Jackson v. Trancik
953 N.E.2d 1087
| Ind. Ct. App. | 2011Background
- Dr. Trancik provided medical services to Jackson Feb 26–Mar 9, 2007, including two office visits and shoulder surgery with four procedures in one operation.
- Total bill for services was $11,147; Jackson paid a $20 co-payment and insurer paid $5,875, leaving $5,252 outstanding.
- November 2009, Dr. Trancik filed suit on an account stated seeking the remaining balance.
- Jackson opposed summary judgment and designated evidence including Christine Lewis’s affidavit, asserting misbilling by Dr. Trancik in the amount of $3,700.50.
- Trial court struck Lewis’s affidavit and granted summary judgment for $5,252 plus pre-judgment interest and costs.
- On appeal, court reversed and remanded, holding the trial court abused its discretion in striking the affidavit and that a genuine issue of material fact exists as to the amount owed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the trial court abused its discretion in striking the Lewis affidavit. | Jackson contends Lewis is qualified to opine on billing accuracy. | Trancik argues Lewis is inadmissible or unqualified to render billing expert testimony. | Yes; the court abused its discretion. |
| Whether a genuine issue of material fact remains as to the amount Jackson owes. | Lewis’s affidavit shows overcharging by $3,700.50, leaving a disputed balance. | The billed amount reflects the correct account stated balance. | Yes; a genuine issue of material fact remains. |
Key Cases Cited
- Washington County Mem'l Hosp. v. Hattabaugh, 717 N.E.2d 929 (Ind. Ct. App. 1999) (prima facie proof of amount owed on an account stated; burden shifts to debtor if no objection)
- Galloway v. Methodist Hosps., Inc., 658 N.E.2d 611 (Ind. Ct. App. 1995) (whether evidence supports that billed amounts were usual, customary, and reasonable)
- Stanley v. Walker, 906 N.E.2d 852 (Ind. 2009) (reasonable value of medical services; admissibility of medical billing testimony)
- Kroger Co. v. Plonski, 930 N.E.2d 1 (Ind. 2010) (standard for reviewing admissibility of expert affidavits in summary judgment)
- Madison County Bank & Trust Co. v. Kreegar, 514 N.E.2d 279 (Ind. 1987) (weighing conflicting evidence; summary judgment improper when fact-finder must resolve conflicts)
- Auffenberg v. Bd. of Trustees of Columbus Reg'l Hosp., 646 N.E.2d 328 (Ind. Ct. App. 1995) (implied agreement from account statement if debtor does not object in reasonable time)
