Here are the civil cases set for oral argument in Nashville on February 4 and 5, 2015:
- The Chattanooga-Hamilton Co. Hospital Authority d/b/a Erlanger Health Systems v. United Healthcare Plan of the River Valley, Inc. d/b/a Americhoice and TN Attorney General – Erlanger Hospital in Chattanooga filed suit against Americhoice claiming that the TennCare-managed health plan did not pay in full for services rendered in its emergency room. Americhoice, which did not have a contract with the hospital, said they were only responsible for the rates specified in the TennCare regulations. The hospital’s claims were dismissed by the trial court, but the Court of Appeals reversed. The Supreme Court will hear the appeal of Americhoice and the Tennessee Attorney General.
- Action Chiropractic Clinic, LLC v. Prentice Delon Hyler & Erie Ins. Exchange– This case involves a patient of Action Chiropractic Clinic of Nashville who assigned his rights to an insurance settlement over to the clinic, which was treating him for injuries caused in an automobile accident. Erie Insurance Exchange did not honor the assignment. Action Chiropractic Clinic sued, but the trial court ruled for Erie. The Court of Appeals agreed. The Supreme Court will consider whether such assignment of insurance proceeds is allowed.
- Richard Moreno v. City of Clarksville – Mr. Moreno filed a claim with the State Division of Claims Administration after a tree on state property fell on his car and injured him. The claim was then passed along to the Claims Commission and Mr. Moreno filed a complaint there. The state then alleged that the City of Clarksville was also to blame for the injury. When Mr. Moreno filed suit against the City of Clarksville, the city said the deadline for filing a complaint had passed. The trial court agreed, but the Court of Appeals said he had met the requirements by filing the original Claims Commission complaint on time. The Supreme Court will consider whether the requirements were indeed fulfilled.
- In re Estate of Sarah Margaret Wilkins – This case from Robertson County considers whether a son who had a health care power of attorney for his mother was required to submit to arbitration before proceeding with a lawsuit against the nursing home for abuse and neglect of his mother. The trial court said the arbitration was required, but the Court of Appeals disagreed. The Supreme Court will determine if the son was authorized to execute an arbitration agreement on behalf of his mother.