State of West Virginia ex rel. Health Care Alliance, Inc. and HCFS Health Care Financial Services v. Eric O'Briant and Kelsey Starr ( 2021 )


Menu:
  •        IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA
    FILED
    January 2021 Term
    June 15, 2021
    __________________                        released at 3:00 p.m.
    EDYTHE NASH GAISER, CLERK
    SUPREME COURT OF APPEALS
    No. 20-1029                            OF WEST VIRGINIA
    __________________
    STATE OF WEST VIRGINIA EX REL. HEALTH CARE ALLIANCE, INC.
    AND HCFS HEALTH CARE FINANCIAL SERVICES, LLC D/B/A ALCOA
    BILLING CENTER,
    Petitioners
    v.
    THE HONORABLE ERIC O’BRIANT, JUDGE OF THE CIRCUIT COURT OF
    LOGAN COUNTY, AND KELSEY STARR,
    Respondents
    ____________________________________________________________
    ORIGINAL PROCEEDING IN PROHIBITION
    WRIT GRANTED AS MOULDED
    ____________________________________________________________
    Submitted: May 4, 2021
    Filed: June 15, 2021
    Michael D. Dunham, Esq.                     Steven S. Wolfe, Esq.
    Caleb B. David, Esq.                        Wolfe, White & Associates
    Shuman McCuskey Slicer PLLC                 Logan, WV
    Charleston, WV                              Counsel for Respondent Starr
    Counsel for Petitioners, Health Care
    Alliance, Inc. and HCFS Health
    Care Financial Services, LLC d/b/a
    Alcoa Billing Center
    JUSTICE ARMSTEAD delivered the Opinion of the Court.
    JUSTICE HUTCHISON concurs and reserves the right to file a separate opinion.
    SYLLABUS BY THE COURT
    1.      “‘A writ of prohibition will not issue to prevent a simple abuse of
    discretion by a trial court. It will only issue where the trial court has no jurisdiction or
    having such jurisdiction exceeds its legitimate powers. W. Va. Code 53-1-1.’ Syllabus
    Point 2, State ex rel. Peacher v. Sencindiver, 
    160 W. Va. 314
    , 
    233 S.E.2d 425
     (1977).”
    Syllabus Point 1, State ex rel. Healthport Technologies, LLC v. Stucky, 
    239 W. Va. 239
    ,
    
    800 S.E.2d 506
     (2017).
    2.     “In determining whether to entertain and issue the writ of prohibition
    for cases not involving an absence of jurisdiction but only where it is claimed that the lower
    tribunal exceeded its legitimate powers, this Court will examine five factors: (1) whether
    the party seeking the writ has no other adequate means, such as direct appeal, to obtain the
    desired relief; (2) whether the petitioner will be damaged or prejudiced in a way that is not
    correctable on appeal; (3) whether the lower tribunal’s order is clearly erroneous as a matter
    of law; (4) whether the lower tribunal’s order is an oft repeated error or manifests persistent
    disregard for either procedural or substantive law; and (5) whether the lower tribunal’s
    order raises new and important problems or issues of law of first impression. These factors
    are general guidelines that serve as a useful starting point for determining whether a
    discretionary writ of prohibition should issue. Although all five factors need not be
    satisfied, it is clear that the third factor, the existence of clear error as a matter of law,
    should be given substantial weight.” Syllabus Point 4, State ex rel. Hoover v. Berger, 
    199 W. Va. 12
    , 
    483 S.E.2d 12
     (1996).
    i
    3.     “A writ of prohibition is available to correct a clear legal error
    resulting from a trial court’s substantial abuse of its discretion in regard to discovery
    orders.” Syllabus Point 1, State Farm Mut. Auto. Ins. Co. v. Stephens, 
    188 W. Va. 622
    ,
    
    425 S.E.2d 577
     (1992).
    4.     “The party who seeks to establish the propriety of a class action has
    the burden of proving that the prerequisites of Rule 23 of the West Virginia Rules of Civil
    Procedure have been satisfied.” Syllabus Point 6, Jefferson County Board of Education v.
    Jefferson County Education Association, 
    183 W. Va. 15
    , 
    393 S.E.2d 653
     (1990).
    5.     “Before certifying a class under Rule 23 of the West Virginia Rules of
    Civil Procedure [1998], a circuit court must determine that the party seeking class
    certification has satisfied all four prerequisites contained in Rule 23(a) – numerosity,
    commonality, typicality, and adequacy of representation – and has satisfied one of the three
    subdivisions of Rule 23(b). As long as these prerequisites to class certification are met, a
    case should be allowed to proceed on behalf of the class proposed by the party.” Syllabus
    Point 8, In re West Virginia Rezulin Litigation, 
    214 W. Va. 52
    , 
    585 S.E.2d 52
     (2003).
    6.     “When a class action certification is being sought pursuant to West
    Virginia Rule of Civil Procedure 23(b)(3), a class action may be certified only if the circuit
    court is satisfied, after a thorough analysis, that the predominance and superiority
    prerequisites of Rule 23(b)(3) have been satisfied.         The thorough analysis of the
    ii
    predominance requirement of West Virginia Rule of Civil Procedure 23(b)(3) includes (1)
    identifying the parties’ claims and defenses and their respective elements; (2) determining
    whether these issues are common questions or individual questions by analyzing how each
    party will prove them at trial; and (3) determining whether the common questions
    predominate. In addition, circuit courts should assess predominance with its overarching
    purpose in mind—namely, ensuring that a class action would achieve economies of time,
    effort, and expense, and promote uniformity of decision as to persons similarly situated,
    without sacrificing procedural fairness or bringing about other undesirable results. This
    analysis must be placed in the written record of the case by including it in the circuit court’s
    order regarding class certification.” Syllabus Point 7, State ex rel. Surnaik Holdings of
    WV, LLC v. Bedell, 
    244 W. Va. 248
    , 
    852 S.E.2d 748
     (2020).
