Saggio et al v. Medicredit, Inc.

4:22-cv-01005Moed23 de jan. de 2026

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UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
EASTERN DIVISION
JASON SAGGIO and JUDE FURR, )
)
Plaintiffs, )
) Case No. 4:22-CV-01005-JAR
vs. )
)
MEDICREDIT, INC., )
)
Defendant. )
MEMORANDUM AND ORDER
This matter is before the Court on Plaintiffs motion for class certification in this action
brought under the Telephone Consumer Protection Act (TCPA), 47 U.S.C. § 227. (Doc. 101).
For the reasons stated below, the Court will grant the motion with an amendment to the class
period.
BACKGROUND
The TCPA prohibits robocalls to cellphones except in emergencies or with the recipient’s
consent. 47 U.S.C. § 227(b)(1)(A)(iii). Plaintiffs Jason Saggio and Jude Furr, on behalf of a
proposed nationwide class, allege that Defendant Medicredit, a medical debt collector,
erroneously and unlawfully placed robocalls to their cellphones to collect debts they didn’t owe.1
This is a “wrong number” case. On July 13, 2022, Saggio received a call meant for
someone named Lucy. When prompted, he pressed “2” to indicate that he wasn’t Lucy. From
June to August 2023, Furr received numerous calls from Medicredit and he told employees to
1 Though not explicitly spelled out in the pleadings, the Court generally understands that a
patient/debtor gives consent to be pursued for unpaid medical debt when she signs financial guarantees
and provides her contact information to her healthcare provider (Medicredit’s customer) at the time of
treatment. Medicredit vaguely confirms that a patient gives consent at the time of service. (Doc. 106 at 3).
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stop calling at least twice. Despite his requests, the calls continued, and he received several pre-
recorded voicemails. Furr eventually called Medicredit and spoke to an employee who told him
that the calls were meant for a person named Mena.
Saggio filed the instant complaint in September 2022. Furr’s case was consolidated in
May 2024. (Doc. 82). Plaintiffs plead that the calls intruded upon and occupied the capacity of
their cellphones, depleted their batteries, temporarily seized and trespassed upon their phones,
and diverted their attention from other activities. (Doc. 85). They seek statutory damages of $500
per call and $1,500 for each call placed knowingly or willfully in violation of the TCPA, as well
as declaratory and injunctive relief. Plaintiffs propose a class defined as follows:
All persons and entities throughout the United States (1) to whom Defendant placed
a call in connection with a past-due medical debt, (2) directed to a number assigned
to a cellular telephone service, but not assigned to a person with a past-due medical
debt or their authorized representative, (3) with an artificial or prerecorded voice,
(4) from September 26, 2018 through the date of class certification and, which
claims have not otherwise been previously released.
(Doc. 85). The last phrase referring to previously released claims carves out claims settled in an
earlier TCPA class action against Medicredit. That case was filed in 2020 for a class period from
December 16, 2017, to July 7, 2022. Final judgment was entered in February 2023. Miles v.
Medicredit, Inc., No. 4:20-CV-1186-JAR, 2023 WL 1794559, at *1 (E.D. Mo. Feb. 7, 2023).
In September 2023, Medicredit began using the Federal Communication Commission’s
Reassigned Numbers Database (RND) to “scrub” its call list on a monthly basis. (Doc. 101-2 at
24). Medicredit invokes this practice as an affirmative defense under 47 C.F.R. 64.1200(m),
which provides a safe harbor from liability for RND users who made calls to numbers previously
associated with a consenting owner before a subsequent transfer to a different owner.
In discovery, Medicredit produced spreadsheets of phone numbers designated as wrong
numbers robocalled during the class period. After briefing on the instant motion, the Court
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ordered Medicredit to produce more detailed call logs reflecting the dates and number of calls to
each wrong number. (Doc. 125). Plaintiffs’ expert, Carla Peak, explained in her report and
deposition that these call logs can be utilized to identify and notify class members through a
reverse look-up process to locate names and addresses associated with the cellphone numbers
identified as wrong numbers. Individual plaintiffs would then identify themselves as class
members by responding to the notice.
