Medical Recovery Services v. Moser

CourtIdaho Supreme Court
DecidedMarch 25, 2024
Docket49755
StatusPublished

This text of Medical Recovery Services v. Moser (Medical Recovery Services v. Moser) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medical Recovery Services v. Moser, (Idaho 2024).

Opinion

IN THE SUPREME COURT OF THE STATE OF IDAHO

Docket No. 49755

MEDICAL RECOVERY SERVICES, ) an Idaho limited liability company, ) ) Plaintiff-Appellant, ) Boise, January 2024 Term ) v. ) Opinion Filed: March 25, 2024 ) CIERRA MOSER, ) Melanie Gagnepain, Clerk nka CIERRA SWENSON, ) ) Defendant-Respondent. ) _______________________________________ )

Appeal from the District Court of the Sixth Judicial District of the State of Idaho, Franklin County, Mitchell W. Brown, District Judge. Eric S. Hunn, Magistrate Judge.

The judgment of the district court is affirmed.

Smith, Driscoll & Associates, PLLC, Idaho Falls, for Appellant. Bryan N. Zollinger submitted argument on the briefs.

Bearnson & Caldwell, LLC, Logan, Utah, for Respondent. Wayne K. Caldwell submitted argument on the briefs. _____________________ BRODY, Justice. This case concerns a medical debt collection claim between Medical Recovery Services, LLC (“MRS”), a debt collection service acting on behalf of Franklin County Medical Center (“FCMC”), and Cierra Moser for medical services Moser received at FCMC while she was an employee. The magistrate court granted partial summary judgment in favor of MRS regarding a minimum principal amount of debt owed by Moser. During a bench trial, the magistrate court considered the remaining issue of whether FCMC could retract Moser’s 50% employee discount before assigning the debt to MRS for collection. The magistrate court decided in favor of MRS. However, on appeal, the district court reversed the partial grant of summary judgment and remanded all issues for retrial. MRS challenges the district court’s conclusion that there are

1 disputed facts requiring retrial of all issues. For the reasons below, we affirm the district court’s decision. I. FACTUAL AND PROCEDURAL BACKGROUND A. Factual Background Cierra Moser is a former employee of FCMC. While employed, Moser received medical services from FCMC on several occasions. The dates of service most pertinent to this appeal occurred on October 28, 2015, and January 28, 2016. During Moser’s employment, FCMC offered its employees a medical benefit. When an employee received medical services at FCMC, and after receipt of payment from insurance, FCMC would “write-off” 50% of the unpaid portion of the bill. After the 50% employee healthcare discount (“50% discount”) was applied, the employee would be responsible for the remaining unpaid balance. Moser was billed $4,139.60 for the October 2015 medical service. Moser’s insurance paid $1,305.75 of this charge. The resulting unpaid balance for the October 2015 medical service was $2,833.85. Moser was billed $2,102.90 for the January 2016 medical service, and her insurance paid $149.85 of this charge. The resulting unpaid balance for the January 2016 medical service was $1,953.05. After Moser’s insurance company tendered payment for these two dates of service, the remaining combined unpaid balance was $4,786.90. The 50% discount was applied to this balance, and the remaining unpaid balance was $2,393.45. During her employment, Moser agreed to and was making payments on this balance through regular $25.00 deductions from her paychecks. In December 2016, FCMC terminated Moser’s employment. After Moser was terminated and no longer receiving paychecks from FCMC, no further payroll deductions were applied to her account. Following Moser’s termination, Babett Keller, a financial counselor for FCMC, added the discounted amounts for the two previously discussed dates of services back onto Moser’s balance. In May 2017, Keller assigned Moser’s principal debt totaling $4,726.99 to MRS for collection. B. Procedural Background In November 2019, MRS filed a complaint to collect the alleged medical debt from Moser in the amount totaling $4,726.99, plus prejudgment interest. The complaint asserted that Moser had “failed to pay the indebtedness in full.” In March 2020, MRS filed a motion for summary judgment. In a declaration submitted with MRS’ motion for summary judgment, Keller claimed

2 “[t]he policy at [FCMC] is that an employee loses her employee discount if the employee fails to pay her share of the bill after applying the employee discount.” MRS included an undated copy of FCMC’s employee healthcare discount policy (“policy”) with Keller’s declaration. In an affidavit submitted by Moser responding to MRS’ motion for summary judgment, Moser alleged she never received a bill from FCMC and was not otherwise notified of an outstanding balance until she was served with MRS’ complaint. Rather, Moser claimed that in October 2016, before she left on a sabbatical and a few weeks before her termination, she inquired about the balance on her account. She alleged that an FCMC human resources employee informed her the outstanding medical bills had been “paid in full.” In addition to asserting that her bills were paid in full, Moser also contested FCMC’s decision to add back onto her balance the discounted amounts for the service dates at issue. She maintained that, during her employment, it was not FCMC’s policy to add the discounted amount back onto an employee’s balance upon resignation or termination. At this point, the magistrate court denied MRS’ motion for summary judgment and requested an accounting of all of Moser’s accounts, including charges and payroll deductions. In May 2020, Moser subpoenaed FCMC to produce, among other information, a “true and correct copy of the 2011 [p]olicy” and proof of the date the policy was effectuated. FCMC responded with a copy of the healthcare discount policy current to March 27, 2020. FCMC explained that the 2011 policy was “no longer available due to age and policies [being] updated periodically,” with the last update on March 27, 2020, replacing the old policy. In August 2020, MRS filed a motion asking the magistrate court to reconsider its denial of summary judgment. The motion included a new declaration by Keller to address the concerns raised by the magistrate court when it denied summary judgment. Keller provided a list of account transfers and explained that “[e]ach time a patient is seen at FCMC, FCMC opens a patient account and gives that visit a specific account number.” Then, “[w]hen a patient has several accounts, FCMC will often transfer balances onto one account to keep a running total of the amount owed by the patient . . . .” FCMC uses that “one account” to make payroll deductions. Both parties refer to this as the employee “payroll account.” Keller followed this practice in creating such an account for Moser. Keller also explained that she sent “[Moser’s] account to collections after both her accounts were not paid in full 12 months after the services, [Moser] no longer worked for FCMC subject to payroll deduction payments, and [Moser] had made no arrangements to continue making payments on her account.”

3 Moser responded with her own supplemental affidavit contesting several of the account transfers and summaries provided by Keller. Moser contested the inclusion of $843.00 charged to her account for medical services received by her ex-husband. Moser denied ever agreeing to pay for her ex-husband’s medical services and asserted that transferring his balance to her account was improper because she was neither the patient nor the guarantor for his medical service. Moser asserted that her payroll deductions were to be applied solely to her own balances. Moser also alleged several “errors” in FCMC’s accounting, including several of her accounts never receiving the 50% discount, and discrepancies between the original balance in the complaint listing $4,726.99 compared to newer discovery from FCMC showing a balance of $3,211.81, a $1,515.18 difference.

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Medical Recovery Services v. Moser, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medical-recovery-services-v-moser-idaho-2024.