    iii
    ARMSTEAD, J.:
    This case involves a petition for writ of prohibition seeking to preclude the
    Circuit Court of Logan County from enforcing its order granting a motion to compel
    discovery. The order at issue compelled Petitioner to disclose: (1) the names and addresses
    of all individuals with a West Virginia billing address who received communications from
    Health Care Financial Services (hereinafter “HCFS”) between June 2016 and the time
    Respondent Starr filed her Complaint; and (2) account information regarding the
    individuals who received these particular communications. Further, Petitioner was ordered
    to provide this information “in searchable format.” The circuit court further ordered that
    such responses “shall not be disclosed by [Respondent Starr], or [Respondent Starr’s]
    counsel, outside the scope of this litigation, and [Respondent Starr] shall return or destroy
    the protected health information at the end of the litigation or proceeding.”
    After careful review of the parties’ briefs and oral arguments, the appendix
    record, and the applicable law, we find that the circuit court clearly erred and exceeded its
    legitimate powers by granting the motion to compel. We therefore grant the writ of
    prohibition, as moulded, and remand this case to the circuit court for further proceedings.
    I. FACTS AND PROCEDURAL HISTORY
    On June 8, 2020, Respondent Starr filed a Complaint against Health Care
    Alliance, Inc. (“HCA”) and Alcoa Billing Center in the Circuit Court of Logan County.
    1
    On June 29, 2020, Respondent Starr filed an Amended Class Action Complaint against
    HCA and HCFS Health Care Financial Services, LLC, dba Alcoa Billing Center (“HCFS”).
    In her Amended Complaint, Respondent Starr alleges that HCA and HCFS are debt
    collectors pursuant to the West Virginia Consumer Credit and Protection Act
    (“WVCCPA”). She further alleges that HCFS sent her a collection letter in 2019, but the
    letter appears to be from “Alcoa Billing Center.” With respect to Alcoa, she alleges that
    HCFS “has not registered the tradename or dba Alcoa Billing Center with the State of West
    Virginia” and has, thus, violated the WVCCPA. 1 In particular, Respondent Starr alleges
    that HCFS violated West Virginia Code § 46A-2-127 which prohibits, in part, the use of
    “fraudulent, deceptive or misleading representation or means to collect or attempt to collect
    claims” including “[t]he use of any business, company or organization name while engaged
    in the collection of claims, other than the true name of the debt collector's business,
    company or organization[.]” See W. Va. Code § 46A-2-127(a).
    On or about June 30, 2020, Respondent Starr served her First Set of
    Interrogatories and Requests for Production of Documents to HCFS. On August 13, 2020,
    HCFS responded to the discovery requests, and by letter dated August 18, 2020, counsel
    1
    In her Amended Class Action Complaint, Respondent Starr alleges the following
    violations: (1) In Count I, violation of W. Va. Code § 46A-2-127 et seq. as well as W. Va.
    Code § 46A-1-101 et seq; (2) In Count II, violations of the public policy of West Virginia;
    (3) In Count III, violation of 
    W. Va. Code § 47-16-1
     et seq., W. Va. Code § 46A-2-127 et
    seq., and W. Va. Code § 46A-6-104 et seq.; (4) In Count IV, Respondent Starr seeks
    declaratory judgment; and (5) In Count V (individual account), violation of W. Va. Code
    § 46A-2-127.
    2
    for Respondent Starr requested supplementation of HCFS’s discovery responses.
    Counsel’s letter referenced Interrogatory Nos. 3, 13, and 14 as well as Request for
    Production Nos. 7 and 11. Respondent Starr filed a Motion to Compel on August 28, 2020,
    and on the same date, HCFS served supplemental responses to the discovery requests.
    HCFS served its second supplemental response to the discovery requests on November 12,
    2020. Following the supplemental responses, Respondent Starr requested that the circuit
    court proceed with consideration of her Motion to Compel. However, by that time, the
    parties had narrowed the issues to be considered down to three discovery disputes: (1)
    Interrogatory No. 3; (2) Interrogatory No. 13; and (3) Request for Production No. 11.
    The requests and the responses are as follows:
    INTERROGATORY NO. 3
    INTERROGATORY NO. 3:                For a period between June
    2016 and present, identify all individuals with a West Virginia
    address whom Defendant HCFS sent written statements,
    letters, or other written communications evidencing an amount
    due or allegedly due. Please list the consumer’s name and
    address, date letter was sent, the name of original creditor,
    original creditor’s account or reference number, the amount
    owed or allegedly owed, and the current balance. 2
    2
    HCFS’s responses to Interrogatory No. 3 were as follows:
    [ORIGINAL] ANSWER:               Objection.             This
    Interrogatory seeks information that is not relevant and not
    3
    likely to lead to the discovery of admissible evidence.
    Furthermore, Defendant HCFS provides billing services for
    Defendant Health Care Alliance and, thus, cannot release
    patient account information, pursuant to HIPAA, 45 CFR
    164.512(e).     Defendants do not currently possess any
    authorizations from patients that are required under HIPAA to
    examine records or documents containing protected health
    information. Additionally, Defendant HCFS does not maintain
    account information in the manner requested by Plaintiff and
    is not required to create documents under the West Virginia
    Rules of Civil Procedure.
