From Casetext: Smarter Legal Research

Healthcare Ally Mgmt. v. Blue Cross Blue Shield

UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
Dec 11, 2019
No. 18-55899 (9th Cir. Dec. 11, 2019)

Opinion

No. 18-55899 No. 18-56246

12-11-2019

HEALTHCARE ALLY MANAGEMENT OF CALIFORNIA, LLC, Plaintiff-Appellant, v. BLUE CROSS BLUE SHIELD OF MINNESOTA, Defendant-Appellee.


NOT FOR PUBLICATION

D.C. No. 2:16-cv-07042-DMG-AFM MEMORANDUM D.C. No. 2:17-cv-05320-DMG-AFM Appeal from the United States District Court for the Central District of California
Dolly M. Gee, District Judge, Presiding Argued and Submitted November 7, 2019 Pasadena, California Before: MURGUIA and HURWITZ, Circuit Judges, and ZOUHARY, District Judge.

This disposition is not appropriate for publication and is not precedent except as provided by Ninth Circuit Rule 36-3.

The Honorable Jack Zouhary, United States District Judge for the Northern District of Ohio, sitting by designation. --------

On separate dates between 2013 and 2016, nine patients received medical care in California. Eight received care at La Peer Surgery Center ("La Peer"), and one received care elsewhere from Dr. Sanjay Khurana. Neither provider was paid to its satisfaction. They assigned their nonpayment and underpayment claims to Healthcare Ally Management of California, who then twice sued Blue Cross Blue Shield of Minnesota ("Blue Cross") in the U.S. District Court for the Central District of California. The court dismissed both lawsuits for lack of specific personal jurisdiction. We have jurisdiction under 28 U.S.C. § 1291 and affirm.

1. The patients' insurance contracts are insufficient to create specific personal jurisdiction. This case is materially different from Hirsch v. Blue Cross, Blue Shield of Kansas City, where we determined jurisdiction existed over the defendant insurance company. 800 F.2d 1474, 1482 (9th Cir. 1986). Unlike the plaintiffs in Hirsch, who obtained insurance from the defendant while they resided in the forum state, id. at 1476-77, 1479, six of the nine patients here were covered under plans administered -- but not insured -- by Blue Cross, and the other three patients were insured through Blue Cross plans issued in Minnesota to Minnesota residents. At best, these relationships constitute merely "attenuated" connections between Blue Cross and California and are insufficient evidence of purposeful availment. Burger King Corp. v. Rudzewicz, 471 U.S. 462, 475 (1985) (quoting World-Wide Volkswagen Corp. v. Woodson, 444 U.S. 286, 299 (1980)).

2. The phone calls between La Peer and Blue Cross also are insufficient evidence of purposeful availment. La Peer initiated the calls; Blue Cross did not "reach[] out" into California. Walden v. Fiore, 571 U.S. 277, 285 (2014) (quoting Burger King, 471 U.S. at 479). Moreover, Blue Cross did not promise to pay for the patients' medical services during these calls, but instead merely confirmed that the patients were covered by the policies.

3. The denial-of-benefits letter mailed by Blue Cross to Dr. Khurana is insufficient to create jurisdiction, too. In denying Khurana's request for payment, Blue Cross did not create a meaningful connection with California. See Walden, 571 U.S. at 285-86; Hunt v. Erie Ins. Grp., 728 F.2d 1244, 1248 (9th Cir. 1984).

AFFIRMED.


Summaries of

Healthcare Ally Mgmt. v. Blue Cross Blue Shield

UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
Dec 11, 2019
No. 18-55899 (9th Cir. Dec. 11, 2019)
Case details for

Healthcare Ally Mgmt. v. Blue Cross Blue Shield

Case Details

Full title:HEALTHCARE ALLY MANAGEMENT OF CALIFORNIA, LLC, Plaintiff-Appellant, v…

Court:UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

Date published: Dec 11, 2019

Citations

No. 18-55899 (9th Cir. Dec. 11, 2019)

Citing Cases

Stanford Health Care v. Haw. Med. Serv. Ass'n

However, courts regularly find a provider's participation in the BlueCard program insufficient to establish…

Beverly Hills Reg'l Surgery Ctr. v. Grp. Hospitalization & Med. Servs.

Defendant's role in overseeing a Plan that a California resident happens to be a member of is insufficient…