P-Stim Class Action Medicare Fraud Lawsuit

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ORIGINAL
MATTHEWD.RIFAT(SBN 187882)
Law Officesof MatthewD. Rifat,APC
3703 Caminodel Rio South, Suite200
SanDiego, California 92108
Telephone: (619) 282-0185
Facsimile: (619) 282-0186
Attorneysfor Plaintiffs& PutativeClass
RepresentativesPacific Surgical
Instituteof Pain Management,Inc. and
SanDiego ComprehensivePain
ManagementCenter,Inc., On Behalfof
Themselvesand On Behalf of Others
SimilarlySituated
FILEDSupC11rforC111n1QtC11!J.forma
ountyort11sA!lg@J~
MAR062017
SUPERIORCOURTOFTHE STATEOF CALIFORNIA
INAND FOR THE COUNTYOF LOSANGELES
PACIFICSURGICALINSTITUTEOF PAIN
MANAGEMENT,INC., a California
corporation;and SANDIEGO
COMPREHENSIVEPAINMANAGEMENT
CENTER,INC., a Californiaprofessional
corporation;On Behalf of Themselvesand on
Behalf of all Others SimilarlySituated,
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CaseNo.
BC8 i 18D1
CLASSACTION
CLASSACTIONCOMPLAINTFOR:
Plaintiffs,
V.
) 1.
) 2.
) 3.
)
) 4.
INNOVATIVEHEALTHSOLUTIONS,INC., ) 5.
an Indianacorporation;ACCLMTY )
MEDICAL,LLC, a Kentuckylimitedliability ) 6.
company;CORENEXUS,LLC, a Texas )
limitedliabilitycompany;MEDICAL ) 7.
INNOVATIONS,LLC, a Californialimited )
liabilitycompany;and DOES 1-20,inclusive, )
BREACHOF CONTRACT;
NEGLIGENCE;
FRAUD-INTENTIONAL
MISREPRESENTATION
FRAUD-CONCEALMENT
FRAUD-NEGLIGENT
MISREPRESENTATION
UNLAWFUL,FRAUDULENT&
UNFAIRBUSINESSPRACTICES
CIVILCONSPIRACY
Defendants.
)
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)
TRIALBY JURYDEMANDED
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Plaintiffsand Putative ClassRepresentativesPACIFICSURGICAJ:@STfiu'Il! QFr,
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PAINMANAGEMENT,INC., a Californiacorporationand SANDIEGOCOMPREHtiJNiSDIE
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PAINMANAGEMENTCENTER,INC., a Californiaprofessionalcorporation,on beh]'lfof
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themselvesand others similarlysituatedcomplainof INNOVATIVEHEALTHS~UTI(;jNS,
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INC., an Indianacorporation;ACCLMTY MEDICAL,LLC, a Kentuckylimitedliability
company;CORENEXUS,LLC, a Texaslimitedliabilitycompany;MEDICALINNOVATIONS,
LLC, a Californialimitedliabilitycompany;and DOES 1-20,inclusive,as follows:
I. BACKGROUND
1. Plaintiffsand PutativeClassRepresentativesPACIFICSURGICALINSTITUTE
OF PAINMANAGEMENT,INC., a Californiacorporation("SurgeryCenterPlaintiff'') and
SANDIEGOCOMPREHENSIVEPAINMANAGEMENTCENTER,INC., a California
professionalcorporation("MedicalClinicPlaintiff''),bring this action on behalf of themselves
and on behalf of all persons similarlysituated. The class that Plaintiffsseekto representis
composedof surgerycenters,medicalfacilities,physiciansand medicalclinicswho were sold
the P-STIMmedical deviceand givenadviceconcerninghow to bill and collectfor the device
and ancillaryservicesby the Defendants.
2. The P-STIMis a medicaldevicefor administeringautonomicnervous systemand
vascularstimulation. The devicecontainsthree leads implantedby trainedphysicians in the
arterialbundles of the skin of a patient's outer ear. Stimulationis providedby electricalpulses
emittedthroughselectivelypositionedneedles.
3. The devicewas sold and marketedthroughoutthe United Statesby Defendant
InnovativeHealth Solutions,Inc. ("IHS")under a licenseagreementwith the manufacturer,
BieglerGbmH. IHS investedsubstantialsums in advertisingand marketingthe P-STIM
throughoutthe United States,includingon its website, at trade shows,in brochures,in
newsletters,in videos and in on-sitepresentationsat physicianofficesand surgerycenters. IHS
has sold tens of thousandsof P-STIMdevicesthroughoutthe United Statesand touts itself as the
market leader in the industry.
4. As a means of marketingthe P-STIM,the Defendantsconceivedof promotingthe
P-STIMas billableunder a particularset of medicalbilling codes, includingCPT64555,
PercutaneousImplantationofNeurostimulator Electrodesat a PeripheralNerve. This code and
the ancillarycodesbilledwith it coveringfacilityand individualprovider chargesprovided for
between $3,000and $6,000in reimbursementfrom health insurersfor a procedurewith little
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CLASSACTIONCOMPLAINTAND DEMANDFORJURYTRIAL

