Tennessee Hospital Service Ass'n v. Strang

354 S.W.2d 488, 49 Tenn. App. 263
CourtCourt of Appeals of Tennessee
DecidedSeptember 8, 1961
StatusPublished
Cited by7 cases

This text of 354 S.W.2d 488 (Tennessee Hospital Service Ass'n v. Strang) 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
Tennessee Hospital Service Ass'n v. Strang, 354 S.W.2d 488, 49 Tenn. App. 263 (Tenn. Ct. App. 1961).

Opinion

McAMIS, P. J.

The Tennessee Hospital Service Association, a general welfare corporation, brought this action against Joyce G. Fee, one of its policyholders, and Doctors Merritt B. Shobe and Robert T. Strang to recover $2235.00 which it claims to have paid Miss Fee upon false certificates signed by Doctors Shobe and Strang. The bill is based upon alleged fraud and deceit in signing sixteen separate certificates falsely showing as many operations, as a result of which complainant paid Miss Fee $2235.00.

A decree upon pro confesso was rendered against Miss Fee. The Chancellor found, however, that the doctors were fraudulently induced by Miss Fee to sign false certificates and that they acted innocently and [265]*265received no part of the money. The Chancellor also held that complainant owed some duty to protect itself against the fraud of Miss Fee and seems to have been of opinion that, under all the circumstances, complainant should have discovered the fraud and was, therefore, not entitled to rely upon the certificates. From the dismissal of the bill as to Doctors Shobe and Strang, complainant has appealed.

There is no substantial dispute as to the facts. Defendants concede that their signatures appear upon all sixteen certificates falsely showing that they performed that number of bone operations upon Miss Fee and upon fictitious persons who were described in the certificates as being her husband and sons. Dr. Shobe’s testimony is to the effect that Miss Fee was a trusted employee whose duty it was to fill out such certificates for himself and Dr. Strang; that he must have signed the eleven certificates in blank and that they must have been subsequently filled in, contrary to his express instructions, by Miss Fee. Dr. Strang’s explanation as to the five certificates signed by him, as we understand, is that they must have been presented to him by Miss Fee concealed among other certificates and that he failed to detect their presence.

Complainant’s home office is located in Chattanooga where claims are processed for payment. It operates over a large territory including Kingsport where Doctors Shobe and Strang have been practicing as partners for a number of years. Complainant issues two policies, the Blue Cross which obligates it to reimburse the policy holder for hospital expenses and the Blue Shield which covers physician’s fees for certain operations upon the [266]*266policy holder or members of his or her .family. Only Blue Shield coverage is invloved here.

As we understand, complainant furnishes the various surgeons practicing within its territory printed forms entitled “Doctor’s Report of Services” which are to be filled out and signed by the claimant and by the operating surgeon. The printed certificate to be signed by the holder of the policy reads:

“IF YOU WISH THE PLAN TO PAY YOU — SIGN HERE. The physician’s fee has been paid and receipted bill is attached. Please reimburse me in the amount available to me, pursuant to the provisions of my contract.”
The certificate to be signed by the operating surgeon reads:
“I, a duly licensed physician (M.D.), certify that I performed the above services upon the patient. All information above shown is complete and correct to the best of my knowledge.”

The relationship between Miss Pee and the defendants, Shobe and Strang, is developed in some detail. She became their patient about 1955 when they began to treat her for almost complete paralysis from the waist down. Out of sympathy, they became interested in her case and attempted to rehabilitate her to the point she could do secretarial work. They made no charge for their services extending over a long period of time. When these efforts were successful they obtained work for her by the Doctor’s Building, a corporation in which they along with other doctors owned stock, and which owned the offices they occupied.

[267]*267Although employed by the Doctor’s Building, Miss Fee’s duties consisted of mailing statements, filling out blanks and handling mail for doctors having offices in the building, including Doctors Shobe and Strang. They trusted her and she had never previously betrayed their trust. There is no doubt that she grossly abused their confidence by using their signatures over a period of months to defraud complainant in the manner shown.

These circumstances make a strong appeal to sympathy. The question must be decided, however, upon recognized principles of law and equity hereinafter discussed and when so considered we think complainant’s right to recover is clear, unless it lost the right to rely upon the certificates of Doctors Shobe and Strang by failing upon its own account to take steps to detect the fraud. These questions will be considered in order.

Defendants Shobe and Strang knew that complainant required a physician’s certificate in support of claims made against it and must have known that a certificate signed by them would almost certainly be paid. In signing certificates in blank or without checking them to see whether they had performed an operation on the claimant they were guilty of a serious breach of duty to complainant amounting in equity to a constructive fraud. It is of no consequence to complainant whether defendants acted wilfully or through ignorance resulting from negligence. There would be a great moral difference but no legal difference.

“If a party innocently misrepresent a material fact by mistake, upon which another party is induced to act, it is as conclusive a ground for relief in equity as a wilful or false assertion, for it operates as a surprise [268]*268and imposition upon the other party. 10 Yer., 206; 1 Story Eq., 193; 3 Sneed, 447 ; 3 Yer., 178” Deaderick v. Mitchell, 65 Tenn. 35, 38.

“A casual response to a third person, made in mere friendliness or courtesy, may not stand on the same plane, where it is considered who is to assume the risk of negligence or error, as information furnished by the medium of deliberate certificate, indisputably an act in the law, intended to sway conduct. A person may be held for careless information furnished in performance of a service, which, in addition, happens to find in a certificate its culmination and summary, where the transmission of the information contained in the certificate to a third person is the end and aim of the transaction, certain, immediate and deliberately, willed.” 23 Am. Jur. 919, Fraud and Deceit, Section 126.

When defendants negligently signed the certificates they placed in the hands of Miss Fee the means of committing a fraud upon complainant making applicable the rule that where one of two innocent parties must suffer a loss occasioned by the fraud of a third person he whose negligence enabled the third person to commit it must bear the loss even though he who provides the means obtains no benefit therefrom. Peoples Bank v. Brown, 8 Tenn. App. 281; Commercial Bank & Trust Co. v. Southern Industrial Banking Corp., 16 Tenn. App. 141, 66 S. W. (2d) 209; Gibson’s Suits in Chancery, Section 52. 23 Am. Jur. 1010, Fraud and Deceit, Section 186.

As above said, measured by these principles, we think the liability of defendants Shobe and Strang is clear. We come then to the second question: Should [269]*269complainant, nnder tlie circumstances to be stated, be deprived of tbe right to rely npon tbe certificates?

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354 S.W.2d 488, 49 Tenn. App. 263, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tennessee-hospital-service-assn-v-strang-tennctapp-1961.