    SUPPLEMENTAL ANSWER: Subject to the previously
    stated objections, Defendant reiterates that this Interrogatory
    seeks information that is not relevant and not likely to lead to
    the discovery of admissible evidence. Simply filing a suit
    styled as a purported class action does not entitle Plaintiff to
    information or documents related to specific individuals that
    would be included in a certified class. Numerosity does not
    require Plaintiff to know the names and account information
    for alleged members of the purported class. Instead, the proper
    procedure would be for a class certification motion to be ruled
    upon prior to the release of individuals’ protected health
    information. Plaintiff’s proposed Stipulated Protective Order
    does not provide satisfactory assurance that the information
    requested will not be used outside this lawsuit. Plaintiff simply
    cites to “numerosity, typicality, commonality, adequacy, and
    superiority/predominance,” without any explanation as to why
    the actual names and account information are relevant to any
    of the class certification elements. The names and account
    information of individuals receiving billing statements from
    Defendant would only be relevant for notification purposes
    following certification. Because Plaintiff has failed to provide
    any explanation as to the relevance of the names and account
    information and how, at this stage, the information would be
    used for purposes of this lawsuit, Defendant maintains its
    objections and is not satisfactorily assured that the HIPAA-
    protected information would only be used for purposes of this
    lawsuit. Furthermore, Defendant does not maintain account
    4
    INTERROGATORY NO. 13
    INTERROGATORY NO. 13: Please provide a list of all
    medical or health care providers in West Virginia towit [sic]
    the Defendant HCFS provides services. 3
    information in the manner requested by Plaintiff and is not
    required to create documents.
    SECOND SUPPLEMENTAL ANSWER:                         Subject to the
    previously stated objections, and per the parties’ agreement
    regarding resolution of a discovery dispute, Defendant states
    that, from June 1, 2016 to the present, approximately 11,630
    individuals may have received statements sent by Defendant
    HCFS with the name of Alcoa Billing Center listed as the
    return address for services rendered by Defendant Healthcare
    Alliance, Inc. at Logan Regional Medical Center. Defendant
    cannot state this figure with absolute certainty because it would
    require Defendant to access and review the confidential
    account information for each and every patient separately. Not
    all of these 11,630 patients may have received a statement from
    Defendant HCFS; however, these 11,630 patients’ accounts
    were in a status in which the patient, rather than an insurer, was
    identified as the responsible party for the services received.
    Thus, 11,630 represents the maximum number of patients that
    may have received a statement. These 11,630 patients account
    for 21,775 dates of service.
    3
    HCFS’s responses to Interrogatory No. 13 were as follows:
    [ORIGINAL] ANSWER:                 Objection.              This
    Interrogatory seeks information that is not relevant nor likely
    to lead to the discovery of admissible evidence.
    SUPPLEMENTAL ANSWER:                  Subject     to    the
    previously stated objection, Defendant reiterates that this
    5
    REQUEST FOR PRODUCTION NO. 11
    REQUEST FOR PRODUCTION NO. 11:                              For
    Defendant HCFS, please produce in searchable formatting
    (such as excel) the identification of every individual with a
    West Virginia address that was sent a letter, account statement,
    bill, or written request for payment between June 2016 and
    present. For every such individual, please produce in
    electronic searchable format, excel format, or other format the
    consumer’s name and address, date letter was sent, the name
    of original creditor, original creditor’s account or reference
    number, the amount owed or allegedly owed, and the current
    balance. 4
    Interrogatory seeks information that is not relevant nor likely
    to lead to the discovery of admissible evidence. Plaintiff
    asserts that “the information sought is highly relevant to the
    scope, size, and appropriate parties in the lawsuit.” Plaintiff’s
    claims relate to a bill received for services provided by Health
    Care Alliance, Inc. at Logan Regional Medical Center. There
    is no relevance to Defendant HCFS’s business relationships
    with any other entities.
    4
    HCFS’s responses to Request for Production No. 11 are as follows:
    [ORIGINAL] RESPONSE:               Objection. This Request
    seeks information that is not relevant and not likely to lead to
    the discovery of admissible evidence. Furthermore, Defendant
    HCFS provides billing services for Defendant Health Care
    Alliance and, thus, cannot release patient account information,
    pursuant to HIPAA, 45 CFR 164.512(e). Defendants do not
    currently possess any authorizations from patients that are
    required under HIPAA to examine and disclose records or
    documents containing protected health information.
    Additionally, Defendant HCFS does not maintain account
    6
    information in the manner requested by Plaintiff and is not
    required to create documents under the West Virginia Rules of
    Civil Procedure.
    SUPPLEMENTAL RESPONSE:                     Subject      to    the
    previously stated objections, Defendant reiterates that this
    Request seeks information that is not relevant and not likely to
    lead to the discovery of admissible evidence. Simply filing a
    suit styled as a purported class action does not entitle Plaintiff
    to information or documents related to specific individuals that
    would be included in a certified class. Numerosity does not
    require Plaintiff to know the names and account information
    for alleged members of the purported class. Instead, the proper
    procedure would be for a class certification motion to be ruled
    upon prior to the release of individuals’ protected health
    information. Plaintiff’s proposed Stipulated Protective Order
    does not provide satisfactory assurance that the information
    requested will not be used outside this lawsuit. Plaintiff simply
    cites to “numerosity, typicality, commonality, adequacy, and
    superiority/predominance,” without any explanation as to why
    the actual names and account information are relevant to any
    of the class certification elements. The names and account
    information of individuals receiving billing statements from
    Defendant would only be relevant for notification purposes
    following class certification. Furthermore, in the event that the
    Court would certify a class, an administrator would be
    appointed to arrange for notification and would be the only
    individual with need for the requested information. Thus,
    because the names and account information of individuals
    receiving billing statements from Defendant are irrelevant and
    cannot be sued for purposes of this litigation, Defendant is not
    satisfactorily assured that the requested information would be
    used only for purposes of this litigation.