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associatedcost,takingten minutesto perform. Consequently,withthis type of promotion,the
utilizationof P-STIMskyrocketed.
5. On December19,2012,actingonbehalfof the Defendants,ThomasPalmerat
CoreNexussentinstructionsto the Plaintiffsandothersconcerningbillingfor the P-STIM,that
containedmaterialmisrepresentationsand omissions. A true and correctcopyof the instructions
is attachedheretoas Exhibit"A".
5. On January 12,2013,actingonbehalfof the Defendants,CoreNexushosteda
promotionaleventat the PowaySurgeryCenterlocatedinPoway,Californiafor the purposeof
promotingthe "NIPProcedure(NonInvasivePan Procedure)utilizingthe P-STIMdevice." The
SurgeryCenterPlaintiffandthe MedicalClinicPlaintiffattendedthe event. Atrue and correct
copyof the CoreNexuspromotionalmaterialis attachedheretoas Exhibit"B". Thepromotional
materialslaudedthe procedureas a "greatmedicalalternativeto traditionalpain treatments"and
FDAclearedfora dozenmedicalconditions.Also attendingthe eventwas RickMalywho acted
as a distributoronbehalfof the Defendantsthroughhis company,DefendantMedical
Innovations,LLC,anda physicianlecturerfromthe MicrosurgeryInstituteof Dallas.
6. Becauseof the statementsconcerningreimbursementand efficacy,the Plaintiffs
decidedto purchaseand didpurchasea numberof P-STIMSfor use in theirpatients.
7. On January 16,2013,actingonbehalfof the Defendants,MedicalInnovations
and CoreNexusforwardeda numberof promotionalmaterialsto encouragethe purchaseof the
P-STIMby Plaintiffswhichreiteratedthe instructionson codingmedicalbillingandincludedan
explanationof benefitsformshowingthe paymentof $28,000in connectionwith the use of the
P-STIM. A true andcorrectcopyof the promotionalmaterialsis attachedheretoas Exhibit"C".
8. Unbeknownstto the RepresentativePlaintiffsandMembersof the PutativeClass,
but knownto the Defendants,in 2011it had alreadybeen determinedthat the P-STIMwas not
percutaneousplacementof a peripheralneurostimulatorlead andthat the billingand coding
instructionsbeingprovidedby the Defendantswereknowinglyfalse. Instead,inApril of 2011,
the HealthcareCommonProcedureCodingSystem("HCPCS")releaseda code,S8930Electrical
stimulationof auricularacupuncturepoints;each 15minutesof personalone-on-onecontactwith
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the patient. Reimbursementunder that code was substantiallyless.
9. IHS has taken the positionthat an appearanceby a competitor,whom IHS has
sued in separateand now-resolvedproceedingsbeforethe Centersfor Medicare Servicesin 2014
caused CMSto changeits handlingof claimsrelatingto the P-STIM and that this changedrove
IHS out of the P-STIMbusiness.
10. Despiteknowingthat the codinginstructionsthey were givingwere incorrect,the
Defendantsconcealedthat fact and falselystatedthat their instructionswere appropriate. They
did so becausethe high reimbursementunder the codespromotedby them encouragedpurchases
of P-STIMdevicesby medicalproviders.
11. On December 12,2014, on behalf of the Defendants,RyanKuhlmanatAcclivity
Medicale-mailedthe SurgeryCenterPlaintiffand falselystated"nothing is changingfrom a
codingperspective."
12. On January6, 2015,on behalf of the Defendants,RyanKuhlmanatAcclivity
Medical,again offeredreassuranceon the matter of the billing instructionsstating: "I also have a
billingresrouceif you need to speakwith someoneelse. She is responsiblefor settingup the
most successfulgroupofASC's that we have. It may be worthpickingher brain."
13. Consistentwith the instructionsand reassurancesgiven to the SurgeryCenter
Plaintiffand the MedicalClinicPlaintiff,eachbilled health insurersfor P-STIMproceduresand
services. Nationwide,between2012 and 2015 millionsof dollarsin P-STIMreimbursementwas
paid by health insurersto medicalproviders.
14. In an abruptabout face, on January7, 2015, on behalf of the Defendants,Ryan
KuhlmanatAcclivityMedical,gave the first indicationthat the billing and coding instructions
may not have been correctwhen he wrote to the SurgeryCenterPlaintiff: "However,I do feel
obligatedto tell you that our legal council [sic] has indicatedthat billingP-STIMwith coding
outsideof CMS' publishedrecommendationwouldbe fraudulentand indefensible,even if you
are using the P-STIMoff label and differentfrom how it was presentedto CMS."
15. On May 10,2016,the Defendantsrepresentativestatedthat there were problems
gettingsecondor third placementsof the P-STIMpaid by Medicareand Plaintiffsbegan to
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experienceproblemswith reimbursement.
16. On July 20, 2016, followingan investigationby the Plaintiffs,it was determined
that the instructionsgivenby the Defendantsfor billing and codingthe P-STIMwas completely
incorrect. As a result,health insurers,includingMedicarehave soughtreimbursementfor and
are recoupingmore than $2.5 millionfrom the PutativeClass Representativesand hundredsof
millionsof dollarsfrom other similarlysituatedmedicalproviders.
II. JURISDICTION&VENUE
17. This Courthasjurisdictionpursuantto CaliforniaConstitutionArticleVI, section
10,becausethis case is a causenot givenby statuteto othertrial courts.
18. Venueis proper in this Courtbecausethe cause, or somepart of the cause, arises
in LosAngelesCounty.
III. PARTIES
19. DefendantInnovativeHealth Solutions,Inc. is an Indiana corporationwhich at all
relevanttimes herein, was and is engagedin the business of marketing,sellingand distributinga
medicaldevice calledP-STIM,as more fully describedherein, throughoutCaliforniaand the
United States. It may be servedwith process of this Courtupon its registeredagent for serviceof
process,CorporationServiceCompany,135North PennsylvaniaStreet, Suite 1610,Indianapolis,
Indiana 46204.
20. DefendantAcclivityMedical,LLC, is a Kentuckylimitedliabilitycompany
which at all relevanttimes herein,was and is engagedin the business of marketing,selling and
distributinga medicaldevice calledP-STIM,as more fully describedherein and on behalf of
IHS, throughoutCaliforniaand the United States. It may be servedwith process of this Court
upon its registeredagent,RyanKuhlman,456 GlengarryWay,Fort Wright,Kentucky 41011.
21. DefendantCoreNexus,LLC is a Texaslimitedliabilitycompanywhich at all
relevanttimes herein,was and is engagedin the business of marketing,sellingand distributinga
medicaldevice calledP-STIM,as more fully describedherein and on behalf ofIHS, throughout
Californiaand the United States. It may be servedwithprocess of this Courtupon its registered
agent,MichaelS. Byrd,3333 Lee Parkway,8thFloor,Dallas, Texas 75219.
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22. DefendantMedicalInnovations,LLC, is a Californialimitedliabilitycompany
which at all relevanttimes herein,was and is engagedin the businessof marketing,sellingand
distributinga medicaldevicecalledP-STIM,as morefully describedherein and on behalfof
IHS,throughoutCaliforniaandthe United States. It maybe servedwithprocess of this Court
upon its registeredagent,RichardScottMaly, 11655BoultonAvenue,SanDiego,California
92128.
23. Thetrue names and capacities,whetherindividual,corporate,associate,or
otherwise,of defendantssuedherein as Does 1through 10,inclusive,are currentlyunknownto
Plaintiffs,who thereforesue defendantsby suchfictitiousnamesunder section474 of the
CaliforniaCode of CivilProcedure.Plaintiffsare informedandbelieve,andbased thereon
allege,that each of the defendantsdesignatedhereinas a DOE is legallyresponsiblein some
mannerfor the unlawfulacts referredto herein.Plaintiffswill seekleave of courtto amendthis
Complaintto reflectthe true names and capacitiesof the defendantsdesignatedhereinafteras
Doeswhen such identitiesbecomeknown.Hereinafter,Defendantsand the DOE defendants
shallbe referredto collectivelyas "Defendants."
24. Plaintiffsare informedandbelieve,and on such informationandbelief allege,that
each defendantactedin all respectspertinentto this actionas the agent of the otherdefendants,
carriedout ajoint scheme,businessplan or policyin all respectspertinenthereto,andthat the
acts of each defendantare legallyattributableto the otherdefendants.
IV. CLASS ACTION ALLEGATIONS
25. Plaintiffsbringthe claimspresentedhereinon behalf of themselvesand the
PlaintiffClass("Class")pursuantto section382of the CaliforniaCodeof CivilProcedure. The
Classis comprisedof:
All personsand entitieswhopurchasedP-STIMdevicesfromthe
Defendantswith instructionsfromthe Defendantsconcerninghow to bill insurers
andthird partypayors for reimbursementbetweenDecember 1,2012 and July 31,
2016.
26. Numerosity: The membersof the Classare sufficientlynumerousthatjoinder of
all membersis impracticable. Duringoneyear in the classperiod, CPTCode 64555was billed
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to Medicaremorethan 11,000timesby 151medicalproviders,resultingin over $14 million in
allowedcharges. Plaintiffsare informedandbelieve, and on that basis allege,that Defendants
soldthousandsof P-STIMdeviceswith instructionsconcerninghow to bill for those devicesto
individualand facilitymedicalprovidersand that more than one hundred of thoseprovidersnow
face recoupmentor other actionby third party payors to recoverthe sumspaid as reimbursement
for P-STIMdevicesand ancillaryservices.
27. Commonality:There are questionsof law and fact commonto the Class that are
answerableon a commonbasis, and these questionspredominateover individualquestions. The
questionsof law and fact commonto the Class include,withoutlimitation:
a. Whetherthe Defendantssold P-STIMdevicesto membersof the Class
with instructionson how to bill for those devicesand related servicesto third party payors and
health insurers;
b. Whetherthe Defendantsknowinglyconveyedfalse information
concerninghow to bill for P-STIMdevicesand related servicesto third party payors and health
msurers;
c. Whetherthe Defendantsprofited and enrichedthemselvesfrom knowingly
conveyingfalse informationconcerninghow to bill for P-STIM devicesand related servicesto
third party payors and health insurers;
d. Whetherthe Defendantsare liableto the ClassMembersfor breach of
contract;
e. Whetherthe Defendantsare liableto the ClassMembersfor negligence;
f. Whetherthe Defendantsare liableto the ClassMembersfor intentional
misrepresentation;
g. Whetherthe Defendantsare liableto the Class Membersfor concealment;
h. Whetherthe Defendantsare liableto the Class Membersfor negligent
misrepresentation;
1. Whetherthe Defendantsare liableto the Class Membersfor Unlawful,
Fraudulent& UnfairBusinessPractices;and
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J. Whetherthe Defendantsare liableto the ClassMembersfor the claims
hereinon a theoryof CivilConspiracy.
28. Typicality:Plaintiffsclaimsaretypicalof the claimsof the Classthey seekto
represent. As set forthherein,Defendants'commoncourseof conductcausedPlaintiffsand
. similarlysituatedmedicalprovidersthe sameor similarinjuriesand damages. Plaintiff's claims
are therebyrepresentativeof and co-extensivewith the claimsof the Class.
29. Adeguacy: Plaintiffswill fairlyand adequatelyrepresentthe interestsof all
membersof the Classthey seekto represent. Plaintiffsare membersof the Classthey seekto
represent,do not have any conflictsof interestwith the putativeClass,willprosecutethe case
vigorouslyon behalf of the Class,andhave alreadydevotedsubstantialtime and resourcesto the
initialinvestigationof these claims. Plaintiffs' attorneysare competentand experiencedin
litigatingcomplexlitigationactionsand are specialistsin the field of health care law.
30. Superiorityof a ClassAction: A classactionis superiorto otheravailable
methodsforthe fair and efficientadjudicationof this controversy. In particular,Plaintiffsare
informedandbelievethat ClassMembersareunablefinanciallyto bring lawsuitsagainstthe
Defendants. Becausehealth insurersare creatingfinancialdistressto the ClassMembersthrough
recoupmentandrecoveryof sumspaid in connectionwithP-STIMservices,Plaintiffsare
informedandbelievethat ClassMembersare largelyunableto pursuetheir claimsseparatelyand
classactiontreatmentwill allowthose similarlysituatedindividualsand entitiesto litigatetheir
claimsin the mannerthat is most efficientand economicalfor the parties andthejudicial system.
Classactiontreatmentwill also avoid inconsistentoutcomesbecausethe sameissuescan be
adjudicatedin the samemannerfor all membersof the Class. Classactiontreatmentwill also
benefitthe Defendantswho will avoida multiplicityof litigationnationwideconcerningthe
claimsmade herein.
V. DAMAGES& RESTITUTION
31. As a direct,foreseeable,and proximateresult of Defendants'conduct,Plaintiffs
and similarlysituatedindividualand facilitymedicalprovidersare owed compensationfor the
sumsexpendedin purchasingthe P-STIMSandthe sumsfor whichrecoveryhas been had and
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will be soughtby third payors and health insurersin connectionwith P-STIM services,
restitution,and such otherrecoveryas is providedunder Californialaw. The precise amountof
these damageswillbe proved at trial.
VI. CAUSESOFACTION
32.
FIRSTCAUSEOFACTION
BREACHOFCONTRACT
(AgainstallDefendants)
Civil Code section 1549provides:"A contractis an agreementto do or not to do a
certainthing." Courtshave definedthe term as follows:"A contractis a voluntaryand lawful
agreement,by competentparties, for a goodconsideration,to do or not to do a specifiedthing."
Robinsonv.Magee,9 Cal. 81, 83 (1858).
33. The agreementbetweenthe Plaintiffsand the PutativeClassMemberson the one
hand and the Defendantson the otherwas that the formerwouldpurchaseP-Stimsthat couldbe
billed and collectedat a particularreimbursementlevel. In purchasingP-Stims from the
Defendants,the Plaintiffsand the PutativeClassMembersrelied on the representationsfrom the
Defendantsconcerningreimbursementin agreeingto purchaseP-STIM devices. The Plaintiffs
and the Putative ClassMembersfulfilledall of their obligationsunder the terms of the P-STIM
purchaseagreements.
34. The Defendantsbreachedthe purchaseagreementswith the Plaintiffsand the
PutativeClassMembersbecausethe former soldP-STIMdevicesthat could not be billed as the
Defendantshad represented.
35. As a direct andproximateconsequenceof Defendants' foregoingbreach of the
allegedcontracts,Plaintiffsand PutativeClassMembershave sustainedgeneral,special,and
consequentialdamagesin an amountpresentlyunknown. Plaintiffswill establishthe precise
amountof damagesat trial, accordingto proof.
II I
I II
Ill
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SECONDCAUSEOFACTION
NEGLIGENCE
(Againstall Defendants)
36. When Plaintiffs sold P-STIM devices to the Plaintiffs and Putative Class
Members, the Plaintiffs represented that the P-STIM was billable in a particular way and at a
particular rate to third party payors and health insurers. The Plaintiffs knew or, in the exercise of
reasonable diligence, should have known that their representations were incorrect and false. The
Plaintiffs and the Putative Class Members, owing to Plaintiffs' superior position (having obtained
FDA approval and having direct dealings the Medicare and other third party payors in connection
with P-STIM reimbursement), reasonably relied upon the representations,promises and
instructions given to them by the Defendants concerning billing and collections in connection
with P-STIM devices.
37. The Defendants owed Plaintiffs and the Putative Class Members a duty to provide
them with accurate instructions concerning billing and collections in connection with P-STIM
devices or to refrain from giving any billing instructions at all.
38. The Defendants breached this duty to the Plaintiffs and the Putative Class
Members by providing materially false instructions and information concerning billing and
collections.
39. As a direct and proximate consequence of this breach, the Plaintiffs and the
Putative Class Members suffered damages in an amount to be determined at trial.
THIRDCAUSEOFACTION
FRAUD-INTENTIONAL MISREPRESENTATION
(CaliforniaCivilCode§ 1572)
(Againstall Defendants)
40. Defendants made material representations to Plaintiffs and the Putative Class
Members, by means of oral representations, labeling, advertisements,promotions, and/or
marketing, that Defendants' P-STIM device could be billed to third party payors and health
insurers with resulting reimbursement in a particular way.
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41. Defendants'representationswere untrue, as set forth above.
42. Defendantsmade the representationsherein allegedwith the intentionof inducing
Plaintiffsand the PutativeClassMembersto purchaseP-STIMsfrom Defendants.
43. At the time Defendantsmade the representationsherein alleged,Defendantsknew
that the representationswere false.
44. Plaintiffsand the PutativeClassMembersjustifiably relied upon Defendants'
fraudulentand intentionalmisrepresentationsand, in relianceon theserepresentations,were
inducedto purchaseP-STIMsfrom Defendants.
45. As a directand proximateresultof Defendants' intentionalmisrepresentations,
Plaintiffsand the PutativeClassMemberswere harmed in an amountto be determinedtrial.
FOURTHCAUSEOFACTION
FRAUD-CONCEALMENT
46. Defendantsconcealedmaterialfacts regardingthe reimbursement,billing and
collectionsrules in connectionwith P-STIMspurchasedby the Plaintiffsand PutativeClass
Members.
47. Defendantshad a dutyto discloseto Plaintiffsand PutativeClassMembersthat
the instructionsit was givingconcerningthe reimbursement,billing and collectionson P-STIM
serviceswere false and incorrectand that the P-STIMdid not have the attributeof being billable
and reimbursablein the way assertedby Defendants.
48. Defendants,however,concealedthe true facts from Plaintiffsand Putative Class
Members,as detailedabove,when the Defendantsknew the true and correctfacts regardingthe
P-STIM.
49. Defendantsconcealedthe true facts from Plaintiffsand PutativeClass Members
with the intentto inducePlaintiffsand PutativeClass Membersto continueto purchase
DefendantsP-STIMs.
50. Plaintiffsand PutativeClassMembersjustifiably relied upon Defendants'
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statementsand, in relianceon these representations,were inducedto purchaseP-STIMs fromthe
Defendantsand to bill and collectfor P-STIMservicesas instructedby the Defendants.
51. As a direct andproximateresult of Defendants'concealmentof materialfacts,
Plaintiffsand Putative ClassMemberswere harmed.
FIFTHCAUSEOFACTION
FRAUD-NEGLIGENT MISREPRESENTATION
52. Defendantsmade materialrepresentationsto Plaintiffsand Putative Class
Membersby means of oralrepresentations,labeling,advertisements,promotions,and/or
marketing,that that Defendants'P-STIMdevicecouldbe billed to third party payors and health
insurerswith resultingreimbursementin a particularway.
53. Defendants'representationswere untrue, as set forth above.
54. Defendantsmade the representationsherein allegedwith the intentto induce
Plaintiffsand Putative ClassMembersto continueto purchaseDefendantsP-STIMs.
55. Plaintiffsand PutativeClass Membersjustifiably reliedupon Defendants' oral
representations,labeling,and advertisingand, in reliancethereonwere inducedto purchaseP-
STIMsfrom the Defendantsand to bill and collectfor P-STIMservicesas instructedby the
Defendants.
56. Defendantsowed Plaintiffsand PutativeClassMembersa duty to take reasonable
care that the verbal and writteninformationbeing providedby Defendantsto Plaintiffsand
PutativeClassMemberswas true and correct.
57. At the time the Defendantsmade the misrepresentationsherein alleged,
Defendantshad no reasonablegroundsfor believingthe representationsto be true, thereby
breachingtheir duty owedto Plaintiffsand PutativeClass Members.
58. As a proximateresult of Defendants'misrepresentations,Plaintiffsand Putative
ClassMemberswere harmed.
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SIXTHCAUSEOFACTION
UNLAWFUL,FRAUDULENT& UNFAm BUSINESSPRACTICES
(CaliforniaBusiness& ProfessionsCode§§ 17200,etseq.)
59. Section 17200 of the California Business & Professions Code ("UCL") prohibits
unfair competition in the form of any unlawful, unfair, or fraudulent business act or practice.
60. Section 17204 of the California Business & Professions Code allows "any person
acting for the interests of itself, its members or the general public" to prosecute a civil action for
violation of the UCL.
61. Beginning at an exact date unknown to Plaintiffs, but at least since on or about
December 2012, Defendants have improperly, fraudulently, and unlawfully provided false and
inaccurate billing and coding instruction and attributed false and inaccurate reimbursement
concerning the P-STIM and have thereby committed unlawful, unfair, and/or fraudulent business
acts and practices as defined by section I7200 of the California Business & Professions Code as
alleged herein. Without limiting the foregoing, the Defendants have engaged in false advertising
as defined by section 17500 of the California Business & Professions Code;
62. The violations of these laws serve as unlawful, unfair, and/or fraudulent predicate
acts and practices for purposes of section 17200 of the California Business & Professions Code.
63. As a result of the aforementioned actions, Plaintiffs and the Putative Class
Members have lost and continue to lose money or property and suffered and continue to suffer
injury in fact, including the sums paid for the purchase of P-STIMS.
64. Plaintiffs and the Putative Class Members are entitled to restitution for all sums
received by the Defendants in connection with their sale of the P-STIM, and interest since four
years prior to the filing of this complaint.
65. Plaintiffs and the Putative Class Members are entitled to: (a) restitution of money
acquired by Defendants by means of their unfair business practices, in amounts not yet
ascertained but to be ascertained at trial; (b) a declaration that Defendants' business practices are
unfair within the meaning of the statute, (c) a permanent injunction to prohibit Defendants from
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providingmedicalbilling, codingand reimbursementinstructionin connectionwith the medical
devicesand productsthey sell.
66. Plaintiffshave assumedthe responsibilityof enforcementof the laws and lawful
claimsspecifiedherein.Thereis a financialburden incurredin pursuing this actionwhich is in
the public interest.Therefore,reasonableattorneys' fees are appropriatepursuantto section
1021.5of the CaliforniaCode of CivilProcedure.
67.
SEVENTHCAUSEOFACTION
CIVILCONSPIRACY
The Defendants,and each of them, agreedwith eachother or with some of each
other,to engagein the tortiousand illegal conductdescribedherein.
68. Alternatively,the Defendants,and each of them, engagedin the tortious conduct
allegedhereinwhile acting in concertwith one anotheror by commondesign.
69. In doing so, the Defendantsintendedto and did tortiouslyinjurethe Plaintiffsand
the PutativeClassMembersby fraudulentlyand wrongfullyinducingthem to pay for P-STIMs
and the incorrectlybill third partypayors and health insurers.
70. As a direct andproximateconsequenceof the misconductof the Defendants,the
Plaintiffsand the PutativeClassMembershave and will continueto sufferdamagesin an amount
to be determinedat trial.
VII. DEMANDFORJURYTRIAL
71. Plaintiffsdemandajury trial.
VIII. PRAYERFORRELIEF
WHEREFORE,Plaintiffs,on behalf of themselvesand the above-describedClass,pray
for relief as follows,jointly and severallyfrom all Defendants:
A. Thatthe Courtdeterminethat this actionmay be maintainedas a class action
under section382 of the CaliforniaCode of CivilProcedureand definethe Class are requested
herein;
B. Provisionof class noticeto all membersof the Class;
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C. A declaratoryjudgment that Defendantsknowingly and intentionallyviolated the
followingprovisionsof law:
1. Breach of contract,pursuantto section 1549of the CaliforniaCivil Code,
for promisingreimbursement .....
2. Sections 17200,etseq.,of the CaliforniaBusiness & ProfessionsCodeby
failingto
D. A declaratoryjudgment that Defendants' violations describedabove were willful;
E. An equitableaccountingto identify,locate,and restoreto Plaintiffsand the Class
the sumspaid by them for P-STIMdevices;
F. Apermanent injunctionto prohibitDefendants fromproviding false or misleading
instructionsconcerningthe billing, collectionsand reimbursementin connectionwith the use of
their products;
G. An awardto Plaintiffs and the Class the sums for which recoupmentand recovery
is and will be soughtby third party payors and health insurersin connectionwith the use of the
P-STIM;
H. An award ofreasonable attorneys' fees and costspursuant to section 1021.5 of the
CaliforniaCode of Civil Procedureand other applicablelaw; and
I. An awardto Plaintiffsand the Class of such other and furtherrelief as this Court
may deemjust andproper.
Dated:March 2, 2017 BY:
LAW OFFICES OF MATTHEW D. RIFAT, APC
MatthewD. Rifat
Attorneys for Plaintiffs
- 15 -

