Synergy Spine & Orthopedic Surgery Ctr LLC v. American Country Ins

CourtMichigan Court of Appeals
DecidedJuly 15, 2021
Docket350549
StatusUnpublished

This text of Synergy Spine & Orthopedic Surgery Ctr LLC v. American Country Ins (Synergy Spine & Orthopedic Surgery Ctr LLC v. American Country Ins) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Synergy Spine & Orthopedic Surgery Ctr LLC v. American Country Ins, (Mich. Ct. App. 2021).

Opinion

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to revision until final publication in the Michigan Appeals Reports.

STATE OF MICHIGAN

COURT OF APPEALS

SYNERGY SPINE AND ORTHOPEDIC UNPUBLISHED SURGERY CENTER, LLC, July 15, 2021

Plaintiff-Appellee, and

SILVER PINE IMAGING, LLC,

Intervening Plaintiff-Appellee,

v No. 350549 Washtenaw Circuit Court AMERICAN COUNTRY INSURANCE LC No. 17-001041-NF COMPANY,

Defendant-Appellant.

Before: RIORDAN, P.J., and M. J. KELLY and SHAPIRO, JJ.

PER CURIAM.

Defendant American Country Insurance Company appeals as of right the trial court’s order for judgment in favor of plaintiff Synergy Spine and Orthopedic Surgery Center (“plaintiff Synergy”) and plaintiff Silver Pine Imaging (“plaintiff Silver Pine”) in the amount of $299,282.70. On appeal, defendant argues that the trial court committed multiple errors before, during, and after trial. We affirm.

I. FACTS AND PROCEEDINGS

On October 19, 2017, plaintiff Synergy filed its complaint against defendant. Plaintiff Synergy alleged that Laquita Jackson-Davis was involved in a motor-vehicle accident on March 19, 2017, and that it provided her with medical services totaling $52,288. The complaint further alleged that Jackson assigned her right to receive personal protection insurance (PIP) benefits under the no-fault act, MCL 500.3101 et seq., to plaintiff Synergy, that it sought those benefits from defendant, the responsible no-fault insurer, and that defendant refused to pay. Plaintiff

-1- Synergy thus sought $52,288 in damages from defendant, as well as statutory attorney fees and interest under MCL 500.3142 and MCL 500.3148.

On March 2, 2018, plaintiff Silver Pine moved to intervene in the case. Plaintiff Silver Pine alleged that it provided medical services totaling $42,400 to Jackson as a result of the same accident, that it received an assignment of rights from Jackson, and that defendant refused to pay her medical bills.

Case evaluation was held on August 9, 2018. The panel awarded $160,000 to plaintiff Synergy and $37,000 to plaintiff Silver Pine. Defendant rejected both awards.

Pre-trial proceedings established that Jackson was involved in an accident in July 2015. She sued defendant in Wayne Circuit Court for benefits allegedly owed for that accident, but that court dismissed her case on the basis of fraud because she substantially exaggerated her injuries. Additionally, in November 2018, Jackson testified in a deposition that she had not been involved in any accidents after the March 2017 accident at issue. However, defendant subsequently learned that Jackson had been involved in an accident on April 5, 2017, that required overnight hospitalization.1

Plaintiffs filed a motion in limine to exclude evidence of the April 2017 accident, arguing that none of defendant’s experts concluded that Jackson’s injuries at issue were caused by that accident. Thus, plaintiffs argued, evidence of that accident was irrelevant. Additionally, plaintiffs argued that evidence of Jackson’s fraud with respect to the July 2015 accident should be excluded at trial because defendant did not plead fraud as an affirmative defense.

A few days before trial, the trial court ruled that defendant could not argue fraud. The implication of its ruling on the record was that defendant could not introduce any evidence or ask any questions of Jackson concerning her alleged fraud with respect to the July 2015 or April 2017 accidents, but that it could reference those accidents if arguing that plaintiffs’ medical bills did not arise out of the March 2017 accident at issue:

The Court: I’m not going to allow you to argue fraud. I am going to allow you, obviously, to -- and that’s one of the reasons you’re going to be able to examine her about what accident she had at that time. And then if she had subsequent accidents, you’re going to be able to require that for that fact, or your experts can comment or not comment. That’s okay. I’ll let you require the fact that she had a subsequent accident. Okay?

[Defense Counsel]: Okay.

The Court: But you’re not going to be able to argue fraud or (inaudible). Your argument is going to be it’s not reasonable and necessary.

1 Jackson was also involved in a March 2010 accident, but that is not relevant for this appeal.

-2- At the same hearing, defendant explained that on April 10, 2019, the day before, it had received medical bills from plaintiff Synergy totaling about $69,000 relating to a shoulder surgery that plaintiff Synergy provided to Jackson on March 29, 2019. Defendant asked that the trial court preclude plaintiff Synergy from introducing these medical bills at trial or seeking damages on the basis of the bills, reasoning that the bills were not yet overdue because the 30-day period for paying such bills under MCL 500.3142 had not yet expired. The trial court, however, ruled that the bills were admissible:

The Court: If it’s been rendered as a claim, you can point out (inaudible) that you just got them, but we still don’t think we (inaudible). You know, the point is when you come up, you can’t just say (inaudible) any treatment, anything you’re claiming up until the time, which is (inaudible) treatment.

