Dr. Robert L. Meinders, D.C., Ltd. v. United HealthCare Services, Inc., No. 20-2832 (7th Cir. 2021)Annotate this Case
Meinders offers chiropractic services. United provides or administers insurance plans nationwide. In 2006, Meinders became a “participating provider” with United to expand his customer base; he signed a provider agreement with ACN. which provided administrative and network management services for chiropractors, and had a preexisting master services agreement with United. The agreement allowed ACN, “in its sole discretion,” to “assign its rights, duties or obligations” under the agreement.“ The agreement stated that if a dispute arose, either party “may” submit the issue “to arbitration” and any arbitration decision would be “final and binding.”
Meinders submitted claims for United-insured patients directly to United; United paid those claims. Those claims were submitted on United forms and if an explanation of benefits was requested, United provided it. Meinders confirmed a patient’s eligibility either through United’s website or through a United phone number. ACN became a wholly-owned subsidiary of United.
In 2013, United sent a fax to Meinders, who believed that United had violated the Telephone Consumer Protection Act and filed suit. After remands, the district court held that “United … assumed the material obligations of ACN …, a wholly-owned subsidiary of United, under the Provider Agreement, which authorizes United to enforce the arbitration clause.” The Third Circuit affirmed.