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~ EXHIBIT ''A'':'!'..,;
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ICD,CPT,andHCPCcodingguidanceinstructsto codeto thehighestlevelof specificity.
ICD-InternationalClassificationof Diseases(codesthatmatchwithdiagnosis)
CPT-ProcedureCode
HCPC- DurableMedicalEquipmentCode
In addition,providersare only to code and bill those servicesthat their documentationsupports.
Therefore,documentationof the diagnosesandall decisionmakingleadingupto the implantationof
the P-Stim,anddocumentationof the procedureandfollow-uparecriticalto supportingthe codinga
providerchoosesto use. It is veryimportantthat the documentationclearlydescribesthe nerves
beingtargeted. If perfom,ingthe procedurein an AmbulatorySurgicalCenter,the documentation
shouldsupportwhyit is beingperfom,edinanASCversusbeingdoneintheoffice.
TheP-Stimdevicecodingincludes:
• Device
• Implantationofthedevice
• Analysisof theplacementtesting
• Miscellaneoussupplies
• Dependingon whetherthe deviceis beingimplantedin an officesettingor an ambulatory
surgicalsetting,the providermay also code for the appropriateEvaluation/Management
service.
Potentialcodingisasfollows:
99201-99214 -Appropriate Evaluation/ManagementServiceif perfonnedon the sameday as the
procedure.If the providerdoesallof the componentsof the E/Mserviceor, spendsat least50%of
the time withthe patientin counseling,and documentsthat counselingtime, an E/M code maybe
billed,withthe-25modifier.The-25modifierdesignatestheE/Mserviceas a "significant,separately
identifiableevaluationand managementseNiceby the samephysicianon the same day of the
procedureorotherservice·.
64553 - Percutaneousimplantationof neurostimulatorelectrodes;cranial nerve or 64555 -
Percutaneousimplantationof neurostimulatorelectrodes;peripheralnerve- billedby boththe facility
and bythe physicianwhendonein anASC.It is importantto notethatthis codehasa 10dayglobal
period. Thedayof placementis notcounted.Payerswilltypicallypaythiscodeonlyonetimeduring
the globalperiod. Therefore,the providerwill needto makedetemiinationsof howtheywill billthe
payersor the patientsif they are usinga protocolthat requiressubsequentP-Stimsto be placed
beforethe 11
111
day. WecandiscussthisfurtherandIcanprovidesomesuggestions.
L8680- Implantableneurostimulatorelectrode(withanynumberofcontactpoints),each
95970- Electronicanalysisof implantedneurostimulatorpulsegeneratorsystem. Thiscodeis used
IFelectronicreadingisbeingconductedto assurethattheneurostimulatorisoperatingappropriately.
Either95921or95922:
95921 - Testingof autonomicnervoussystemfunction;cardiovagalinnervation(parasympathetic
function),including2 or moreof thefollowing:heartrateresponseto deepbreathingwithrecordedR-
Rinterval,Valsalvaratio,and30:15ratio.
Exhibit"A"- 1