    Because Plaintiff has failed to provide any explanation as to
    the relevance of the names and account information and how,
    at this stage, the information would be used for purposes of this
    lawsuit, Defendant maintains its objections and is not
    7
    By order entered on December 4, 2020, the Circuit Court of Logan County
    granted Respondent Starr’s motion to compel. In its order, the circuit court found that the
    account information requested by Respondent Starr (including the name of original
    creditor, account number, amount allegedly owed, and current balance) “goes towards
    proving at the certification stage common questions of fact or law, typical claims or
    common defenses, i.e., ‘commonality’ and ‘typicality.’” As to the specific discovery
    satisfactorily assured that the HIPAA-protected information
    would only be used for purposes of this lawsuit.
    Furthermore, Defendant does not maintain account
    information in the manner requested by Plaintiff and is not
    required to create documents. See Scantibodies Lab., Inc. v.
    Church & Dwight Co., Civil Action No. 14-cv-2275, 
    2016 U.S. Dist. LEXIS 154396
     *68-69 (Nov. 4, 2016 S.D.N.Y) (“[T]his
    Court notes that a party has no obligation to create new
    documents in discovery.”) (citing R.F.M.A.S., Inc. v. So, 
    271 F.R.D. 13
    , 44 (S.D.N.Y. 2010); see also Condry v. Buckeye
    S.S. Co., 
    4 F.R.D. 310
    , 
    1945 U.S. Dist. LEXIS 1372
     (D. Pas.
    1945) (“But until this existence is established so that the
    documents asked for can be identified and this materiality
    established, there can be no order to produce under Rule 34.”;
    Alexander v FBI, 
    194 F.R.D. 305
    , 
    2000 U.S. Dist. LEXIS 8867
    (D.D.C. 2000) (“Rule 34 only requires a party to produce
    documents that are already in existence.”); Harris v. Advance
    Am. Cash Advance Ctrs., 
    288 F.R.D. 170
    , 
    2012 U.S. Dist. LEXIS 173081
     (S.D. Ohio 2012) (“Defendant is not required
    to create documents in response to plaintiff’s requests for
    discovery.”).
    SECOND SUPPLEMENTAL RESPONSE: Subject to the previously stated
    objections, please see Defendant HCFS’s Second Supplemental Answer to Interrogatory
    No. 3.
    8
    requests, the order required Petitioner HCFS to supplement its responses to Request for
    Production No. 11 and Interrogatory No. 3 within sixty days of the entry of the order.
    Petitioner was further ordered to supplement its response to Interrogatory Nos. 13 and 14
    within ten (10) days of the ruling. 5
    Petitioners then filed the instant petition for writ of prohibition.
    II. STANDARD OF REVIEW
    The factors to be considered for issuance of a writ of prohibition are well-
    established:
    In determining whether to entertain and issue the writ of
    prohibition for cases not involving an absence of jurisdiction
    but only where it is claimed that the lower tribunal exceeded
    its legitimate powers, this Court will examine five factors: (1)
    whether the party seeking the writ has no other adequate
    means, such as direct appeal, to obtain the desired relief; (2)
    whether the petitioner will be damaged or prejudiced in a way
    that is not correctable on appeal; (3) whether the lower
    tribunal’s order is clearly erroneous as a matter of law; (4)
    whether the lower tribunal’s order is an oft repeated error or
    manifests persistent disregard for either procedural or
    substantive law; and (5) whether the lower tribunal’s order
    raises new and important problems or issues of law of first
    impression. These factors are general guidelines that serve as a
    5
    Prior to entry of the circuit court’s order, Respondent Starr filed a reply indicating
    that the parties had narrowed the issues down to the following three discovery disputes:
    Interrogatory No. 3, Request for Production No. 11, and Interrogatory No. 13. Therefore,
    it appears that Interrogatory No. 14 was not at issue at the time of the hearing. However,
    the circuit court’s order of December 4, 2020, ordered HCFS to supplement its response to
    Interrogatory No. 14 within ten (10) days of the ruling. From the text of the petition it does
    not appear that Petitioner HCFS specifically seeks extraordinary relief as to this aspect of
    the order and we therefore decline to address it.
    9
    useful starting point for determining whether a discretionary
    writ of prohibition should issue. Although all five factors need
    not be satisfied, it is clear that the third factor, the existence of
    clear error as a matter of law, should be given substantial
    weight.
    Syl. Pt. 4, State ex rel. Hoover v. Berger, 
    199 W. Va. 12
    , 
    483 S.E.2d 12
     (1996).
    “‘A writ of prohibition will not issue to prevent a simple abuse of discretion
    by a trial court. It will only issue where the trial court has no jurisdiction or having such
    jurisdiction exceeds its legitimate powers. W. Va. Code 53-1-1.’ Syllabus Point 2, State
    ex rel. Peacher v. Sencindiver, 
    160 W. Va. 314
    , 
    233 S.E.2d 425
     (1977).” Syl. Pt. 1, State
    ex rel. Healthport Technologies, LLC v. Stucky, 
    239 W. Va. 239
    , 
    800 S.E.2d 506
     (2017).
    In addition, this Court has held that “[a] writ of prohibition is available to correct a clear
    legal error resulting from a trial court’s substantial abuse of its discretion in regard to
    discovery orders.” Syl. Pt. 1, State Farm Mut. Auto. Ins. Co. v. Stephens, 
    188 W. Va. 622
    ,
    
    425 S.E.2d 577
     (1992). With these standards in mind, we turn to the parties’ respective
    arguments.
