Advanced Spine Centers, Inc. v. Encompass Insurance
Opinion of the Court
Encompass Insurance Company (“Encompass”) has appealed following the entry of judgment against it after a jury-waived trial. The court found for the plaintiff, Advanced Spine Centers, Inc. (“Advanced Spine”), and awarded damages plus interest, costs, and, principally, attorney’s fees in the total amount of $14,213.78. The matter was tried upon a “case stated,” the following facts not being in dispute.
On October 28, 2006, Kamsot Mein (“Mein”) was in a car accident. Her car was insured by Encompass. Through her attorney, Mein presented a claim to Encompass for personal injury protection (“PIP”) benefits totaling $6,610.00, which Encompass denied. The parties agree that the reasons for the denial are “irrelevant,” and that the “reasonableness of the bills, the necessity of the treatment and the causal relationship between the accident, injuries and treatment are not at issue.” On August 8, 2007, Mein settled her “third party bodily injury claim” against the other motorist for $7,500.00. At that time, she released the other motorist, a family member of the other motorist, and MMG Insurance Company (“MMG”)
The parties agreed that the sole issue in this case was whether the “Conditional Release of Lien” released Encompass “from liability to Advanced Spine for the medical expenses incurred by Ms. Mein as a result of the October 28,2006 accident,” i.e., the remaining half of the PIP benefits originally sought. The parties went on to suggest how the trial judge should fashion his ruling: if Encompass were released, the judge should answer “yes,” and enter judgment for Encompass; if Encompass were not released, the judge should answer “no,” and enter judgment for Advanced Spine in the amount of $3,305.00, plus interest, costs, and attorney’s fees pursuant to G.L.C. 90, §34M. In either event, the remaining counts in Advanced Spine’s complaint were dismissed by agreement. The trial judge answered “no,” and assessed damages. This appeal followed. Encompass takes the position that the two releases clearly show that it was not obligated to pay the balance of the PIP claim. On the other hand, Advanced Spine argues that “[b]y releasing its so-called lien,” it “relinquished any security it had for the debt against Mein’s tort claim, but that the document cannot possibly be read as a discharge of the underlying debt itself’ (emphasis in original).
Black’s Law Dictionary 1006 (9th ed. 2009) defines a “lien” as a “legal right or interest that a creditor has in another’s property, lasting usu [ally] until a debt or duty that it secures is satisfied.” See also Hurley v. Boston R.R. Holding Co., 315 Mass. 591, 608 (1944). As stated in City of Boston v. Rockland Trust Co., 391 Mass. 48, 55 (1984), quoting Arnold v. Delano, 4 Cush. 33, 38 (1849), “[t]he very definition of a lien is, a right to hold goods, the property of another, in security for some debt, duty or other
Accordingly, in these circumstances, the trial judge’s “no” response was warranted.
Judgment affirmed.
So ordered.
MMG is, apparently, the insurer of the other car involved in the accident.
The release sets out that exclusion in capital letters three times.
It was agreed in the parties’ case stated that Accelerated was Advanced Spine’s authorized agent.
It is not clear what precisely is the “above claim.” The document does not have a caption typical of a court pleading. Next to the word “Re,” it refers to Mein as the “patient/client,” and Advanced Spine as the “provider,” followed by the date of the injury and the ‘Total Charges” of $6,610.00. Thus, it seems to refer to Advanced Spine’s claim for services provided. However, it is unclear what funds were now made available “as a result” of that claim.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.