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In orderfor thiscodeto be usedtheprovidermustbe conductingat leasttwoof thetestslistedinthe
definition.
1) Followingthe heartrateduringdeepbreathingandrecordingthe R-Rintervalis relatively
self-explanatory.The patientis askedto breathedeeplya certainnumberof timesin a
minute(sixseemsto bethemostrecommendednumberof timesperminute).Thenafter
a restperiod(fiveminutesin literature).The heartrateis monitoredfor at least1 minute.
The heart ratechangewith breathingis the mean differencebetweenthe maximaland
minimumheartrateoverat leastsixcycles.
2) TheValsalvaratiois a measureof cardiacslowingduringtheValsalvaManeuverwhichis
performedby moderatelyforcefulattemptedexhalationagainsta closedairway. Perthe
literature,this is usuallydone by closingone's mouth,pinchingone's nose shut while
pressingout as if blowingup a balloon. It is computedas:Valsalvaratio= (longestR-R
intervalin phase4) / {shortestR-R intervalin phase 2). This ratio is a measureof
parasympatheticafferent(baroreceptor)and efferent(parasympatheticand sympathic)
autonomicnervoussystemfunction.
3) The 30:15ratiois computedas follows. After 15 minutesoff supinerest,subjectsare
stoodupwhilethe heartrateis continuouslymonitored.The 30:15ratiois the ratioof the
R-Rintervalat beat 30 whilestandingto the R-R intervalat beat 15. The 30:15ratiois
alsoa measureof parasympatheticafferent(baroreceptor)andefferentcardiacautonomic
nervoussystemfunction.
So, if two of the above tests have been conducted,and the test procedureand results are
documented,then 95921would be an appropriatecode for testingof autonomicnervoussystem
function.
95922 - Testing of autonomic nervous system function: vasomotor adrenergic innervation
(sympatheticadrenergicfunction),includingbeat-to-beatbloodpressureand R-R intervalchanges
duringValsalvamaneuverandat least5 minutesof passivetilt.
Vasomotoradrenergicinnervationtestingconsistsof threedistincttests:
1) HeartRateVariability(HRV)- a reflexincreasein the heartrate occurswith inspiration
and is followedby a reflex decreasein heart rate with expiration. This responseis
mediatedby the vagusnerve. The testinvolvesplacingthree EKGleadson the patient
who then breathes in a rhythmic pattern while the machine records the heart rate
responseto the breathingpattern.
2) TheValsalvaManeuverasdiscussedabove.
3) The Tilt Table Test - This tests the autonomiccardiovascularreflexesand assesses
adrenergicvasomotorfunction. It evaluatesbeatto beat heartrate and bloodpressure,
respirationand carbon dioxide responsesto passivestanding. It also measuresthe
changesin arterialpressureand heartrateinducedby standingor passivetilt. Typically,
thetiltshouldbeheadupat least60degreesforat least5-10minutes.
So to bill the 95922, documentationmust show vasomotoradrenergicinnervation(sympathetic
adrenergicfunction)testinginduding beat-to-beatblood pressureand R-R intervalchangesduring
performanceoftheValsalvamaneuverandat least5 minutesof passivetiltor equivalentmanuver.
If providersarenotperformingthetestsas discussedabove,theyshouldnotbeusingthesecodes
A6237 - Hydrocolloiddressing,wound cover, pad size 16 sq. in or less, with any size adhesive
border,eachdressing
Exhibit "A" - 2

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A4455-Adhesive removerorsolvent(fortape,cementorotheradhesive),peroz.
Intheambulatorysurgicalcenter,weareseeingreimbursementrangingfrom$3000- $6000.
Intheofficesetting,IndianaMedicarereimbursementis: 99201= $40.11,64555, $139.37,95970=
$59.51,95921=$79.54,A4556= $13.05,L8680=$436.00,A4455,$1.31,Mostpayersusethe
Medicareratesastheirstartingpoint. I canprovidestatespecificMedicareinformationasneeded.
Onaverage,weareseeingreimbursementbetween$450and$850forin-officeprocedures.
Please remember: this infonnation is for internal use only. This infonnation is not intended for
distribution.
Exhibit "A" - 3

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~ EXHIBIT ''B''~-...:
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(} ~ arecordiallyinvitedto attendthe
~£;al Core-Nexustrainingfor the NIPProcedure
(NonInvasivePainProcedure)utilizingthe P-Stimdevice.
Seatingis limitedanda placehasalreadybeenreserved
for you. Pleasereplyto RickMalyat ricksmaly@gmail.com
to confirmyourattendance. Uponcompletionof this exclusive
trainingyouwill receiveyourofficialcertificateand licensure
which enablesyouto beginperformingthis procedureon your
selectedpatientsimmediately.
Poway Surgery Center
15525 Pomerado Rd Suite E2
Poway CA - 92064
858-521-0003
January 12th2013
8:30am-12:00pm
Breakfast catered
1OReasons the NIP PROCEDURE'"
is a great medical alternative to traditional
pain treatments.
G l'atural,drug-free,painrelief
f) PerformedIn15minutesor less
C, Noanesthesiaprocedure
0 It'sNon-Invasive(NoIncision)
Q It'sNon-Addictive
0 Ilk>sideeffects
8 Ilk>organdamagecausedbymeds
BROUGl.ff TO YOU BY
C REN E X U S
i) Weighsaslittle as7grams(thesameasa
stackof sevenonedollarbills)
€) PatientshavereportedanImprovementin
theirqualityof life
NON INVASIVE
PAIN PROCEDURE
G) Mostpatientscanreturnto completely
normalor nearlynormalactivitiesimmediately
FDACLEAREDFORSYMPTOMRELIEFFROM:
• Backpain
• Cervicalpain
• Sciatica
• Depression
e Insomnia
• Shingles
• Fibromyalgia
• Arthriticandjointpain
• DiabeticNeuropathy
• PreandPostOperativePainManagement
• Migraines/ ConstantHeadacheRelief
• ComplexRegionalPainSyndrome
Exhibit "B" - 1

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ZEROMEDICATION
.ZEROINCI:SION:S
- Utilizing.the P~STIM.Device-----·-·:·_0
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• www.fixpain.com •

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• 64555 - Percutaneous implantation of neurostimulator
electrodes (peripheral nerve)* Or
• 64553 - Percutaneous implantation of neurostimulator
electrodes (cranial nerve)
• 95970 - Electronic analysis of implanted neurostimulator
pulse generator system. This code is used IF electronic
reading is being conducted to assure that the neurostimulator
is operating appropriately.
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• 64555 - Percutaneous implantation of neurostimulator electrodes
(peripheral nerve)* Or
(cranial nerve)
• 95970 - Electronic analysis of implanted neurostimulator pulse
generator system. This code is used IF electronic reading is being
conducted to assure that the neurostimulator is operating
appropriately.
• L8680 - Implantable neurostimulator electrode {3x). This code can
be utilized three times per procedure since there are three
implantable electrodes.
• Cost of Device plus appropriate mark up
~ * When choosing between 64555 and 64553 we have seen less resistance and more reliable payments
tj from insurance carriers when choosing 64555
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{peripheral nerve)* Or
(cranial nerve)
• 95970- Electronic analysis of implanted neurostimulator pulse
generator system. This code is used IF electronic reading is being
conducted to assure that the neurostimulator is operating
appropriately.
• L8680 - Implantable neurostimulator electrode {3x}. This code can e.
be utilized three times per procedure since there are three
implantable electrodes.
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1 from insurance carriers when choosing 6455501

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PATIENTNAME:
PATIENTID#:
DATE OFSURGERY:
PREOPERATIVEDIAGNOSIS:
1. Chronic pain syndrome
2.
3.
POSTOPERATIVEDIAGNOSIS:
1. Chronic pain syndrome
2.
3.
PROCEDURES:
Location:
1. Implantation of percutaneous peripheral neurostimulator R / L (64555)
2. Intraoperative programming of peripheral neurostimulator (95970)
INDICATIONS:
The patient is __ year old _male /_female with intractable chronic pain
syndrome. The patient has failed all conservative treatments and has elected to
proceed with operative treatment Allrisks, benefits, alternatives and complications
have been thoroughly discussed with the patient, and the patient has acknowledged
understanding of what has been discussed ..
PROCEDURE:
The patient has been brought to the operating room and positioned supine on the
operative table. Allbony prominences were well padded. Surgical field was
prepped and draped in usual sterile fashion.
The neurostimulator was as~embled on the operative table. The multi-point stylus
was placed on the three leads to confirm the activation of the device. Then the three
leads were attached to the three microelectodes percutaneous implantation.
Then, left/ right auricular region was mapped for intraoperative programming.
Multi-point stylus was used to identify three maximum electrical stimulation to
identify three peripheral vagal, sympathetic, cranial nerve and trigeminal nerve
Exhibit"C"- 7