Medicredit opposes class certification, principally arguing that individual issues
overwhelm common issues particularly as to the ascertainability of proper plaintiffs. For
instance, reverse look-up searches sometimes identify multiple individuals linked to a single
phone number. Dates of ownership might be inaccurate in a database. The call recipient could be
a family member on a joint phone plan or a former subscriber before a transfer of ownership. Or,
a bona fide debtor may have provided a spouse’s or caregiver’s number. Medicredit contends
that these uncertainties preclude class treatment.
LEGAL STANDARDS
Rule 23(a) allows individuals to sue on behalf of a class if: (1) the class is so numerous
that joinder of all members is impracticable (numerosity); (2) there are questions of law and fact
common to the class (commonality); (3) the claims or defenses of the representative parties are
typical of the claims or defenses of the class (typicality); and (4) the representative parties will
fairly and adequately protect the interests of the class (adequacy). Fed. R. Civ. P. 23(a).
If the foregoing criteria are satisfied, Rule 23(b)(3) permits a class action when the court
finds that (1) questions of law or fact common to class members predominate over any questions
affecting individual members (predominance) and (2) a class action is superior to other methods
for fairly and efficiently adjudicating the controversy (superiority). Fed. R. Civ. P. 23(b)(3).
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Relevant considerations include (A) class members’ interests in individually controlling the
prosecution or defense of separate actions; (B) the extent and nature of any related litigation
already pending; (C) the desirability of concentrating claims in the forum; and (D) likely
difficulties in managing a class action. Fed. R. Civ. P. 23(b)(3)(A)-(D). “An individual question
is one on which evidence varies from member to member; a common question is one where the
same evidence suffices for each member to make a prima facie showing.” Ford v. TD
Ameritrade Holding Corp., 115 F.4th 854, 859 (8th Cir. 2024).2
Certification of a class is proper only if, after “rigorous analysis,” the Court finds that
Rule 23 requirements are met. Douglas Phillip Brust, D.C., P.C. v. Opensided MRI of St. Louis
LLC, 343 F.R.D. 581, 587 (E.D. Mo. 2023) (citing Wal-Mart Stores, Inc. v. Dukes, 564 U.S. 338,
350-51 (2011)). The court considers the merits only to the extent relevant to the determination
whether Rule 23 is satisfied. Id. (citing Dukes, 564 U.S. at 351 n.6). The burden rests with the
plaintiff. Id.
While class certification is normal in TCPA litigation, there are no invariable rules
regarding the suitability of a particular action for class treatment. Id. The court considers the
unique facts of each case. Id.
ANALYSIS
Ascertainability
Inherent in Rule 23 is the “elementary” requirement that a class “must be adequately
defined and clearly ascertainable.” Sandusky Wellness Ctr., LLC v. Medtox Sci., Inc., 821 F.3d
992, 996 (8th Cir. 2016). Medicredit argues that Plaintiffs’ proposed class is not ascertainable
from evidence common to the class insofar as individual testimony would be required to identify
2 Throughout this order, quotations have been cleaned up and internal citations are omitted unless
otherwise noted.
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each plaintiff who actually received a robocall from Medicredit without consent. In short,
Medicredit contends that the class isn’t ascertainable because the evidence might not accurately
identify every class member.
The Eighth Circuit rejected this theory in Sandusky. There, the defendant sent unsolicited
fax advertisements to business numbers obtained from a directory of healthcare providers.
821 F.3d at 994. The plaintiffs asserted that the list of numbers was sufficient to identify class
members. The district court disagreed, reasoning that the parties would need to explore who
owned, operated, and used the fax machines associated with the numbers, necessitating
individualized inquiry to determine who actually received a fax. Sandusky Wellness Ctr. LLC v.