    III. DISCUSSION
    Petitioners argue that the circuit court committed clear legal error and
    exceeded its legitimate powers by granting Respondent Starr’s motion to compel. They
    advance multiple arguments as to why the information sought should not be produced. We
    will begin our review by looking at the specific information that is sought by Respondent
    Starr in Interrogatory No. 3 and Request for Production No. 11. In Interrogatory No. 3,
    10
    Respondent Starr seeks the following information about individuals to whom HCFS sent
    written communications between June 2016 and the present:
    (1)    consumer’s names and addresses;
    (2)    date letter was sent;
    (3)    the name of the original creditor;
    (4)    original creditor’s account or reference number;
    (5)    the amount owed or allegedly owed; and
    (6)    the current balance.
    In Request for Production No. 11, Respondent Starr requested Petitioners to produce the
    information above in an electronic searchable format “such as [E]xcel.”
    In support of its decision to grant the discovery at issue, the circuit court
    relied upon this Court’s ruling in Love v. Georgia Pacific Corp., 
    214 W. Va. 484
    , 
    590 S.E.2d 677
     (2003) in which we concluded that:
    Where a party seeks to proceed as a class representative under
    Rule 23 of the West Virginia Rules of Civil Procedure [1998],
    and where issues related to class certification are present,
    reasonable discovery related to class certification issues is
    appropriate, particularly where the pleadings and record do not
    sufficiently indicate the presence or absence of the requisite
    facts to warrant an initial determination of class action status.
    Id. at 488, 
    590 S.E.2d at 681
     (2003). Because the circuit court relied upon our decision in
    Love, it is evident that it determined that issues related to class certification are, in fact,
    present in this case. However, our review of whether the circuit court correctly ordered
    disclosure of the subject material does not stop with its determination that “issues related
    11
    to class certification are present.” Instead, we must also determine whether the discovery
    the circuit court compelled was “reasonable.”
    Petitioners argue that the detailed disclosures ordered by the circuit court are
    not reasonable, particularly where, as here, no class has yet been certified. First, Petitioners
    maintain the disclosure of health information related to non-party individuals involves
    patient information protected by the federal Health Insurance Portability and
    Accountability Act (“HIPAA”). The requested discovery at issue includes the names,
    addresses and account information for health care services of non-litigant third-party
    individuals. In its original responses to Respondent’s discovery requests, Petitioner HCFS
    claimed that the information sought is “patient account information” and cannot be released
    pursuant to HIPAA, 45 CFR 164.512(e). Because the circuit court included specific
    provisions within its order to protect the requested information from improper disclosure,
    we are not persuaded by Petitioner’s argument in this regard. The circuit court correctly
    addressed the HIPAA argument and ordered that the disclosure would be made pursuant to
    45 C.F.R. 164.512(e)(v) 6, which permits disclosures in judicial proceedings if appropriate
    measures are taken to ensure that the information is protected from improper disclosure.
    6
    Although the circuit court erroneously cited the provisions of 45 C.F.R.
    164.512(e)(v), it is evident from the language referenced in the circuit court’s order that
    the appropriate section to which the court was referring was 45 C.F.R. 164.512(e)(1)(v).
    12
    See 45 C.F.R. 164.512(e). The circuit court’s order contains protective order language set
    forth in 45 C.F.R. 164.512(e)(1)(v), which provides:
    (v) For purposes of paragraph (e)(1) of this section, a qualified
    protective order means, with respect to protected health
    information requested under paragraph (e)(1)(ii) of this
    section, an order of a court or of an administrative tribunal or
    a stipulation by the parties to the litigation or administrative
    proceeding that:
    (A) Prohibits the parties from using or disclosing the
    protected health information for any purpose other than the
    litigation or proceeding for which such information was
    requested; and
    (B) Requires the return to the covered entity or destruction of
    the protected health information (including all copies made) at
    the end of the litigation or proceeding.
    45 C.F.R. 164.512(e)(1)(v). The circuit court not only stated that its order was made
    pursuant to the applicable HIPAA provisions, but appropriately ordered, in Paragraph 7 of
    its order, that “[t]he responses and answers are deemed protected and shall not be disclosed
    by Plaintiff, or Plaintiff’s counsel, outside the scope of this litigation, and Plaintiff shall
    return or destroy the protected health information at the end of the litigation or proceeding.”
    Accordingly, we find that the ordered disclosures are not prohibited pursuant to the
    provisions of HIPAA.
    Although we are unpersuaded by Petitioner’s HIPAA argument, we are
    concerned about the broader privacy interests where, as here, health-related records
    concerning non-litigant, third-party individuals are at issue.        Respondent Starr has
    13
    requested Petitioner HCFS provide the names, addresses and account information for all
    persons with a West Virginia address to whom it sent written statements, letters, or other
    written communications evidencing an amount due or allegedly due. 7 Significantly,
    Respondent Starr is asking for the names, addresses, and information contained in medical
    billing statements that were sent to non-litigant third-party individuals. Although it is
    assumed that Respondent Starr will seek to certify a class that may include these
    individuals in the future, no such class has been certified at this stage of the proceedings.
    This case is in the pre-certification stage and the records requested relate to individuals
    who have not yet been, and who may or may not be, named as class members in the future.