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endings in the auricular region. Three nerve endings were carefully mapped and
then sterile pen was used to mark the sites.
The Tacgel was applied behind the auricular region as well as the circumference of
the mapped sites. Then the percutaneous neurostimulator motor unit was carefully
place behind the auricular region. The microelectrodes were then carefully
implanted on the marked sites. The neurostimulator/PSTIM device was analyzed
using HRVgraphing. Then, the microelectrodes were secured with a tape. Then, the
implant was protected with tagaderm.
Post-operative care instruction was discussed with the patient Patient confirmed
the activation ofthe percutaneous peripheral neurostimulator.
The patient tolerated the procedure well, and there was no complication during the
case.
Dictated by:
Exhibit "C" - 8

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SampleP-StimDiagnosisList
Followingaresamplediagnosesfor whichP-Stimapplicationmaybeordered. Thisisnotan exhaustivelist.
Category Code Description
Vl4 Personalhistoryof allergyto medicinalagents
Vl5 Otherpersonalhistorypresentinghazardsto health(usefor addictionhistory)
Mental 300.00 Anxietystate,unspecified
D:sorders
300.01 Panicdisorderwithoutagoraphobia
300.02 Generalizedanxietydisorder
300.09 Otheranxietystates
309.0 Adjustmentdisorderwith depressedmood
309.1 Prolongeddepressivereaction
309.24 Adjustmentdisorderwith anxiety
309.28 Adjustmentdisorderwith mixedanxiety& depressedmood
309.4 Adjustmentdisorderwith mixeddisturbanceof emotions& conduct
309.81 Post-traumaticstressdisorder
309.82 Adjustmentreactionwith physicalsymptoms
311 Depressivedisorder,not elsewhereclassified
P~in 338.0 Centralpainsyndrome
338.1 Acutepain
338.11 Acutepaindue to trauma
338.18 Otheracutepostoperativepain
338.19 Otheracutepain
338.2 Chronicpain
338.21 Chronicpaindueto trauma
338.28 Otherchronicpostoperativepain
338.29 Otherchronicpain
338.3 Neoplasmrelatedpain(acute)(chronic)
338.4 Chronicpainsyndrome
O:herheadache 339.00 Clusterheadachesyndrome,unspecified
s';ndromes
339.02 Chronicclusterheadache
339.04 Chronicparoxysmalhemicrania
339.09 Othertri_geminalautonomiccephalgias
339.12 Chronictensiontypeheadache
339.21 Acutepost-traumaticheadache
339.22 Chronicpost-traumaticheadache
339.41 Hemicraniacontinua
339.42 New dailypersistentheadache
339.44 Othercomplicatedheadachesyndrome
Otherdisorders 346.00 Migrainewith aura,withoutmentionof intractablemigrainewithoutmentionof
of the central statusmigrainosus
nervoussystem
346.01 Migrainewith aura;with intractablemigraine,so stated,withoutmentionof
statusmigrainosus
346.02 Migrainewith aura;withoutmentionof intractablemigrainewith status
migrainosus
346.03 Migrainewith aura;with intractablemigraine,so stated,with statusmigrainosus
346.10 Migrainewithoutaura;withoutmentionof intractablemigrainewithout
mentionof statusmigrainosus
346.11 Migrainewithoutaura;with intractablemi_graine,so stated,withoutmentionof
Exhibit "C" - 9

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statusmigrainosus
346.12 Migrainewithoutaura;withoutmentionofintractablemigrainewith status
migrainosus
346.13 Migrainewithoutaura;with intractablemigraine,so stated,with status
migrainosus
346.20 Variantsof migraine,not elsewhereclassified;withoutmentionof intractable
migrainewithoutmentionof statusmigrainosus
346.21 Variantsof migraine,not elsewhereclassified;with intractablemigraine,so
stated,withoutmentionof statusmigrainosus
346.22 Variantsof migraine,not elsewhereclassified;withoutmentionof intractable
migrainewith statusmigrainosus
346.23 Variantsof migraine,not elsewhereclassified;with intractablemigraine,so
stated,with statusmigrainosu
346.30 Hemiplegicmigraine;withoutmentionof intractablemigrainewithoutmention
of statusmigrainosus
346.31 Hemiplegicmigraine;with intractablemigraine,so stated,withoutmentionof
statusmigrainosus
346.32 Hemiplegicmigraine;withoutmentionof intractablemigrainewith status
migrainosus
346.33 Hemiplegicmigraine;with intractablemigraine,so stated,with status
migrainosus
346.50 Persistentmigraineaurawithoutcerebralinfarction;withoutmentionof
intractablemigrainewithoutmentionof statusmigrainosus
346.51 Persistentmigraineaurawithoutcerebralinfarction;with intractablemigraine,
so stated,withoutmentionof statusmigrainosus
346.52 Persistentmigraineaurawithoutcerebralinfarction;withoutmentionof
intractablemigrainewith statusmigrainosus
346.53 Persistentmigraineaurawithoutcerebralinfarction;with intractablemigraine,
so stated,with statusmigrainosus
346.60 Persistentmigraineaurawith cerebralinfarction;withoutmentionof intractable
migrainewithoutmentionof statusmigrainosus
346.61 Persistentmigraineaurawith cerebralinfarction;with intractablemigraine,so
stated,withoutmentionof statusmigrainosus
(
346.62 Persistentmigraineaurawith cerebralinfarction;withoutmentionof intractable
migrainewithstatusmigrainosus
346.63 Persistentmigraineaurawith cerebralinfarction;with intractablemigraine,so
stated,with statusmigrainosus
346.70 Chronicmigrainewithoutaura;withoutmentionof intractablemigrainewithout
346.71 Chronicmigrainewithoutaura;with intractablemigraine,so stated,without
346.72 Chronicmigrainewithoutaura;withoutmentionof intractablemigrainewith
statusmigrainosus
346.73 Chronicmigrainewithoutaura;with intractablemigraine,so stated,with status
migrainosus
346.80 Otherformsof migraine;withoutmentionof intractablemigrainewithout
346.81 Otherformsof migraine;with intractablemigraine,so stated,withoutmention
346.82 Otherformsof migraine;withoutmentionof intractablemigrainewith status
migrainosus
346.83 0th.erformsof migraine;with intractablemigraine,so stated,with status-,,,.
migrainosus
346.90 Migraine,unspecified,withoutmentionof intractablemigrainewithoutmention
Exhibit ·c· - 10

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346.91 Migraine,unspecified,with intractablemigraine,so stated,withoutmentionof
statusmigrainosus
346.92 Migraine,unspecified,withoutmentionof intractablemigrainewith status
migrainosus
346.93 Migraine,unspecified,with intractablemigraine,so stated,with status
migrainosus
Disordersof the 350.l Trigeminalneuralgia
Peripheral
NervousSystem
350.2 Atvpicalfacepain
350.8 Otherspecifiedtrigeminalnervedisorders
350.9 Trigeminalnervedisorder,unspecified
353.0 Brachia!plexuslesions
353.l Lumbosacralplexuslesions
353.2 Cervicalroot lesions,not elsewhereclassified
353.3 Thoracicroot lesions,not elsewhereclassified
353.4 Lumbosacralroot lesions,not elsewhereclassified
353.5 Neuralgicamyotrophy
353.6 Phantomlimb{syndrome)
353.8 Othernerveroot& plexusdisorders
353.9 Unspecifiednerveroot& plexusdisorder
354.0 Carpaltunnelsyndrome
354.1 Otherlesionof mediannerve
354.2 Lesionof ulnarnerve
354.3 Lesionof radialnerve
354.4 Causalgiaof upperlimb
354.5 Mononeuritismultiplex
354.8 Othermononeuritisof uooerJimb
354.9 Mononeuritisof uooerlimb,unspecified
355.0 Lesionof sciaticnerve
355.1 Meralgiaparesthetica
355.2 Otherlesionof femoralnerve
355.3 Lesionof poplitealnerve
355.4 Lesionof medialpoplitealnerve
355.5 Tarsaltunnel syndrome
355.6 Lesionof plantarnerve
355.71 Causalgiaof lowerlimb
355.79 Othermononeuritisof lowerlimb
355.8 Mononeuritisof lowerlimb,unspecified
355.9 Mononeuritisof unspecifiedsite
356.0 Hereditaryperipheralneuropathy
356.l Peronealmuscularatrophy
356.2 Hereditarysensorvneuropathy
356.3 Refsum's disase
356.4 Idiopathicprogressivepolvneuropathy
356.8 Otherspecifiedidiopathicperipheralneuropathv
356.9 Unspecifiedhereditary& idiopathicperipheralneuropathy
357.0 Acuteinfectivepolyneuritis
357.l Polyneuropathyin collagenvasculardisease
357.2 Polvneuropathyin diabetes
357.3 Polyneuropathyinmalignantdisease
357.4 Polyneuropathyinotherdiseasesclassifiedelsewhere
357.5 Alcoholicpolvneuropathy
357.6 Polyneuropathydueto drugs
Exhibit "C" - 11

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357.7 Polvneuropathydueto othertoxicagents
357.81 Chronicinflammatorydemvelinatingpolyneuritis
357.82 Criticalillnesspolyneuropathy
357.89 Otherinflammatoryandtoxicneuropathy
357.9 Unspecifiedinflammatory& toxicneuropathy
D~r.tofacial 524.60 Temporomandibularjoint disorders;unspecified
ar.omalies,
in.:luding
m:1.locclusion
524.61 Temporomandibularjoint disorders;adhesions& ankytlosis(bonyor fibrous)
524.62 Arthralgiaoftemporomandibularjoint
524.63 Articulardiscdisorder(reducingor non-reducing)
524.69 Otherspecifiedtemporomandibulariointdisorders
D:seasesof the 625.70 Vulvodynia, unspecified
G~nitourinary
S'!'stem
625.71 Vulvarvestibulitis
625.79 Othervulvodvnia
Infectionsof 681.00 Cellulitis& abscessof finger;unspecified
skir.and
subcutaneous
tissue
681.01 Cellulitis& abscessof finger;felon
681.02 Onychiaandparonychiaof finger
681.9 Cellulitis& abscessof unspecifieddigit
Chroniculcerof 707.00 Pressure ulcer; unspecified site
skin
707.01 Chroniculcerof skin;elbow
707.02 Chroniculcerof skin; uooerback
707.03 Chroniculcerof skin; lowerback
707.04 Chroniculcerof skin;hip
707.05 Chroniculcerof skin;buttock
707.06 Chroniculcerof skin;ankle
707.07 Chroniculcerof skin;heel
707.09 Chroniculcerof skin;othersite
707.10 Ulcerof lowerlimbs,exceptdecubitusulcer;Ulcerof lowerlimb,unspecified
707.11 Ulcerof thigh
707.12 Ulcerof calf
707.13 Ulcerof ankle
707.14 Ulcerof heelandmidfoot
707.15 Ulcerof otherpartof foot
707.19 Ulcerof otherpartof lowerlimb
707.20 Pressureulcer,unspecifiedstage
707.21 Pressureulcer,stageI
707.22 Pressureulcer,stageII
707.23 Pressureulcer,stageIII
707.24 Pressureulcer,stageIV
......'"!.J
Exhibit "C" - 12

