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Donet v. Isamax Snacks, Inc.

S.D.N.Y.September 18, 2023No. 1:23-cv-01286
Plaintiff WinCompass Health$1,500 awarded
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Case Details

Nature of Suit — the legal category of the dispute
446 Civil Rights: Americans with Disabilities - Other
Status — whether other courts must follow this ruling
Unknown
Procedural Posture — the stage the case had reached
summary judgment

Related Laws

No specific laws identified for this ruling.

Claim Types

Breach of Contract

Outcome

The trial court granted summary disposition in favor of plaintiffs, finding that a medical provider cannot pursue balance bill collections from a patient-insured after an insurer has made reasonable partial payment under the no-fault act, and awarded $1,500 in damages ($150 per violation × 10 billing statements) plus attorney fees and costs under the Michigan Regulation of Collection Practices Act.

What This Ruling Means

**Medical Provider Illegally Pursued Patient for Balance Bills** This case involved a dispute between a patient (Donet) and a medical provider (Isamax Snacks, Inc./Compass Health) over billing practices. After the patient received medical treatment, their insurance company made a partial payment to the provider under Michigan's no-fault insurance law. However, the medical provider continued to send multiple billing statements to the patient, demanding they pay the remaining balance that the insurance didn't cover. The court ruled in favor of the patient, finding that the medical provider violated the law by trying to collect the balance from the patient after receiving reasonable partial payment from the insurance company. The court awarded the patient $1,500 in damages, calculated at $150 for each of the 10 improper billing statements sent. The provider was also ordered to pay the patient's attorney fees and court costs. **What This Means for Workers:** If you receive medical treatment covered by no-fault insurance and your provider sends you bills for amounts your insurance already partially paid, you may not be responsible for those charges. Medical providers cannot legally pursue patients for balance billing in these situations, and you have legal protections against improper collection practices.

This summary was generated to explain the ruling in plain English and is not legal advice.

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This ruling information is sourced from public court records via CourtListener.com. Case outcomes, claim types, and summaries are extracted using AI analysis and may be incomplete or inaccurate. It is provided for informational and educational purposes only and does not constitute legal advice.

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