At page 677 Determining jurisdiction over medicare fiscal intermediaries18 citing casesholding that in action seeking payment from Medicare for services rendered the Court lacks subject matter jurisdiction over fiscal intermediary under doctrine of sovereign immunity and the real party in interest is the United States
- Mentis El Paso, LLP v. Health Care Serv. Corp., 58 F. Supp. 3d 745 (W.D. Tex. 2014).publishedCo., 563 F.2d 677, 677 (5th Cir.1977) (citing Peterson v. Weinberger, 508 F.2d 45, 51-52 (5th Cir.1975); Peterson v. Blue Cross/Blue Shield of Texas, 508 F.2d 55 (5th Cir.1975); 42 U.S.C. § 1395u) (affirming that Medicare fiscal intermedia…
- Lamb Cnty. Elec. Coop., Inc. v. Pub. Util. Comm'n of Texas, No. 03-04-00593-CV (Tex. App.—Austin Dec. 23, 2008).publishedCo., 563 F.2d 677, 677-78 (5th Cir. 1977); St.
- Diana Foster v. Texas Ret. Sys., Tr. for Texas Pub. Retired Sch. Employees Grp. Ins. Prog. Aetna Life Ins. Co. & Aetna Health Mgmt., LLC, No. 03-05-00837-CV (Tex. App.—Austin Dec. 23, 2008).publishedCo. , 563 F.2d 677, 677-78 (5th Cir. 1977); St.
- Foster v. Teacher Ret. Sys., 273 S.W.3d 883 (Tex. App.—Austin 2008).publishedCo., 563 F.2d 677, 677-78 (5th Cir.1977); St.
- Del Campo v. Kennedy, 517 F.3d 1070 (9th Cir. 2008).publishedCo., 563 F.2d 677, 677 (5th Cir.1977) (citing earlier version of provision); Peterson v. Weinberger, 508 F.2d 45 , 51 & n. 7 (5th Cir.1975) (quoting earlier version of provision). 16 .
- Del Campo v. Am. Corrective Counseling, No. 07-15048 (9th Cir. Feb. 5, 2008).publishedCo., 563 F.2d 677, 677 (5th Cir. 1977) (citing earlier version of provi- sion); Peterson v. Weinberger, 508 F.2d 45 , 51 & n. 7 (5th Cir. 1975) (quoting earlier version of provision). 1766 DEL CAMPO v. AMERICAN CORRECTIVE COUNSELING Moreov…
- United States Ex Rel. Barron v. Deloitte & Touche, L.L.P., 381 F.3d 438 (5th Cir. 2004).publishedJoseph’s Hosp., 573 F.Supp. at 450 . 31 . 563 F.2d 677, 677 (5th Cir.1977) (per cu-riam). 32 . 508 F.2d 55, 57-58 (5th Cir.1975). 33 . 508 F.2d 45 , 51-52 (5th Cir.1975). 34 . 802 F.Supp. at 1512 . 35 . 573 F.Supp. at 450 . 36 . 355 F.3d a…
- Vernell, Louis, In Re:, 208 F.3d 1308 (11th Cir. 2000).published Co., 563 F.2d 677, 677 (5th Cir.1977); Peterson v. Weinberger, 508 F.2d 45, 51 (5th Cir.1975).
- Shands Teaching Hosp. & Clinics, Inc. v. Beech Street Corp., 208 F.3d 1308 (11th Cir. 2000).publishedCo., 563 F.2d 677, 677 (5th Cir.1977); Peterson v. Weinberger, 508 F.2d 45, 51 (5th Cir.1975).
- Holton v. Blue Cross & Blue Shield of South Carolina, 56 F. Supp. 2d 1347 (M.D. Ala. 1999).published Co., 563 F.2d 677, 677-78 (5th Cir.1977) 4 ; Peterson v. Weinberger, 508 F.2d 45 (5th Cir.1975).
