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136 So. 3d 807
La. Ct. App.
2013
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Background

  • CMS billed Health Net $1,516,965.50 under invoice #5762 for 19 software units and VISN 16 maintenance; Health Net disputed all charges except VISN 16 maintenance and paid $20,639.50.
  • Health Net’s April 12, 2011 letter expressly stated it never agreed to pay for items beyond VISN 16 maintenance and identified the disputed scope.
  • May 11, 2011 Health Net sent a check for $20,639.50 with a cover letter stating payment in full for charges in invoice #5762; the check bore the notation PAYMENT IN FULL and CMS endorsed and deposited it.
  • CMS later filed suit (July 24, 2012) seeking the remaining unpaid amounts, arguing reliance on Health Net’s representations.
  • Health Net moved for summary judgment on grounds of accord and satisfaction; the trial court granted summary judgment and dismissed CMS’s claims with prejudice (Jan. 11, 2013).
  • Court affirms, holding Health Net satisfied the elements of accord and satisfaction and CMS accepted the settlement by negotiating the check.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether accord and satisfaction elements exist CMS argues genuine issues of fact on intent and understanding Health Net asserts all three elements were met: disputed claim, tendered check for less, creditor accepted Yes, accord and satisfaction established
Whether summary judgment appropriate given material facts CMS contends facts remain about understanding of payment Court correctly applied summary judgment standard; no genuine issue remains Yes, summary judgment affirmed

Key Cases Cited

  • Eppling v. Jon-T Chemicals, Inc., 363 So.2d 1263 (La.App. 4th Cir.1978) (clear language can show tender was for full settlement)
  • River Bend Capital, L.L.C. v. Lloyd’s of London, 63 So.3d 1092 (La.App. 4th Cir.2011) (tendered check with clear terms can bind if understood as settlement)
  • RTL Corporation v. Manufacturer’s Enterprises, Inc., 429 So.2d 855 (La.1983) (facts distinguished; later conduct showed no settlement here)
  • Fischbach and Moore, Inc. v. Cajun Electric Power Cooperative, Inc., 799 F.2d 194 (5th Cir.1986) (ambiguous check and transmission can raise issues precluding summary judgment)
  • Ryan v. State Farm Mutual Automobile Insurance Company, 68 So.3d 569 (La.App. 1st Cir.2010) (required notice that payment is in full to support accord and satisfaction)
Read the full case

Case Details

Case Name: Complete Medical System, L.L.C. v. Health Net Federal Services, L.L.C.
Court Name: Louisiana Court of Appeal
Date Published: Nov 1, 2013
Citations: 136 So. 3d 807; 2013 La. App. LEXIS 2245; 2013 La.App. 1 Cir. 0367; 2013 WL 5872044; No. 2013 CA 0367
Docket Number: No. 2013 CA 0367
Court Abbreviation: La. Ct. App.
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    Complete Medical System, L.L.C. v. Health Net Federal Services, L.L.C., 136 So. 3d 807