
    IN RE: IMPULSE MONITORING, INC., HUMANA INTRAOPERATIVE MONITORING SERVICES CLAIMS AND EMPLOYEE RETIREMENT INCOME SECURITY ACT (ERISA) LITIGATION.
    MDL No. 2596.
    United States Judicial Panel on Multidistrict Litigation.
    Feb. 6, 2015.
    Before SARAH S. VANCE, Chair, MARJORIE O. RENDELL, CHARLES R. BREYER, ELLEN SEGAL HUVELLE, R. DAVID PROCTOR, and CATHERINE D. PERRY, Judges of the Panel.
   ORDER DENYING TRANSFER

SARAH S. VANCE, Chair.

Before the Panel: Defendant Humana Health Plan, Inc. (Humana) move under 28 U.S.C. § 1407 to centralize this litigation concerning its failure to pay for health benefit reimbursement for intraoperative neuromonitoring services in the Western District of Tennessee or, alternatively, the Northern District of Georgia. Common plaintiff Impulse Monitoring, Inc. (Impulse) opposes centralization and, alternatively, suggests centralization in the Southern District of California or the Western District of Tennessee. This litigation currently consists of 57 actions listed on Schedule A and pending in eleven districts.

After considering all argument of counsel, we conclude that Section 1407 centralization is not appropriate at this time. The actions here unquestionably involve common factual issues surrounding Humana’s failure to pay Impulse’s claims for the costs of intraoperative neuromonitoring services, which ranged in the actions before us from approximately $2000 to $13,500. We are unconvinced, on the record before us, that the issues remaining in this litigation are sufficiently complex or numerous to warrant the creation of an MDL. Specifically, at oral argument, the parties informed us that they had resolved Humana’s concerns about fraud and abuse issues surrounding these claims and that payment had commenced in some of Impulse’s recent submission of claims in Medicare Advantage plans. The primary dispute in this litigation, according to counsel, now centers on purported billing and coding errors.

Given the lack of complexity of the remaining disputed issues (i.e., billing and coding errors) and the limited number of involved counsel, we conclude that centralization is not necessary to serve the convenience of the parties and witnesses or promote the just and efficient conduct of the actions. At oral argument, counsel for Humana and Impulse — the only parties to this litigation — appeared to be effectively cooperating to resolve the remaining issues in this litigation. We encourage these efforts to continue and observe that alternatives to formal centralization — such as voluntary cooperation among the involved counsel and judges — appear to be workable and, in our judgment, preferable to centralization in these circumstances. See, e.g., In re Crest Sensitivity Treatment and Prot. Toothpaste Mktg. and Sales Practices Litig., 867 F.Supp.2d 1348 (J.P.M.L.2012).

IT IS THEREFORE ORDERED that Humana’s motion for Section 1407 centralization of the actions listed on Schedule A is denied.

SCHEDULE A

MDL No. 2596 — IN RE: IMPULSE MONITORING, INC., HUMANA IN-TRAOPERATIVE MONITORING SERVICES CLAIMS AND EMPLOYEE RETIREMENT INCOME SECURITY ACT (ERISA) LITIGATION

Northern District of Georgia

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., CA. No. 1:14-01637

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., CA. No. 1:14-01639

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., CA No. 1:14-01640

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., CA. No. 1:14-01641

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., CA. No. 1:14-01642

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01643

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01644

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01645

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01646

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01647

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01649

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01650

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01651

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01652

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01653

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01654

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01655

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01656

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02039

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02053

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02054

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02056

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02058

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02059

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02060

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02061

District of Minnesota

IMPULSE MONITORING, INC., ET ALL. v. HUMANA HEALTH PLAN, INC., ET AL., C.A. No. 0:14-01815

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 0:14-02146

Eastern District of North Carolina

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 5:14-00327

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 5:14-00328

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 5:14-00329

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 7:14-00108

Western District of North Carolina

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 2:14-00021

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 8:14-00296

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-00297

District of South Carolina

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN INC., C.A. No. 3:14-02052

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN INC., C.A. No. 3:14-02280

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN INC., C.A. No. 4:14-02050

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN INC., C.A. No. 4:14-02154

Eastern District of Tennessee

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-00250

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-00313

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-00314

Middle District of Tennessee

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 2:14-00055

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-01253

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-01254

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-01407

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-01438

Western District of Tennessee

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01124

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01125

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01131

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-01158

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 1:14-02514

Western District of Texas

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-00215

Western District of Virginia

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 6:14-00017

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 7:14-00308

Northern District of West Virginia

IMPULSE MONITORING, INC. v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-00050

IMPULSE MONITORING, INC v. HUMANA HEALTH PLAN, INC., C.A. No. 3:14-00051 
      
       Judge Lewis A. Kaplan did not participate in the decision of this matter.
     
      
      . Defendant's motion initially included 58 actions but, during briefing, a Western District of Texas action was dismissed;
     
      
      . All plans at issue in this litigation, whether Medicare Advantage or private plans governed by ERISA, were administered by Hu-mana.
     