Medtox Sci., Inc., 2014 WL 3846037, at *4 (D. Minn. Aug. 5, 2014). The Eighth Circuit
reversed, reasoning that the best objective indicator of the recipient is the person who subscribed
to the number. Sandusky, 821 F.3d at 997 (emphasis added). “True, the subscriber … may not be
the recipient of the fax. However, fax logs showing the numbers that received each fax are
objective criteria that make the recipient clearly ascertainable.” Id. (emphasis added). The court
further reasoned that any recipients who didn’t have rights under the TCPA just wouldn’t be
entitled to share in any damages. Id. at 998 (citing Arnold Chapman & Paldo Sign & Display Co.
v. Wagener Equities Inc., 747 F.3d 489, 492 (7th Cir. 2014)). “How many (if any) of the class
members have a valid claim is the issue to be determined after the class is certified.” Chapman,
747 F.3d at 492) (emphasis original).3 Citing Sandusky and Chapman, the Western District of
3 Medicredit’s standing argument fails for the same reason. See Brust, 343 F.R.D. at 590-91
(collecting cases). The case cited by Medicredit, Cordoba v. DIRECTV, LLC, 942 F.3d 1259 (11th Cir.
2019), is distinguishable. There, class members who didn’t place themselves on the do-not-call registry
couldn’t claim injury and therefore lacked standing, just as recipients of Medicredit’s robocalls who owe
medical debt wouldn’t have standing in this case. Those individuals can be identified from Medicredit’s
records and are excluded from the class definition, which is properly limited to recipients of misdirected
calls to non-debtors.
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Missouri found a class of text recipients ascertainable using the defendant’s records and
excluding anyone who responded to a text affirmatively. Hand v. Beach Ent. KC, LLC, 456 F.
Supp. 3d 1099, 1138-39 (W.D. Mo. 2020). Other district courts have found TCPA classes
ascertainable using Peak’s reverse look-up process and ultimately granted certification. Wesley
v. Snap Fin. LLC, 339 F.R.D. 277 (D. Utah 2021); Head v. Citibank, N.A., 340 F.R.D. 145 (D.
Ariz. 2022).
Medicredit attempts to avoid Sandusky’s binding instruction by citing St. Louis Heart
Ctr., Inc. v. Vein Centers for Excellence, Inc., No. 4:12 CV 174 CDP, 2017 WL 2861878 (E.D.
Mo. July 5, 2017), where the court decertified a class for lack of ascertainability. There,
however, the evidence provided only the number of faxes sent; there were no logs specifying
which fax numbers received a successful transmission. Id. at *4. By contrast here, Medicredit’s
call logs identify cellphone numbers designated as wrong numbers and the dates of robocalls to
those numbers, among other particulars. These are objective indicators to identify potential class
members. The Court thus finds the proposed class sufficiently ascertainable.
Numerosity
Rule 23(a)(1) requires that the members of a class be so numerous as to make joinder
impractical. Fed. R. Civ. P. 23(a)(1). According to Plaintiffs, discovery revealed nearly 300,000
robocalls that Medicredit later identified as wrong numbers. (Doc. 96, Ex. 4-5). Medicredit
doesn’t challenge Plaintiffs’ motion on this criterion, and the Court finds it satisfied.
Commonality
Rule 23(a)(2) requires that the members of a class be united by a common question of
law or fact. Fed. R. Civ. P. 23(a)(2). “Commonality requires a showing that class members have
suffered the same injury.” Powers v. Credit Mgmt. Servs., Inc., 776 F.3d 567, 571 (8th Cir.
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2015). What matters is the capacity of a class action to generate common answers to resolve the
litigation. Id. The common contention “must be of such a nature that it is capable of classwide
resolution – which means that determination of its truth or falsity will resolve an issue that is
central to the validity of each one of the claims in one stroke.” Webb v. Exxon Mobil Corp., 856
F.3d 1150, 1156 (8th Cir. 2017).
