Mark Young v. H & H Testing, LLC

CourtCourt of Appeals of Tennessee
DecidedMay 14, 2021
DocketM2020-00145-COA-R3-CV
StatusPublished

This text of Mark Young v. H & H Testing, LLC (Mark Young v. H & H Testing, LLC) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mark Young v. H & H Testing, LLC, (Tenn. Ct. App. 2021).

Opinion

05/14/2021 IN THE COURT OF APPEALS OF TENNESSEE AT NASHVILLE December 2, 2020 Session

MARK YOUNG ET AL. V. H & H TESTING, LLC ET AL.

Appeal from the Chancery Court for Montgomery County No. CD-16-10 Laurence M. McMillan, Jr., Chancellor

No. M2020-00145-COA-R3-CV

This appeal arises from a financial dispute between a drug testing laboratory, H & H Testing, Inc. (“H & H Testing” or “H & H”), and Wesley Young, for whom H & H performed 64 qualitative drug screens while Mr. Young was a client of Transcend Recovery Community (“Transcend”), which operates recovery communities nationwide. Upon commencing treatment for drug addiction at Transcend, Mr. Young agreed to adhere to treatment guidelines that included abstaining from drugs and alcohol and submitting to a rigorous drug screening protocol. Pursuant to this protocol, Transcend forwarded 64 of Mr. Young’s random urine samples to H & H Testing for comprehensive laboratory testing. After H & H performed each drug screen, it submitted a claim to Mr. Young’s health insurance provider, BlueCross BlueShield of Tennessee (“BlueCross” or “BCBST”). BlueCross approved each and every claim submitted by H & H Testing and remitted payment for the services rendered by H & H in the aggregate of $85,837.11. Because H & H Testing was an out-of-network provider, BlueCross remitted payment for the services rendered by H & H to its insured, Mr. Young, expecting he would forward the proceeds to H & H. Instead of remitting the funds to H & H Testing, Mr. Young entrusted the money to his parents, but they did not forward the proceeds to H & H. When H & H Testing demanded payment, Mr. Young and his parents commenced this action to declare the rights of the parties to the funds. They contended that H & H Testing was not entitled to the insurance proceeds because Mr. Young did not have a contract with H & H Testing, its services were not medically necessary, and the charges were exorbitant. H & H Testing filed an answer and counterclaims for breach of contract, conversion, and unjust enrichment. Following a hearing on cross-motions for summary judgment, the trial court granted summary judgment in favor of H & H Testing without identifying the claims upon which the judgment was granted and imposed a constructive trust over the insurance proceeds. This appeal followed. We affirm the trial court’s decision to grant summary judgment in favor of H & H Testing based on its claims of conversion and unjust enrichment. But we vacate the trial court’s decision to impose a constructive trust over the proceeds because the parties failed to raise the issue in any of the pleadings. Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Chancery Court Affirmed in part, Vacated in part, and Remanded

FRANK G. CLEMENT JR., P.J., M.S., delivered the opinion of the Court, in which ANDY D. BENNETT and W. NEAL MCBRAYER, JJ., joined.

William B. Hubbard and William E. Young, Nashville, Tennessee, for the appellants, Mark Young, Karen Young, and Wesley Young.

W. Brantley Phillips, Jr., Matthew J. Sinback, and Margaret V. Dotson, Nashville, Tennessee, for the appellees, H & H Testing, LLC and H & H Testing, Inc.

OPINION

Wesley Young, a resident of Tennessee, received drug treatment for opioid addiction at Transcend in Santa Monica, California, from June 2013 to November 2014.1 During this time, Mr. Young submitted 64 urine samples to Transcend, and Transcend sent those samples to H & H Testing to conduct qualitative drug screens.2 Acting pursuant to its standard practice, when Transcend collected each urine sample, Mr. Young signed a drug screen requisition form. Transcend used these forms to get the client’s consent for Transcend and third parties to screen the client’s urine for drugs and alcohol.

Acting in accordance with standard practices and Mr. Young’s written authorization, H & H Testing tested Mr. Young’s urine samples and reported the results to Transcend for its program-compliance efforts.3 H & H Testing then submitted its claims

1 Mr. Young was 17 years old when he was admitted to the program and 18 when he completed the program at Transcend. 2 H & H Testing operates a qualitative drug screening laboratory in Los Angeles, California, which is licensed and accredited by the Clinical Laboratory Improvement Amendments, the Commission on Office Laboratory Accreditation and the California Department of Health. 3 At Transcend’s direction, after conducting the qualitative drug screens, H & H Testing sent each urine sample to unaffiliated laboratories for “confirmatory” screening. Between June 2013 and October 2014, H & H sent the urine samples to Avee Laboratories (“Avee”). Between October 2014 to November 2014, H & H sent all urine samples received from Transcend to Millennium Laboratories, LLC (“Millennium”) for confirmatory screening. As H & H states in its brief,

In contrast to the qualitative screening that H & H Testing performed, Avee and Millennium performed confirmatory or “quantitative” screening—a type of testing that can determine the specific amounts of individual drugs in a client’s system and can detect the presence of certain substances, such as synthetic drugs, that qualitative screens typically cannot detect. . . . Avee’s and Millennium’s billing for confirmatory screens and the costs of these screens were not included in H & H Testing’s qualitative drug screening charges.

-2- for payment to BlueCross, Mr. Young’s health insurance provider. BlueCross approved H & H Testing’s claims but, because H & H Testing was out-of-network, BlueCross remitted payment to its insured, Mr. Young.4 Believing the payments were reimbursement for his treatment at Transcend, Mr. Young gave the money to his parents. Thereafter, H & H Testing sent letters to Mr. Young dated November 4, 2015, January 19, 2016, and March 15, 2016, asking Mr. Young to forward the insurance proceeds.

On April 8, 2016, Mr. Young and his parents, Mark and Karen Young, (collectively, “Petitioners”) filed a Petition for Declaratory Judgment in Montgomery County Chancery Court, claiming H & H Testing was not entitled to the insurance proceeds because Mr. Young never contracted with H & H Testing to perform laboratory services, the claims submitted to BlueCross were fraudulent, the charges were exorbitant, and the services were not medically necessary. In the alternative, Petitioners claimed H & H Testing was only entitled to quantum meruit relief in the amount of $1,152 based on what the State of Tennessee paid for similar services.5

H & H Testing filed an answer denying Petitioners’ allegations and counterclaimed for breach of contract, conversion, unjust enrichment, and declaratory judgment. H & H Testing alleged that each time Mr. Young submitted a urine sample for testing, he signed a “requisition form” authorizing it to conduct the tests and expressly assigning his right to any insurance proceeds to H & H Testing. Further, H & H Testing alleged that it billed BlueCross for its services, and BlueCross sent $85,837.11 to Mr. Young to satisfy its claims; however, Mr. Young failed to forward the payment to H & H Testing following multiple requests that he do so.

Petitioners filed an answer denying H & H Testing’s counterclaims, and, following discovery, the parties filed cross-motions for summary judgment. However, the trial court denied the motions because BlueCross was an indispensable party. As such, the court ordered Petitioners to add BlueCross as a party-defendant.

4 BlueCross’s practice of sending the payment for an out-of-network-provider’s services directly to the patient is a controversial one and has resulted in a number of lawsuits.

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Mark Young v. H & H Testing, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mark-young-v-h-h-testing-llc-tennctapp-2021.