    The United States Supreme Court has clearly recognized the distinction
    between disclosure of information related to class members where a class has, in fact, been
    certified, as opposed to pre-certification disclosure designed to assist in determining the
    appropriateness and scope of a class certification. In Oppenheimer Fund, Inc. v. Sanders,
    
    437 U.S. 340
     (1978) the United States Supreme Court stated that while it did not hold that
    class members’ names and addresses never can be obtained under the discovery rules,
    “[t]here is a distinction in principle between requests for identification of class members
    that are made to enable a party to send notice and requests that are made for true discovery
    purposes.” Id. at n. 20. In the case sub judice, Respondent Starr is clearly not seeking the
    7
    The discovery request was limited in time for “a period between June 2016 and
    present.”
    14
    names and addresses in order to send notice as this case has not yet been, and may or may
    not be, certified.
    This Court has also recognized that the privacy rights of non-parties to
    litigation must be protected in the discovery process. When “[w]eighing the requesting
    party’s need to obtain the information against the burden that producing the information
    places upon [the disclosing party], [courts] must be cognizant of the privacy rights of non-
    litigant third parties.” State ex rel. West Virginia Fire & Cas. Co. v. Karl, 
    202 W. Va. 471
    ,
    476, 
    505 S.E.2d 210
    , 215 (1998).         Although the Karl case did not involve class
    certification, it involved a request for claim files of non-litigants, and this Court required
    the copies of the claim files to be redacted to “adequately protect the privacy interests of
    the non-litigants by redacting names, addresses, personal medical information, and other
    identifying material from the records.” Id. at 476, 
    505 S.E.2d at 215
    . Eighteen years later,
    this Court relied upon Karl in again holding that the names, addresses and telephone
    numbers of non-party insureds should be redacted from any documents produced in
    discovery in that case. State ex rel. State Farm Mut. Auto. Ins. Co. v. Cramer, 
    237 W. Va. 60
    , 
    785 S.E.2d 257
     (2016).
    In seeking the discovery at issue, we are mindful of the burden imposed upon
    Respondent Starr. “The party who seeks to establish the propriety of a class action has the
    burden of proving that the prerequisites of Rule 23 of the West Virginia Rules of Civil
    Procedure have been satisfied.” Syl. Pt. 6, Jefferson Cty. Bd. of Educ. v. Jefferson Cty.
    15
    Educ. Ass’n., 
    183 W. Va. 15
    , 
    393 S.E.2d 653
     (1990). As we noted in Love, a party who is
    not permitted to conduct discovery on the prerequisites for class certification, may be
    “severely hampered” in his or her “ability to address and to meet [his or] her burden for
    class certification under Rule 23.” Love 214 W. Va. at 488, 
    590 S.E.2d at 681
    . However,
    a party seeking to establish the propriety of a class action does not have the right to conduct
    unlimited discovery. In this case, Respondent Starr served discovery requests with the
    Amended Class Complaint on or about June 30, 2020. Unlike the appellant in Love who
    was denied the ability to conduct discovery, it is clear from the record before us that
    Respondent Starr has served, and received responses to, various interrogatories and
    requests for production of documents. Therefore, discovery had been ongoing prior to the
    filing of the instant Petition for Writ of Prohibition. In addition, counsel for Petitioner
    HCFS represented to the Court, during oral argument in this matter, that class discovery is
    still ongoing and that the depositions of a corporate representative and Respondent Starr
    still needed to be taken.
    While Respondent must certainly be permitted to engage in certain
    appropriate discovery, even at the pre-certification stage of her alleged class action suit,
    such discovery must meet the relevancy requirements of the West Virginia Rules of Civil
    Procedure. Rule 26 of these rules provide that “[p]arties may obtain discovery regarding
    any matter, not privileged, which is relevant to the subject matter involved in the pending
    16
    action. . . .” W. Va. R. Civ. P. 26(b)(1). Accordingly, at this stage of the proceedings,
    discovery must be relevant to the certification of the proposed class action.
    This court has held that
    [b]efore certifying a class under Rule 23 of the West Virginia
    Rules of Civil Procedure [1998], a circuit court must determine
    that the party seeking class certification has satisfied all four
    prerequisites contained in Rule 23(a)–numerosity,
    commonality, typicality, and adequacy of representation–and
    has satisfied one of the three subdivisions of Rule 23(b). As
    long as these prerequisites to class certification are met, a case
    should be allowed to proceed on behalf of the class proposed
    by the party.”
    Syl. Pt. 8, In re W. Va. Rezulin Litig., 
    214 W. Va. 52
    , 
    585 S.E.2d 52
     (2003). The circuit
    court noted that the information sought in Interrogatory No. 3 and Request For Production
    No. 11 was “relevant and permissible discovery pursuant to Rule 26 at this pre-certification
    stage of discovery to afford Plaintiff the opportunity to meet their [sic] burden under Rule
    23(a) 8 [as to] numerosity, commonality, typicality, adequacy, and at least one Rule 23(b) 9
    8
    West Virginia Rule of Civil Procedure 23(a) provides as follows:
    (a) Prerequisites to a class action.---One or more members of
    a class may sue or be sued as representative parties on
    behalf of all only if (1) the class is so numerous that joinder
    of all members is impracticable, (2) there are questions of
    law or fact common to the class, (3) the claims or defenses
    of the representative parties are typical of the claims or
    defenses of the class, and (4) the representative parties will
    fairly and adequately protect the interests of the class.
    9
    West Virginia Rule of Civil Procedure 23(b) provides that a class action may be
    maintained only if the prerequisites of Rule 23(a) are met in addition to at least one of the
    following requirements:
    17
    ground.” However, the circuit court did not provide any findings explaining why such
    information would help Respondent meet her burden or to which specific prerequisites of
    a class action set forth in Rule 23 the requested discovery would be relevant.