Show 6 more citing cases
- United States v. Blue Cross & Blue Shield of Alabama, Inc., 156 F.3d 1098 (11th Cir. 1998).published (justifying extension of the doctrine because the United States is the real party in interest)
- Brooks v. Blue Cross & Blue Shield of Florida, Inc., 116 F.3d 1364 (11th Cir. 1997).published(holding that in action seeking payment from Medicare for services rendered the Court lacks subject matter jurisdiction over fiscal intermediary under doctrine of sovereign immunity and the real party in. interest is the…)
- Nadine Brooks v. Blue Cross & Blue Shield Of Florida, Inc., 116 F.3d 1364 (1st Cir. 1997).published(holding that in action seeking payment from Medicare for services rendered the Court lacks subject matter jurisdiction over fiscal intermediary under doctrine of sovereign immunity and the real party in interest is the…)
- City of Worcester v. HCA Mgmt. Co., Inc., 753 F. Supp. 31 (D. Mass. 1990).publishedCo., 563 F.2d 677, 677-78 (5th Cir.1977); accord Peterson v. Weinberger, 508 F.2d 45, 50-52 (5th Cir.) cert. denied Peterson v. Mathews, 423 U.S. 830 , 96 S.Ct. 50 , 46 L.Ed.2d 47 (1975) (federal employees were granted absolute immunity un…
- 4 soc.sec.rep.ser. 216, Medicare&medicaid Gu 33,636 Rochester Methodist Hosp., a Minnesota Non-Profit Corp. v. The Travelers Ins. Co., a Connecticut Corp., U.S. Dep't of Health & Human Servs., Rochester Methodist Hosp., a Minnesota Non-Profit Corp. v. The Travelers Ins. Co., a Connecticut Corp., U.S. Dep't of Health & Human Servs.. Rochester Methodist Hosp., a Minnesota Non-Profit Corp. v. The Travelers Ins. Co., a Connecticut Corp., & U.S. Dep't of Health & Human Servs., 728 F.2d 1006 (8th Cir. 1984).publishedCo., 563 F.2d 677, 677-78 (5th Cir.1977) (per curiam); Hazelwood Chronic & Convalescent Hosp. v. Weinberger, 543 F.2d 703 , 704 n. 1 (9th Cir.1976), vacated on other grounds, 430 U.S. 952 , 97 S.Ct. 1595 , 51 L.Ed.2d 801 (1977); Peterson v…
- Rochester Methodist Hosp. v. Travelers Ins., 728 F.2d 1006 (8th Cir. 1984).publishedCo., 563 F.2d 677, 677-78 (5th Cir.1977) (per curiam); Hazelwood Chronic & Convalescent Hosp. v. Weinberger, 543 F.2d 703 , 704 n. 1 (9th Cir.1976), vacated on other grounds, 430 U.S. 952 , 97 S.Ct. 1595 , 51 L.Ed.2d 801 (1977); Peterson v…
At page 678 Reversing judgment on summary judgment motion6 citing cases“nothing in the record to indicate that travelers was acting outside the perimeters of its official duties in its dealings with”
- Holton v. Blue Cross & Blue Shield of South Carolina, 56 F. Supp. 2d 1347 (M.D. Ala. 1999).published Co., 563 F.2d 677, 677-78 (5th Cir.1977) 4 ; Peterson v. Weinberger, 508 F.2d 45 (5th Cir.1975).
- United States v. MacK, 48 F. Supp. 2d 708 (S.D. Tex. 1999).publishedCo., 563 F.2d 677, 678 (5th Cir.1977); Peterson v. Blue Cross/Blue Shield of Texas, 508 F.2d 55, 58 (5th Cir.1975).