[Defense Counsel]: But they can only claim what’s overdue.

The Court: They can claim what’s due, and they can also claim, if some of it’s overdue, for interest or attorney fees. They can claim it’s due up until this date. You can either say, “Yea, we agree to pay that,” or, “We’re not going to pay it.”

At trial, plaintiffs’ first witness was defendant’s claims adjuster, Danielle McCowan. Consistent with MRE 611(d)(3), plaintiffs’ counsel examined McCowan, an adverse witness, by leading questions during direct examination. Relevant to this case, McCowan testified that defendant denied paying plaintiffs’ medical bills in the instant case based on the recommendation of an independent medical examination (IME). The IME indicated that Jackson “did not sustain any acute injuries in the [March 2017] accident.” Once the direct examination concluded, the trial court informed defendant that “since [plaintiffs’ counsel] called your client out of order, he was, of course, allowed to lead, but you are also allowed to lead your client as well.” Defendant then briefly cross-examined McCowan concerning issues that were raised on direct examination. Plaintiffs rested on the second day of trial.2 On the third day of trial, defendant called Jackson as a witness. Defendant examined Jackson concerning her prior accidents and medical treatment. At one point, defendant asked Jackson about her admittance to the hospital after the April 2017 accident, which caused her to lose her temper with defense counsel:

The Witness: I told you that, sir. But the only thing that I’ve done -- I’ve paid for all insurance with your company, American Country, so I don’t understand. Why are you-all taking me through this? My husband has paid you, and I’ve paid you, so why are you-all taking me through this? This is so unfair. I done had surgery. We’re paying just thousands and thousands. Why don’t you pay these people their money and quit dragging me through this? This is unfair.

Do you know what I’ve gone through to come here today? Then you-all put me on this stand, and you up here confusing me. This is unfair. We’ve paid

2 The trial was essentially a medical dispute concerning whether Jackson’s injuries and corresponding treatment were attributable to the March 2017 accident. It is unnecessary to detail that dispute for the purposes of this appeal.

-3- you thousands of dollars for you to represent us. We done nothing wrong, so quit putting me on the stand. . . . Please. I want to go home. I’m in pain. Quit -- quit bashing me.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Griffith v. State Farm Mutual Automobile Insurance
697 N.W.2d 895 (Michigan Supreme Court, 2005)
Gilbert v. DaimlerChrysler Corp.
685 N.W.2d 391 (Michigan Supreme Court, 2004)
People v. Layher
631 N.W.2d 281 (Michigan Supreme Court, 2001)
People v. Finley
410 N.W.2d 282 (Michigan Court of Appeals, 1987)
Pippen v. Denison Division of Abex Corp.
239 N.W.2d 704 (Michigan Court of Appeals, 1976)
Buckeye Union Insurance v. Johnson
310 N.W.2d 268 (Michigan Court of Appeals, 1981)
Hunt v. Freeman
550 N.W.2d 817 (Michigan Court of Appeals, 1996)
Thornton v. Allstate Insurance
391 N.W.2d 320 (Michigan Supreme Court, 1986)
Shinabarger v. Citizens Mutual Insurance
282 N.W.2d 301 (Michigan Court of Appeals, 1979)
Badalamenti v. William Beaumont Hospital-Troy
602 N.W.2d 854 (Michigan Court of Appeals, 1999)
McMillan v. Auto Club Insurance
491 N.W.2d 593 (Michigan Court of Appeals, 1992)
Willett v. Ford Motor Co.
253 N.W.2d 111 (Michigan Supreme Court, 1977)
Palenkas v. Beaumont Hospital
443 N.W.2d 354 (Michigan Supreme Court, 1989)
Eldred v. Ziny
631 N.W.2d 748 (Michigan Court of Appeals, 2001)
Powell v. St John Hospital
614 N.W.2d 666 (Michigan Court of Appeals, 2000)
People v. Coleman
532 N.W.2d 885 (Michigan Court of Appeals, 1995)
Mollitor v. Associated Truck Lines
364 N.W.2d 344 (Michigan Court of Appeals, 1985)
Clay v. Doe
876 N.W.2d 248 (Michigan Court of Appeals, 2015)
People v. Stevens
869 N.W.2d 233 (Michigan Supreme Court, 2015)
Estate of Ezekiel D Goodwin v. Northwest Michigan Fair Association
923 N.W.2d 894 (Michigan Court of Appeals, 2018)

Cite This Page — Counsel Stack

Bluebook (online)
Synergy Spine & Orthopedic Surgery Ctr LLC v. American Country Ins, Counsel Stack Legal Research, https://law.counselstack.com/opinion/synergy-spine-orthopedic-surgery-ctr-llc-v-american-country-ins-michctapp-2021.