & Wilson, L.L.C. 723 Broad Street Lake Charles, LA 70601 Telephone: (337) 436-6611 COUNSEL FOR:

Plaintiff/Appellee - George Raymond Williams, M.D.

Marshall M. Redmon Phelps, Dunbar P. O. Box 4412 Baton Rouge, LA 70821-4412 Telephone: (225) 346-0285 COUNSEL FOR:

Defendant/Appellee - Indian Harbor Insurance Company

Alex J. Peragine Peragine & Lorio, LLC 527 E. Boston Street - Suite 201 Covington, LA 70433 Telephone: (985) 292-3500 COUNSEL FOR:

Defendant/Appellee - Cannon Coichran Management Services, Inc.

James Monroe White, III P. O. Box 3939 Covington, LA 70434 Telephone: (985) 778-7000 COUNSEL FOR:

Defendant/Appellee - CCMSI Holdings, Inc.

Mark Christopher Carver Angella H. Myers The Myers Law Group 1100 Poydras Street – Suite 2520 New Orleans, LA 70163 Telephone: (504) 252-9877 COUNSEL FOR:

Defendants/Appellees - Advantage Health Plans, Inc. and Joseph Bonsignore

Gerald Anthony Melchiode Melchiode Marks King, LLC 639 Loyola Avenue – Suite 2550 New Orleans, LA 70113 Telephone: (504) 336-2880 COUNSEL FOR:

Defendant/Appellee - Hammerman & Gainer, Inc.

Thomas Randolph Juneau The Juneau Firm P. O. Drawer 51268 Lafayette, LA 70505-1268 Telephone: (337) 269-0052 COUNSEL FOR:

Appellee - Special Master

Gabriel Joseph Veninata Hailey McNamara P. O. Box 8288 Metairie, LA 70011 Telephone: (504) 836-6500 COUNSEL FOR:

Defendant/Appellee - Stratacare, LLC

Carl Edward Hellmers Frilot, LLC 1100 Poydras Street – Suite 3700 New Orleans, LA 70163 Telephone: (504) 599-8000 COUNSEL FOR:

Defendant/Appellant - Landmark American Insurance Company

Pablo Gonzalez Phelps, Dunbar, LLP 365 Canal Street – Suite 2000 New Orleans, LA 70130-6534 Telephone: (504) 566-1311 COUNSEL FOR:

Defendant/Appellee - Beazley Insurance Company

Ryan M. Goudelocke Durio, McGoffin, Stagg P. O. Box 51308 Lafayette, LA 70505-1308 Telephone: (337) 233-0300 COUNSEL FOR:

Defendant/Appellee - Hammerman & Gainer, Inc.

Scott T. Winstead Burleson, LLP 650 Poydras Street - Suite 2750 New Orleans, LA 70130 Telephone: (504) 526-4350 COUNSEL FOR:

Defendant/Appellee - Rehab Review, Inc.

Elizabeth A. Hunt Preis & Roy P. O. Drawer 94-C Lafayette, LA 70509 Telephone: (337) 237-6062 COUNSEL FOR:

Defendant/Appellee - Bestcomp, Inc.

Joseph P. Landreneau Gold, Weems P. O. Box 6118 Alexandria, LA 71307-6118 Telephone: (318) 445-6471 COUNSEL FOR:

Defendants/Appellees - Dauterive, Women’s and Children’s Hospital and LRPHO

David Charles Bach 4871 Abelia Drive Baton Rouge, LA 70808-1903 Telephone: (225) 803-9661 COUNSEL FOR:

Defendant/Appellee - Stratacare, LLC

Michael A. Balascio Barrasso Usdin Kupperman 909 Poydras Street – 24th Floor New Orleans, LA 70112 Telephone: (504) 589-9700 COUNSEL FOR:

Defendant/Appellant - Darwin Select Insurance Company

THIBODEAUX, Chief Judge.

This appeal arises out of a settlement agreement in a class-action lawsuit involving claims of improper medical billing practices in workers’ compensation cases. The settlement agreement purportedly released Defendant- Appellee Stratacare, Inc. (“Stratacare”), in connection with some 45,000 claims involving Defendant-Appellee Rehab Review, Inc. (“Rehab Review”). All parties to that settlement agreement agree that the release of those claims was a mistake, and the settling parties filed a motion to amend the judgment approving the settlement agreement to remedy the error. Defendants Chartis Specialty Insurance, Co., Darwin Select Insurance Company, Landmark American Insurance Company, Illinois Union Insurance Company, and Westchester Surplus Lines Insurance Company (collectively “Appellants”), who are insurers of Stratacare, opposed the motion and filed exceptions of lack of subject matter jurisdiction, res judicata, and no right of action. The trial court denied Appellants’ exceptions and approved the amendment of the judgment.

Appellants now seek review of the trial court’s judgment. Appellees ask this Court to dismiss the appeal for lack of subject matter jurisdiction or, alternatively, to affirm the trial court’s judgment. For the following reasons, we find that this Court has subject matter jurisdiction over this appeal and affirm the judgment of the trial court.

I.

ISSUES

We are called upon to decide:

1. whether this Court has subject matter jurisdiction over this appeal;

2. whether the trial court had subject matter jurisdiction to amend the February 2014 Judgment; and

3. whether the trial court properly denied Appellants’ exceptions of res judicata and no right of action.

II.

FACTS AND PROCEDURAL HISTORY This lawsuit began with claims that Defendant Bestcomp, Inc., improperly discounted workers’ compensation medical bills filed by plaintiff healthcare providers without providing the notice required by statute. The plaintiff class’s suit was eventually expanded to include entities associated with Bestcomp, Inc. and those entities’ insurers as defendants. On October 1, 2013, the plaintiff class entered into a Class Settlement Agreement and General Release (“Settlement Agreement” or “Agreement”) with Defendants Cannon Cochran Management Services, Inc. (“Cannon Cochran”), CCMSI Holdings, Inc. (“Holdings”), Advantage Health Plans, Inc., Indian Harbor Insurance Company, and Joseph Bonsignore (collectively “Settling Defendants”), as well as third-party defendants Rehab Review, Cigna Health Management, Inc. (“Cigna”), and Iron Shore Insurance Company (collectively “Settling Third-Party Defendants”). In Paragraph 7(B) of the Settlement Agreement, the plaintiffs, Settling Defendants, and Settling Third-Party Defendants (collectively “Settling Parties”) agreed “to a full and general release of each Settling Defendant and Settling Third Party Defendant[.]” The Settlement Agreement went on to provide in Paragraph 7(C): “Notwithstanding Paragraph 7(B), Plaintiffs and the Settlement Class specifically reserve, do not settle, and do not release, any claims against Stratacare, Inc.,

Stratacare Inc.’s insurers, or Bestcomp, Inc., in connection with bills or transactions which did not or do not involve Holdings, Cannon Cochran, Cigna, or Rehab Review.” (Emphasis added). The Settlement Agreement was approved by a Final Order and Judgment on February 3, 2014 (“February 2014 Judgment”).

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