    (1) The prosecution of separate actions by or against individual
    members of the class would create risk of
    (A) Inconsistent or varying adjudications with respect to
    individual members of the class which would establish
    incompatible standards of conduct for the party opposing the
    class, or
    (B) Adjudications with respect to individual members of the
    class which would as a practical matter be dispositive of the
    interests of the other members not parties to the adjudications
    or substantially impair or impede their ability to protect their
    interests; or
    (2) The party opposing the class has acted or refused to act on
    grounds generally applicable to the class, thereby making
    appropriate final injunctive relief or corresponding declaratory
    relief with respect to the class as a whole; or
    (3) The court finds that the questions of law or fact common to
    the members of the class predominate over any questions
    affecting only individual members, and that a class action is
    superior to other available methods for the fair and efficient
    adjudication of the controversy. The matters pertinent to the
    findings include: (A) the interest of members of the class in
    individually controlling the prosecution or defense of separate
    actions; (B) the extent and nature of any litigation concerning
    the controversy already commenced by or against members of
    the class; (C) the desirability or undesirability of concentrating
    the litigation of the claims in the particular forum; (D) the
    difficulties likely to be encountered in the management of a
    class action.
    W. Va. R. Civ. P. 23(b).
    18
    Indeed, Respondent Starr has failed to establish how a non-litigant third-
    party individual’s name, address or account information will help prove any of the Rule 23
    prerequisite factors for certifying a class. By her own admission, “the central issue raised
    by this action is whether defendant violated W. Va. Code §46A-2-127 et seq. in collecting
    debt in the name of Alcoa Billing Center[.]” The specific information sought (name,
    address and account information) does not appear relevant in meeting her burden in this
    regard.
    Further, in her Amended Class Action Complaint, Respondent Starr does not
    identify the non-litigant third-party individuals’ names, addresses, or account information
    as “[q]uestions of law and fact that are common to the entire Class[.]” The Amended Class
    Action Complaint contains a paragraph that identifies questions of law and fact that are
    common to the entire class under the heading “Predominance.” The questions are:
    a. Whether the defendant HCFS was using the name Alcoa
    Billing Center illegally and without registering the name as
    a trademark or DBA (doing business as) with the State of
    West Virginia to legally use the name in the pursuit of the
    collection of claims;
    b. Whether Plaintiff and Class Members were contacted by
    the defendants for the purpose of collecting consumer debt
    in the State of West Virginia when the defendant were [sic]
    not licensed and bonded to do so in violation of the law;
    c. Whether Alcoa Billing Center is a true name of the
    defendant Health Care Services Financial, LLC;
    d. Whether defendants are legally responsible for damages
    incurred by Plaintiffs and the Class Members for their
    19
    conduct surrounding the use of Alcoa Billing Center and
    the unlicensed collection of debt;
    e. Whether either of the Defendants are unlicensed collection
    agencies engaged in the collection of debt.
    Respondent Starr purports to bring claims “on behalf of all West Virginia
    residents who [] received written communications from defendants attempting to collect
    debt using the name Alcoa or Alcoa Billing Center while defendants were not licensed and
    bonded in West Virginia to do so.” We are at a loss to understand how names, addresses
    and account information of non-litigant, third-party individuals will help Respondent Starr
    meet her burden at this stage given that the central issue and questions of fact and law she
    identified focus on the conduct of HCFS, not the identities or addresses of potential class
    members or specific amounts owed by such perspective class members.
    Respondent Starr argues that the information she seeks will permit the circuit
    court to “meaningfully address the predominance issues that the Surnaik decision
    discussed.” 10 In Syllabus Point 7 of Surnaik Holdings of WV, LLC v. Bedell, 
    244 W. Va. 248
    , 
    852 S.E.2d 748
     (2020), we held that
    [w]hen a class action certification is being sought pursuant to
    West Virginia Rule of Civil Procedure 23(b)(3), a class action
    may be certified only if the circuit court is satisfied, after a
    thorough analysis, that the predominance and superiority
    10
    The circuit court’s order does not mention our decision in Surnaik. Respondent
    Starr argues that the circuit court made its decision at a hearing which appears to have been
    held on November 18, 2020, prior to our holding in Surnaik. However, the circuit court’s
    order was entered after the Surnaik case was decided.
    20
    prerequisites of Rule 23(b)(3) have been satisfied. The
    thorough analysis of the predominance requirement of West
    Virginia Rule of Civil Procedure 23(b)(3) includes (1)
    identifying the parties’ claims and defenses and their
    respective elements; (2) determining whether these issues are
    common questions or individual questions by analyzing how
    each party will prove them at trial; and (3) determining whether
    the common questions predominate. In addition, circuit courts
    should assess predominance with its overarching purpose in
    mind—namely, ensuring that a class action would achieve
    economies of time, effort, and expense, and promote
    uniformity of decision as to persons similarly situated, without
    sacrificing procedural fairness or bringing about other
    undesirable results. This analysis must be placed in the written
    record of the case by including it in the circuit court’s order
    regarding class certification.
    Although our decision in Surnaik requires the circuit court to conduct a thorough analysis,
    it is not to be relied upon as a vehicle to permit unbridled discovery.
    We are not convinced that the specific requested information is relevant to
    any of the enumerated prerequisites for class certification set forth in Rule 23, including
    the predominance factor discussed in Surnaik. Had Respondent alleged that only potential
    class members treated at a particular facility or who lived in a particular city or town were
    to be included within the class to be certified, their names, addresses and service providers
    may be relevant at this pre-certification stage. She has not made any such allegation.