• j.,
:.u
e e
707.25 Pressureulcer, unstageable
707.8 Chroniculcer of otherspecifiedsites
707.9 Chroniculcer of unspecifiedsite
Diffusedisease 710.0 Systemiclupuserythematosus
of connective
tissue
710.1 Systemicsclerosis
710.8 Otherspecifieddiffusediseasesof connectivetissue
710.9 Unspecifieddiffuseconnectivetissuedisease
Other& 724.1 Pain in-thoracicspine
un.specified
disordersof
ba:k
724.2 Lumbago
724.3 Sciatic
724.4 Thoracicor lumbosacralneuritisor radiculitis,unspeficied
724.5 Backache,unspecified
Otnerdisorders 729.5 Pain in limb
of soft tissue
729.0 Rheumatism,unsoecifiedand fibrositis
729.l Mya)_giaand myositis,unspecified
729.7 Nontraumaticcompartmentsyndrome
729.71 Nontraumaticcompartmentsyndrome,ofuooer extemitv
729.72 Nontraumaticcompartmentsyndrome,of lowerextemity
729.73 Nontraumaticcompartmentsvndrome,of abdomen
729.79 Nontraumaticcompartmentsyndrome,of other sites
General 780.71 ChronicFatigueSyndrome
symptoms
780.96 GeneralizedPain
Symptoms 782.0 Disturbanceof skinsensation
inw,]vingskin
andother
integumentary
tisrn~
Inj·Jry& 876.0 Openwound of back,withoutmentionof complication
Poisoning
876.1 Openwound of back,complicated
877.0 Ooenwound of buttock,withoutmentionof comolication
877.I Openwound of buttock,complicated
880-887 Multipleopenwounds& amputationsof upper limb
890-897 Multipleopenwounds& amputationsoflower limo
Exhibit "C" - 13

l_ u
ePatient Name:__________ _ Date:.______ _
1
Treatment#:___________ _
Overthe pastweek, pleaseindicatethe appropriate levelsbelow (circlethe number)
I
:@-GX:)
I ....::::_/
I
II
i
I
!
PainLevel:
0
No Hurt
0
l(No Poin)
I
Mood Level: 0
:(Pleasant)
I
I
Anxietylevel: 0
- (Relaxed)
j
SleepPattern:0
1
1
1
1
®®®2
Hurts
Little Bit
2
2
2
2
3
3
3
3
4
Hu1ts
Little More
4 s
4 s
4 s
4 s
6
Hurts
Even More
6 7
6 7
6 7
6 7
® @8
Hurts
Whole Lot
8 9 10
(SeverePoin)
8 9 10
(Unpleasant)
8 9 10
(Tense)
8 9 10
10
Hurts
worst
Wninterrupted) (No Sleep)
What activities {working, sleeping, bothing, dressing, cleaning, eating, walking, other) are you having problems with? ______ _
Office useonly
Targetareas/ Issues
1. '
2. '
'
3. I
4. I
BloodPressure
Weight
% Dysfunction
Age I
Notes:
C,,.·
PhysicianSignature
I
I
I
Date --------
Exhibit "C" - 14

1 • u ....
Date: Patient Name:
Time In: Time Out:
Subjective:
Objective:
Assessment:
Plan:
Description of P-Stim Services
PROCEDUREPERFORMED:P-STIMdevice placement and electronic analysisof P-Stlmdevice.
DETAILSOFTHEPROCEDURE:The patient was brought into the procedure room. Theywere placed on the procedure
table. The (left/ri.ght)muke sure!hot vavsr,€c~"yinvouroctualdow:rumta:;,mmastoid process and ear were deaned
and prepped Inthe usual fashion,usingPrep& Stayelectrode skin preparation and Tac-Gelelectricallyconductivegel.
TheP-STIMbattery and pulsegenerator were then opened, activated and tested. Usingthe P·STIMelectricalstylet,
three points of maximalelectricalstimulationwere elicit~d.These were markedorithe e"ai.T~O -t~three make:s~reyou
Spi!Cij",/in octuo!c/ocumentot:onleads were then attached to the microelectrodesfor percutaneous implantation. At
this point, !wo to three mo.{esur<t,•ouSN!,ifV in;;(!ualdc;;;um~ntot!onmicroelectrodeswere percutaneously implanted
alongthes~·p;eviousiy-~~-;t-sTIM pul;e generator';as then·fi~eltoiheJ!.eft£rf~~tf.~j~~y~~s9;ciji_.
in oc:ual docwrwnrgrio,, mastoid process. Asterile dressing was then applied over the two or three leat!smai:t· ,,Ht'~
i1>cdf;,and the P-STIMdevice was analyzed.us,r,gH!Wgrcohing.without reprogramming.Thedevice,wires and leads
were then properly taped and protected inthe usualfashion, usingTagadermsterile dressing.
Date ___ _
lFormatted: FontCllfar:Auto
···iFormatted: Font~--· Red--·------·-----
iFormatted: Fontcolor:Red
Exhibit "C" - 15

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ORIGINAL CM-010
ATIOR~.S:Y-OR~TY WITHOUTATIORNEY(Name, ar number,and address): FORCOURTUSEOHLY
Matthew D. Rifat (SBN 187882)
Law Offices of Matthew D. Rifat, APC
3703 Camino del Rio South, Suite 200, SanDiego, California 92108
TELEPHONENO.:(619) 282-0185 FAXNO.: ( 619) 282-0186
ATIORNEYFOR(Name): Plaintiffs andPutative ClassRe resentatives
FILEDSuP.orlorCourtorCallrol'Dla
Co11gtyOfLosAngeles
SUPERIORCOURTOFCALIFORNIA,COUNTYOF LOS ANGELES
STREETADDRESS: 111North Hill Street MAR062017
MAILINGADDRESS:111North Hill Street
CITYANDZIPCODE: Los Angeles 90037
BRANCHNAME: Central Civil--Stanle Mosk Courthouse
CASE NAM~: .
Shffll~C~r, ~fficer/Clerk
BY. ~~· lk_ ,Deputy
e .co eman
CIVIL.CASECOVERSHEET ComplexCaseDesignation CASENUMBER:
[iJ Unlimited D Limited D Counter D Joinder
(Amount (Amount JUDGE: BCdemanded demanded is Filed with first appearanceby defendant
exce'eds$25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) OEPT:
Items 1-6 belowmustbe completed(seeinstructionson page 2).
1. Check onebox belowfor the case type that best describesthis case:
Auto Tort Contract
D Auto (22) D Breachof contract/warranty(06)
D U~insuredmotorist(46) D Rule3.740collections(09)
Other Pl/PD/WO (Personal Injury/Property D Othercollections(09)
Damage/Wrongful Death) Tort D Insurancecoverage(18)
D A~bestos(04) [iJ Othercontract(37)
D Productliability(24) Real Property
D M~dicalmalpractice(45) D Eminentdomain/Inverse
D Other Pl/PD/WO(23) condemnation(14)
Non-Plf~D/WD (Other) Tort D Wrongfuleviction(33)
D D Otherreal property(26)Businesstort/unfairbusinesspractice(07)
Provisionally Complex Civil Litigation
(Cal. Rules of Court, rules 3.400-3.403)
D
D
D
AntitrusVTraderegulation(03)
Constructiondefect(10)
Masstort (40)
D Securitieslitigation(28)
D Environmental/Toxictort (30)
D Insurancecoverageclaimsarisingfrom the
above listedprovisionallycomplexcase
types (41)
Enforcement of Judgment
D Enforcementof judgment (20)D Ci~ilrights (08) · Unlawful Detainer
D Defamation(13) D Commercial(31) Miscellaneous Civil Complaint
D Fraud(16) D Residential(32) D RICO(27)
D lnt~llectualproperty(19) D Drugs(38) D Othercomplaint(notspecifiedabove) (42)
D Pr6fessionalnegligence(25) Judicial Review Miscellaneous Civil Petition
D Other non-Pl/PD/WOtort (35) D Assetforfeiture(05) D Partnershipand corporategovernance(21)
Employment D Petitionre: arbitrationaward (11) D Otherpetition(notspecifiedabove)(43)
D Wrongfultermination(36) D Writ of mandate(02)
D Otheremployment(15) D Otherjudicial review(39)
2. This case lxJ is LJ is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
factors requiringexceptionaljudicial management:
a. [iJ Large numberof separately representedparties
b.0 Extensivemotion practice raising difficult or novel
issues that will be time-consumingto resolve
c. [xJ Substantialamount of documentaryevidence
I
3. Remedies sought (checkall thatapply): a.[i] monetary
4. Number of causes of action (specify):
5. This case [xJ is D is not a class action suit.
d. [xJ Large numberof witnesses
e. D Coordinationwith related actions pending in one or more courts
in other counties, states, or countries,or in a federal court
f. D Substantialpostjudgmentjudicial supervision
b.[iJ nonmonetary;declaratoryor injunctiverelief c. D punitive
6. If there are any known related cases, file and serve a notice of related case. (Youmayuse formCM-015.)
Date: March3,2017
~ ~!d.-.J~'72()I· Matthew D. Rifat L,,.-,,; /"" f- '
=·...,--------(TY---PE=O=R=P"-"R"""1N'""r""NAM"'-""'E=) =-------- (SIGNATUREOFPARTYOR-""'A""n""'o'""RN""'E""Y"'F""o=-R=-PAR==TY"")____ _
---------'-------'---------~N~o=r=1~c~E------'-------------'""""'"-----.
:·) • Plaintiff must file this cover sheet with the first paperfiled in the action or proceeding(except small claims cases or cases filed
':) under the ProbateCode, Family Code, or Welfare and InstitutionsCode). (Cal. Rules of Court, rule 3.220.) Failureto file may result
t" , in sanctions.
c ) • File this cover sheet in addition to any cover sheet requiredby local court rule.
i- • • If this case is complex under rule 3.400 et seq. of the CaliforniaRules of Court, you must serve a copy of this cover sheet on all
- ·J other parties to the action or proceeding.
• Unless this is a collectionscase under rule 3.740 or a complex case, this cover sheet will be used for statistical purposesonlv.
, ffaae1of2
FormAdoptedfor MandatoryUse
JudicialCouncilof California
CM-010[Rev.July 1, 2007]
I
CIVILCASECOVERSHEET Cal. Rulesof Court,rules2.30, 3.220,3.400-3_403,3.740;
Cal. Standardsof JudicialAdministraUon,std. 3.1O
www_courtinfo_ca_gov

