Healthcare Ally Management of California, LLC v. Aetna Life Insurance Co.

I. BACKGROUND

Keith Feder, M.D., Inc. has an agreement with HAMOC that allows him to assign unpaid or underpaid bills to HAMOC and allows HAMOC to take the legal action necessary to recover the outstanding payments. Dkt. 14 (FAC) ¶ 1. HAMOC brought this lawsuit to recover costs for services Dr. Feder rendered to two patients: I.S. and T.S. Id. ¶¶ 25, 45. Prior to providing services to these patients, Dr. Feder’s representative confirmed with Aetna the amount Aetna would pay for the services. Id. ¶¶ 26-33, 45-51. Aetna paid for only a fraction of the services. Dr. Feder billed Aetna $27,750 and $18,000 for the services rendered to I.S. Case 2:22-cv-04826-DSF-KS Document Filed 10/25/ Page 2 of Page ID #:231

and T.S. respectively. Aetna paid only $4,141.35 for I.S.’s services and $1,682.92 for T.S.’s services. Id. ¶¶ 39-40, 56-57. HAMOC originally filed claims for breach of oral contract, promissory estoppel, violation of California Business & Professions Code §17200 et seq., negligent misrepresentation, and breach of written contract. Dkt. 1-2 ¶¶ 59-100. The original complaint was filed in California Superior Court in Los Angeles County. Dkt. 1 at 1. On…