    Similarly, had Respondent alleged that only class members who owed in excess of a certain
    dollar amount were potential members of the potential class, or that individuals would be
    treated differently within the class, perhaps in terms of numerosity or commonality, based
    21
    on the amounts each individual owed, the amounts owed might be relevant to the class
    certification. Again, however, she has made no such allegations.
    Moreover, as to the specific question of predominance as discussed in
    Surnaik, it would not appear that the identifying data requested would be relevant to
    “identifying the parties’ claims and defenses and their respective elements,” determining
    “whether these issues are common questions or individual questions by analyzing how each
    party will prove them at trial” or whether “common questions predominate.” Again,
    Respondent claims that the members of the potential class would be so included in the
    affected class because they were unlawfully contacted by Petitioners for debt collection
    purposes. Regardless of the potential class member’s name, address, amount owed or the
    identity of the healthcare provider whose services gave rise to the debt, it would appear
    that the evidence establishing the alleged illegal contact, and any defense that may be
    asserted, would be the same.
    Clearly, Respondent seeks certification of a class that would arguably include
    any individual in West Virginia who was contacted by HCFS for the purpose of collecting
    consumer debt. Specifically, as the circuit court’s order states, Respondent purports to
    bring her class action on behalf of all West Virginia residents who “received written
    communications from defendants attempting to collect debt using the name Alcoa or Alcoa
    Billing Center while defendants were not licensed and bonded in West Virginia to do so.”
    22
    In this regard, the patients’ name and local address, the identity and account information
    of the original creditor, the amount originally owed by the patient and the outstanding
    balance would not appear relevant to determining if class certification is appropriate.
    Although we are not persuaded that the specific names, addresses and
    account information ordered produced is relevant at the pre-certification stage of this
    matter, the number of individuals who are prospective class members would appear
    relevant, at least to the question of numerosity as set forth in Rule 23 of the West Virginia
    Rules of Civil Procedure. In its Second Supplemental Discovery Responses, HCFS
    provided, in part, “from June 1, 2016 to the present, approximately 11,630 individuals may
    have received statements sent by Defendant HCFS with the name of Alcoa Billing Center
    listed as the return address for services rendered by Defendant Healthcare Alliance, Inc. at
    Logan Regional Medical Center.” However, as indicated in such response, the numerical
    information provided by HCFS was limited to statements sent for services rendered at
    Logan Regional Medical Center. The Respondent has asserted that the class for which she
    seeks certification includes all West Virginia residents who received written
    communications from Petitioners attempting to collect debt using the name Alcoa or Alcoa
    Billing Center. Respondent’s claims on behalf of such potential class are not limited only
    to patients of Logan Regional Medical Center. Therefore, the number of West Virginia
    residents to whom such written communication was forwarded, regardless of the medical
    provider to which they relate, is relevant to establishing the class certification prerequisites
    23
    set forth in Rule 23. Accordingly, Petitioner HCFS should be directed to supplement its
    discovery responses to provide the number of West Virginia residents to whom it sent
    written communications attempting to collect debt, regardless of the medical facility at
    which they received treatment.
    Likewise, Interrogatory No. 13 seeks a list of all medical or health care
    providers in West Virginia to which the Petitioner HCFS provides services. The circuit
    court briefly addressed this interrogatory by ordering HCFS to supplement its response to
    Interrogatory No. 13. HCFS objected to this request on the basis of relevancy and indicated
    in its original response that Interrogatory No. 13 is “not relevant nor likely to lead to the
    discovery of admissible evidence.” In its supplemental response, HCFS reasserted the
    relevancy objection and further noted that Respondent Starr’s claim relates to “a bill
    received for services provided by Health Care Alliance, Inc. at Logan Regional Medical
    Center. There is no relevance to Defendant HCFS’s business relationships with any other
    entities.” We disagree with HCFS’s assertion as to the relevance of such information. In
    order to establish the scope of the potential class Respondent seeks to have certified, it is
    possible that the response to Interrogatory No. 13 may lead to the discovery of admissible
    evidence. Respondent Starr may possibly obtain information relevant to the potential
    certification of the class from the businesses to whom Respondent provided services.
    Therefore, the circuit court did not exceed its legitimate powers in compelling HCFS to
    supplement its response to Interrogatory No. 13.
    24
    IV. CONCLUSION
    For the reasons set forth above, this Court finds that the circuit court clearly
    erred and exceeded its legitimate powers in compelling Petitioner HCFS to disclose at this
    pre-certification stage names and addresses of non-litigant, third-party individuals to whom
    debt collection letters were sent, dates of letters sent by HCFS, names of the original
    creditors, the original creditors’ account or reference numbers, the amount owed or
    allegedly owed and the current balance owed. However, Petitioner HCFS should be
    directed to supplement its discovery responses to provide the number of West Virginia
    residents to whom it sent written communications during the relevant period, regardless of
    the medical facility at which they received treatment. Finally, the circuit court did not
    exceed its authority in directing Petitioner HCFS to supplement its response to
    Interrogatory 13 and the writ granted herein shall not prohibit enforcement of the circuit
    court’s order in relation to Interrogatory No. 13. 11
    Accordingly, we grant the requested writ of prohibition, as moulded, and
    remand this case for further proceedings consistent herewith.
    Writ granted as moulded.
    11
    Request for Production No. 11 seeks the same information requested in
    Interrogatory No. 3, but requests that the information be produced in a searchable format
    “such as excel” or “other format.” Because we have ruled, for the reasons set forth above,
    that the circuit court clearly erred and exceeded its legitimate powers in compelling
    production of such data, it is unnecessary for the court to determine whether the circuit
    court further erred in directing that it be produced in “searchable format.”
    25