e e CM-010
INSTRUCTIONSON HOWTO COMPLETETHECOVERSHEET
To Plaintiffsand OthersFiling First Papers. If you are filing a first paper (for example,a complaint)in a civil case, you must
completeandfile, alongwithyourfirst paper,the CivilCaseCoverSheetcontainedon page1. Thisinformationwill be usedto compile
statisticsaboutthe typesand numbersof casesfiled. You mustcompleteitems 1 through6 on the sheet. In item 1, you mustcheck
one boxfor the casetypethat bestdescribesthe case. If the casefits botha generalanda morespecifictype of caselistedin item 1,
checkthe morespecificone. If the case has multiplecausesof action,checkthe boxthat best indicatesthe primarycauseof action.
To assistyou in completingthe sheet,examplesof the casesthat belongundereachcasetype in item 1 are providedbelow. A cover
sheetmustbe filed onlywith your initialpaper.Failureto file a coversheetwiththe first paperfiled in a civilcasemay subjecta party,
itscounsel,or bothto sanctionsunderrules2.30and3.220of the CaliforniaRulesof Court.
To Partiesin Rule 3.740 CollectionsCases. A "collectionscase" underrule 3.740 is definedas an actionfor recoveryof money
owedin a sumstatedto be certainthat is not morethan$25,000,exclusiveof interestandattorney'sfees, arisingfroma transactionin
whichproperty,services,or moneywas acquiredon credit. A collectionscasedoesnot includean actionseekingthe following:(1)tort
damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgmentwrit of
attachment. The identificationof a case as a rule 3.740collectionscase on this form meansthat it will be exemptfrom the general
time-for-servicerequirementsand case managementrules, unlessa defendantfiles a responsivepleading. A rule 3.740 collections
casewill besubjectto the requirementsfor serviceandobtaininga judgmentin rule3.740.
To Partiesin ComplexCases. In complexcasesonly, partiesmustalso usethe Civil CaseCoverSheetto designatewhetherthe
case is complex.If a plaintiffbelievesthe case is complexunderrule3.400of the CaliforniaRulesof Court,this mustbe indicatedby
completingtheappropriateboxesin items1 and2. If a plaintiffdesignatesa caseas complex,the coversheetmustbe servedwiththe
complainton all partiesto the action.A defendantmay file and serve no later than the time of its first appearancea joinder in the
plaintiffsdesignation,a counter-designationthatthe caseis notcomplex,or, if the plaintiffhasmadenodesignation,a designationthat
the caseis complex. CASETYPESANDEXAMPLES
Auto Tort
Auto (22)-Personal Injury/Property
Damage/WrongfulDeath
UninsuredMotorist(46) (if the
caseinvolvesan uninsured
motoristclaim subjectto
arbitration,checkthis item
insteadofAuto)
OtherPI/PD/WD(PersonalInjury/
PropertyDamage/WrongfulDeath)
Tort
Asbestos(04)
AsbestosPropertyDamage
AsbestosPersonalInjury/
WrongfulDeath
ProductLiability(notasbestosor
toxic/environmental)(24)
MedicalMalpractice(45)
MedicalMalpracti~
Physicians& Surgeons
Other ProfessionalHealthCare
Malpractice
Other PI/PD/WD(23)
PremisesLiability(e.g.,slip
andfall)
IntentionalBodilyInjury/PD/WO
(e.g.,assault,vandalism)
IntentionalInflictionof
EmotionalDistress
NegligentInflictionof
EmotionalDistress
Other PI/PD/WD
Non-PI/PD/WD(Other)Tort
Business'Tort/UnfairBusiness
Practice(07)
Civil Rights(e.g., discrimination,
false arrest) (notcivil
harassment)(08)
Defamation(e.g.,slander,libel)
(13)
Fraud(16)
q,:) IntellectualProperty(19)
"-'' ProfessionalNegligence(25)
LegalMalpractice
0 OtherProfessionalMalpractice
en (notmedicalor legal)
~.. Other Non-Pl/PD/WOTort (35)
r,,..:Employment
;=!WrongfulTermination(36)
.,.,,,J Other Employment(15)
CM-010[Rev.July 1,2007]
Contract
Breachof Contract/Warranty(06)
Breachof Rental/Lease
Contract(notunlawfuldetainer
or wrongfuleviction)
Contract/WarrantyBreach-Seller
Plaintiff(notfraud or negligence)
NegligentBreachof Contract/
Warranty
OtherBreachof Contract/Warranty
Collections(e.g., moneyowed,open
bookaccounts)(09)
CollectionCase-Seller Plaintiff
Other PromissoryNote/Collections
Case
InsuranceCoverage(notprovisionally
complex)(18)
Auto Subrogation
OtherCoverage
OtherContract(37)
ContractualFraud
OtherContractDispute
RealProperty
EminentDomain/Inverse
Condemnation(14)
WrongfulEviction(33)
Other Real Property(e.g.,quiettitle) (26)
Writ of Possessionof Real Property
MortgageForeclosure
QuietTitle
Other Real Property(noteminent
domain,landlord/tenant,or
foreclosure)
UnlawfulDetainer
Commercial(31)
Residential(32)
Drugs(38) (if the caseinvolvesillegal
drugs,checkthis item;otherwise,
reportas Commercialor Residential)
JudicialReview
Asset Forfeiture(05)
PetitionRe:ArbitrationAward (11)
Writ of Mandate(02)
Writ-AdministrativeMandamus
Writ-Mandamuson LimitedCourt
Case Matter
Writ-Other LimitedCourtCase
Review
OtherJudicialReview(39)
Reviewof HealthOfficerOrder
Noticeof Appeal-Labor
CommissionerAppeals
CIVILCASECOVERSHEET
ProvisionallyComplexCivilLitigation(Cal.
Rulesof CourtRules3.400-3.403)
Antitrust/TradeRegulation(03)
ConstructionDefect(10)
ClaimsInvolvingMassTort (40)
SecuritiesLitigation(28)
Environmental/ToxicTort (30)
InsuranceCoverageClaims
(arisingfromprovisionallycomplex
case typelisted above)(41)
Enforcementof Judgment
Enforcementof Judgment(20)
Abstractof Judgment(Out of
County)
Confessionof Judgment(non-
domesticrelations)
SisterState Judgment
AdministrativeAgencyAward
(not unpaidtaxes)
Petition/Certificationof Entryof
Judgmenton UnpaidTaxes
Other Enforcementof Judgment
Case
MiscellaneousCivilComplaint
RICO(27)
OtherComplaint(notspecified
above)(42)
DeclaratoryReliefOnly
InjunctiveReliefOnly (non-
harassment)
MechanicsLien
Other CommercialComplaint
Case (non-tort/non-complex)
OtherCivil Complaint
(non-tort/non-complex)
MiscellaneousCivilPetition
Partnershipand Corporate
Governance(21)
OtherPetition(notspecified
above)(43)
Civil Harassment
WorkplaceViolence
Elder/DependentAdult
Abuse
ElectionContest
Petitionfor NameChange
Petitionfor ReliefFrom Late
Claim
OtherCivil Petition
Page 2 of 2

CASENUMBER
rehensivePain M t Ctr, Inc v Innovative Health
CIVILCASECOVERSHEETADDENDUMAND
STATEMENTOF LOCATION
(CERTIFICATEOF GROUNDSFORASSIGNMENTTO COURTHOUSELOCATION)
I
This form Is required pursuant to Local Rule 2.3 in all new civil case filings In the Los Angeles Superior Court.
I
~1 • I. ~' ' '.
Step 1: After completingthe CivilCaseCoverSheet(JudicialCouncilform CM-010),find the exactca.setype in
ColumnAthat correspondsto the casetype indicated in the CivilCaseCoverSheet.
Step2: In ColumnB,checkthe boxfor the type of action that bestd·escribesthe nature of the case.
Step3':In ColumnC,circlethe numberwhich explainsthe reasonfor the court filing locationyou have
chosen.
ApplicableReasonsfor Choosingco·urtFilingLocation(ColumnC)
1: Class actions must be filed in the Stanley Mosk Courthouse, Central District. 7. Location where petitioner resides.
I
2. Permissive filing in central district.
, I
3. Location where cause of action arose.
8. Location wherein defendanUrespondent functions wholly.
9. Location where one or more of the parties reside.
4. Mandatory pJrsonal injury filing in North District. 10. Location of Labor Commissioner Office.
, I
5. Location where performance required or defendant resides.
11. Mandatory filing location (Hub Cases- unlawful detainer, limited
non-collection, limited collection, or personal injury).
., I
6f Location of property or permanently garaged vehicle.
''.st::
' ::, 0
c( I-
~ t::
C11 0
'• Q. 1-
, e =Q. 111
- CII
~o
'.a.:i
.E '6,
''"iij C
, C e.. 0 ;:
IE"ii
-a. en
6~ ev,..C 111
.:,.,00
<;!)
en
Auto (22).
Uninsured Motorist (46)
Asbestos (04)
Product Liability (24)
Medical Malpractice (45)
Other Personal
Injury Property
Damage Wrongful
Death (23)
D A7100 Motor Vehicle - Personal Injury/Property Damage/Wrongful Death 1, 4, 11
D A7110 Personal.Injury/Property Damage/Wrongful Death- Uninsured Motorist 1, 4, 11
D A6070 Asbestos Property Damage
D A7221 Asbestos - Personal Injury/Wrongful Death
D A7260 Product Liability (not asbestos or toxic/environmental)
D A7210 Medical Malpractice - Physicians & Surgeons
D A7240 Other Professional Health Care Malpractice
D A7250 Premises Liability (e.g., slip and fall)
D A7230 Intentional Bodily Injury/Property Damage/Wrongful Death (e.g.,
assault, vandalism, etc.)
D A7270 Intentional Infliction of Emotional Distress
D A7220 Other Personal Injury/Property Damage/Wrongful Death
CIVILCASECOVERSHEETADDENDUM
ANDSTATEMENTOF LOCATION
1, 11
1, 11
1, 4, 11
1, 4, 11
1, 4, 11
1, 4, 11
1, 4, 11
1, 4, 11
1, 4, 11
Local Rule 2.3
Page 1 of 4