- 4 soc.sec.rep.ser. 216, Medicare&medicaid Gu 33,636 Rochester Methodist Hosp., a Minnesota Non-Profit Corp. v. The Travelers Ins. Co., a Connecticut Corp., U.S. Dep't of Health & Human Servs., Rochester Methodist Hosp., a Minnesota Non-Profit Corp. v. The Travelers Ins. Co., a Connecticut Corp., U.S. Dep't of Health & Human Servs.. Rochester Methodist Hosp., a Minnesota Non-Profit Corp. v. The Travelers Ins. Co., a Connecticut Corp., & U.S. Dep't of Health & Human Servs., 728 F.2d 1006 (8th Cir. 1984).publishedCo., 563 F.2d 677, 677-78 (5th Cir.1977) (per curiam); Hazelwood Chronic & Convalescent Hosp. v. Weinberger, 543 F.2d 703 , 704 n. 1 (9th Cir.1976), vacated on other grounds, 430 U.S. 952 , 97 S.Ct. 1595 , 51 L.Ed.2d 801 (1977); Peterson v…
- Rochester Methodist Hosp. v. Travelers Ins., 728 F.2d 1006 (8th Cir. 1984).publishedCo., 563 F.2d 677, 677-78 (5th Cir.1977) (per curiam); Hazelwood Chronic & Convalescent Hosp. v. Weinberger, 543 F.2d 703 , 704 n. 1 (9th Cir.1976), vacated on other grounds, 430 U.S. 952 , 97 S.Ct. 1595 , 51 L.Ed.2d 801 (1977); Peterson v…
- Northridge Bank v. Cmty. Eye Care Ctr., Inc., & Third-Party v. Richard E. Galecki, Jonathan N. Weber, John G. Gonis, Arthur M. Greve, Spencer Thomas, & Small Bus. Admin., Third-Party, 655 F.2d 832 (3d Cir. 1981).publishedIn contrast to Turner, Matranga v. Travelers Insurance Co., 563 F.2d 677, 678 (5 Cir. 1977), suggests that any tort claim against an agent of the federal government who is acting within the scope of his employment, is actually a claim agai…
- Northridge Bank v. Cmty. Eye Care Ctr., Inc., 655 F.2d 832 (7th Cir. 1981).publishedIn contrast to Turner, Matran-ga v. Travelers Insurance Co., 563 F.2d 677, 678 (5 Cir. 1977), suggests that any tort claim against an agent of the federal government who is acting within the scope of his employment, is actually a claim aga…
Other citing cases
- Nu-Air Mfg. Co. v. Frank B. Hall & Co., 822 F.2d 987 (11th Cir. 1987).published
- Woelffer v. Happy States of Am., Inc., 626 F. Supp. 499 (N.D. Ill. 1985).published
v.
the TRAVELERS INSURANCE COMPANY, Defendant-Appellant
The Travelers Insurance Company, defendant below, is a contract carrier through which the Secretary of Health, Education and Welfare administers the Medicare Act, 42 U.S.C. §§ 1395e-1395qq (1970) (amended 1976). Travelers brings this interlocutory appeal, 28 U.S.C. § 1292(b), from the district court’s denial of its motion for summary judgment, contending that the district court lacked subject matter jurisdiction over Travelers under the doctrine of sovereign immunity. We agree and direct the district court to enter judgment for the appellant.
Dr. E. J. Matranga, a podiatrist in Jackson, Mississippi, filed this action on the theory that Travelers was liable to him for willful and wanton misconduct in processing Medicare claims that he had submitted to Travelers to cover professional services rendered to nursing home patients. Travelers’ misconduct was alleged to be the improper withholding of payments to Dr. Ma-tranga and the referral of his case to the Social Security Administration for investigation.
We held in Peterson v. Weinberger, 508 F.2d 45, 51-52 (5th Cir. 1975), and Peterson v. Blue Cross/Blue Shield of Texas, 508 F.2d 55 (5th Cir. 1975), that the district court lacks jurisdiction over such Medicare fiscal intermediaries as Travelers under the doctrine of sovereign immunity. The Medicare Act authorizes the Secretary of Health, Education and Welfare to provide for the administration of the Act through contract “carriers.” 42 U.S.C. § 1395u (1970) (amended 1976). Travelers is such a carrier. Although Travelers makes determinations of amounts to be paid on claims and disburses funds provided by the government, the United States is the real party in interest. 20 C.F.R. § 405.670 (1977).
Travelers was acting under the direction of the Secretary of Health, Education and[*678] Welfare and there is nothing in the record to indicate that Travelers was acting outside the perimeters of its official duties in its dealings with Dr. Matranga. The district court erred in declining to grant Travelers’ motion for summary judgment. The district court, therefore, is directed to enter judgment for the appellant.
REVERSED AND REMANDED WITH INSTRUCTIONS.