<~-·-----=·;....__----,----SHORTTITLE:
SanDieg:>ComprehensivePainMgmtCtr, Incv InnovativeHealth
BusinessTort (07) D A6029 OtherCommercial/BusinessTort (notfraud/breachof contract) 1,2, 3
~'5 Civil Rights(08) D A6005 Civil Rights/Discrimination 1,2, 3GI t-
a..c
e-11. : Defamation(13) D A6010 Defamation(slander/libel) 1,2,3
~e::, ::,
"c'O> Fraud(16) D A6013 Fraud(no contract) 1,2,3- C
ii e
fi 3: D A6017 LegalMalpractice 1,2, 3!? "'iii
GI en .:ProfessionalNegligence(25)
11. Ill D A6050 01herProfessionalMalpractice(not medicalor legal) 1,2,3
c E0 Ill
zc
Other(35) D A6025 OtherNon-PersonalInjury/PropertyDamagetort 1,2,3
- WrongfulTermination(36) D A6037 WrongfulTermination 1, 2, 3C
GI
t D A6024 Other EmploymentComplaintCase 1,2, 30
a.. OtherEmployment(15)
10E D A6109 LaborCommissionerAppeals
w
D A6004 Breachof Rental/LeaseContract(notunlawfuldetaineror wrongful
2, 5
eviction)
Breachof Contract/Warranty
D A6008 Contract/WarrantyBreach-Seller.Plaintiff(nofraud/negligence)
2, 5
(06)
(not insurance) D A6019 NegligentBreachof Contract/Warranty(nofraud)
1,2, 5
D A6028 OtherBreachof Contract/Warranty(notfraud or negligence)
1,2,5
u D A6002 CollectionsCase-SellerPlaintiff , 5,6, 11
I! Collections(09)
- D OtherPromissoryNote/CollectionsCase 5, 11C A60120
(.)
D A6034 CollectionsCase-PurchasedDebt (ChargedOff ConsumerDebt 5, 6, 11
Purchasedon or after Janua 1.2014
InsuranceCoverage(18) D A6015 InsuranceCoverage(notcomplex) 1, 2, 5, 8
IX A6009 ContractualFraud @2,3,5
OtherContract(37) D A6031 TortiousInterference 1,2,3,5
D A6027 OtherContractDispute(notbreach/insurance/fraud/negligence) 1,2,3,8,9
EminentDomain/Inverse
D A7300 EminentDomain/Condemnation Numberof parcels___ 2,6Condemnation(14)
~GI WrongfulEviction(33) D A6023 WrongfulEvictionCase 2,6a.
e11.
ii D A6018 MortgageForeclosure 2,6
GI
a:: OtherRealProperty(26) D A6032 QuietTitle 2,6
D A6060 OtherRealProperty(noteminentdomain,landlord/tenant,foredosure) 2,6
UnlawfulDetainer-Commercial
D A6021 UnlawfulDetainer-Commercial(notdrugs or wrongfuleviction) 6, 11c;:, ... (31)
,;,.,,., GI
C
-•. "ia UJnlawfulDetainer-Residential
,::Z)
- D A6020 UnlawfulDetainer-Residential(notdrugsor wrongfuleviction) 6, 11GI
32C,) Q
"",:,,• 3 UnlawfulDetainer-
I',~)
l Post-Foreclosure34
D A6020FUnlawfulDetainer-Post-Foreclosure 2, 6, 11
CT> Ill
ci-,.-•
::::> UlnlawfulDetainer-Drugs(38) D A6022 UnlawfulDetainer-Drugs 2,6, 11.....J
'
LACIV 109(Rev2/16) CIVILCASECOVERSHEETADDENDUM Local Rule 2.3
LASCApproved03-04 AND STATEMENTOF LOCATION Page 2 of 4
'

~,,.:.._• _. ___ __;::_•-----"----SHORTTITLE: CASENUMBER
1
SanDiegoComprehensivePainMgmt Ctr, Inc v InnovativeHealth
Asset Forfeiture (05) .
Petition re Arbitration (11)
Writ of Mandate (02)
Other Judicial Review (39)
D A6108 Asset Forfeiture Case
D A6115 Petition to Compel/ConfirmNacate Arbitration
D A6151 Writ - Administrative Mandamus
D A6152 Writ - Mandamus on Limited Court Case Matter
I
D A6153 Writ - Other Limited Court Case Review
I
D A6150 Other Writ /Judicial Review
C
0
.~ntitrust/Trade Regulation (03) D A6003 Antitrust/Trade Regulation
.,
',.,,
1iia,
:2
..J
:a.
E
0
0
~
"ii
C
0
'jjj
·~
D.
··Construction Defect (10)
Claims Involving Mass Tort
(40)
Securities Litigation (28)
Toxic Tort
Environmental (30)
Insurance Coverage Claims
from Complex Case (41)
Iii
E EGI a,
~ -g
.2 -,
c-w 0
Ill J!J::::, C
0 'iii
~ a.
.!!! E
ai 0
uO
Ill
:E ·s;
u
Enforcement
of Judgment (20)
RIC0(27)
Other Complaints
(Not Specified Above) (42)
Partnership Corporation
Governance (21)
Other Petitions (Not
Specified Above) (43)
LACIV 109 (Rev 2/16)
LASC Approved 03-04
l·.
D A6007 Construction Defect
D A6006 Claims Involving Mass Tort
D A6035 Securities Litigation Case
D A6036 Toxic Tort/Environmental
D A6014 Insurance Coverage/Subrogation (complex case only)
D A6141 SisterStateJudgment
D A6160 Abstract of Judgment
D A6107 Confession of Judgment (non-domestic relations)
D A6140 Administrative Agency Award (not unpaid taxes)
D A6114 Petition/Certificate for Entry of Judgment on Unpaid Tax
D A6112 Other Enforcement of Judgment Case
D A6033 Racketeering (RICO) Case
D A6030 Declaratory Relief Only
D A6040 Injunctive Relief Only (not domestic/harassment)
D A6011 Other Commercial Complaint Case (non-tort/non-complex)
D A6000 Other Civil Complaint (non-tort/non-complex)
D A6113 Partnership and Corporate Governance Case
D A6121 Civil Harassment
D A6123 Workplace Harassment
D A6124 Elder/Dependent Adult Abuse Case
D A6190 Election Contest
D A6110 Petition for Change of Name/Change of Gender
D A6170 Petition for Relief from Late Claim Law
D A6100 Other Civil Petition
AND STATEMENTOF LOCATION
2,3,6
2,5
2,8
2
2
2,8
1, 2, 8
1,2, 3
1,2, 8
1,2, 8
1, 2, 3, 8
1, 2, 5, 8
2, 5, 11
2,6
2,9
2,8
2,8
2,8,9
1,2,8
1,2, 8
2,8
1,2,8
1,2,8
2,8
2, 3,9
2, 3,9
2,3,9
2
2,7
2, 3, 8 ·
2, 9
Local Rule 2.3
Page 3 of 4

,t ?
• e--------------------------.------------------,SHORTTITLE: I CASENUMBER
San Dieg~ Comprehensive Pain Mgmt Ctr, Inc v Innovative Health
I
I •
Step4: Statementof ReasonandAddress:Checkthe appropriateboxesfor the numbersshownunderColumnCfor the
type of actionthat you haveselected. Enterthe addresswhich isthe basisfor the filing location, includingzip code.
(Noaddressrequired for classaction cases).
j
I ADDRESS:
REASON:I
I
00.D2:D3. D4. D5. D6. D7. D8. D 9. D 10.D 11. NIA CLASSACTION
I
I
CITY: I STATE: ZIP CODE:
I
j
'
Step5: CertificationofAssignment:Icertifythatthiscaseisproperlyfiledinthe Central Judicial-Moskoistrict of
the SuperiorCourtof California,Countyof LosAngeles[CodeCiv.Proc.,§392et seq.,andLocalRule2.3(a)(l)(E)].
Dated: March 3, 2017
I
I
I
Il
(SIGNATUREOFATTORNEY/FILINGPARTY)
PLEASEHAVETHEFOLLOWINGITEMSCOMPLETEDANDREADYTO BEFILEDIN ORDERTO PROPERLY
COMMENCEYOURNEWCOURTCASE:
- •.J
I
1. OriginalComplaintor Petition.
I
2. Iffiling a Complaint,a completedSummonsformfor issuancebythe Clerk.
3. Civil CaseCoverSheet,JudicialCouncilform CM-010.
4. Citil CaseCoverSheetAddendumandStatementof Locationform, LACIV109,LASCApproved03-04(Rev.
02/16).
I
5. Paymentin full of thefilingfee, unlessthereiscourtorderforwaiver,partialorscheduledpayments.
'
6. A signedorderappointingtheGuardianad Litem,JudicialCouncilformCIV-010,ifthe plaintiffor petitionerisa
mi~orunder18 yearsof agewill be requiredby Courtin orderto issuea summons.
j
7. Additionalcopiesof documentsto be conformedbythe Clerk.Copiesof the coversheetandthis addendum
mustbeservedalongwiththe summonsandcomplaint,or otherinitiatingpleadinginthe case.
I .
LACIV 109 (Rev2/16)
LASC Approv~d 03-04
I
ANDSTATEMENTOF LOCATION
Local Rule 2.3
_Page4 of 4
'

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