In support of its motion, Plaintiffs identify questions common to all class members as to
whether Medicredit (1) used an artificial or prerecorded voice to call cellphones, (2) obtained the
recipient’s consent to place the calls, and (3) placed the calls willfully or knowingly without
consent. As common evidence to answer these questions, Plaintiffs identify Medicredit’s
prerecorded call scripts, call logs, disposition lists (i.e., numbers designated as wrong numbers),
and representative testimony describing Medicredit’s relevant business practices.
In response, Medicredit asserts that commonality is lacking for the same reasons that the
class isn’t ascertainable, theorizing that individual inquiry will be needed to identify proper
plaintiffs. For example, a call recipient might press “2” to indicate a wrong number when in fact
he owes a valid medical debt. This argument is not persuasive, particularly in light of Sandusky,
where the Eighth Circuit readily found the fax-recipient class to meet the commonality
requirement. “A common contention, capable of classwide resolution, is whether class members
received an unsolicited fax advertisement violating the TCPA.” Sandusky, 821 F.3d at 998. See
also Brust, 343 F.R.D. at 592 (granting certification of a class of fax recipients); Hand, 456 F.
Supp. 3d at 1150 (granting certification to a class of text recipients).
Similarly here, the common contention is that class members received a non-consensual
robocall violating the TCPA, and the inquiry is whether common questions of liability can be
answered by common evidence. The Court finds that they can. Medicredit’s call logs provide
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common evidence of scripted robocalls to wrong numbers and the dates of such calls. The
reverse look-up process identifies potential plaintiffs associated with each number. This evidence
is sufficient to determine whether and when robocalls were placed to a number unassociated with
a medical debt and whether they continued after the number was flagged as a wrong number.
The speculative possibility that a given subscriber wasn’t the actual recipient does not preclude
certification. Sandusky, 821 F.3d at 997-98. Legitimate debtors can be excluded from the class
using Medicredit’s own database. Likewise, Medicredit’s RND records can be used to support
its affirmative defense with respect to specific reassigned numbers. Stuart v. State Farm Fire &
Cas. Co., 910 F.3d 371, 375 (8th Cir. 2018) (noting that an affirmative defense specific to some
class members doesn’t preclude certification). “[C]ross-referencing records is precisely the type
of objective analysis that makes an issue capable of class-wide resolution.” Hand, 456 F. Supp.
3d at 1150. And, of course, all members of the defined class of cellphone robocall recipients who
didn’t owe medical debt will have suffered the same injury. Following the Eighth Circuit’s
binding instruction in Sandusky, the Court finds that commonality is established for Plaintiffs’
claims.
Typicality
Rule 23(a)(3) requires that the named plaintiff’s claims are typical of the class. Fed. R.
Civ. P. 23(a)(3). “Typicality is fairly easily met so long as other class members have claims
similar to the named plaintiff.” Postawko v. Missouri Dep’t of Corr., 910 F.3d 1030, 1039 (8th
Cir. 2018). “Factual variations in the individual claims will not normally preclude class
certification if the claim arises from the same event or course of conduct as the class claims and
gives rise to the same legal or remedial theory.” Id.
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Plaintiffs submit that their experiences and resulting claims are typical of the class insofar
as they received robocalls to their cellphones for debts they didn’t owe, as would be the case for
other class members. Medicredit doesn’t challenge the motion on this criterion, and the Court
finds it satisfied.
Adequacy
Rule 23(a)(4) requires that the named plaintiffs adequately protect the interests of the
class. Fed. R. Civ. P. 23(a)(4). The adequacy factor serves “to ensure due process for absent class
members, who generally are bound by a judgment rendered in a class action.” Rattray v.
Woodbury Cty., Iowa, 614 F.3d 831, 835 (8th Cir. 2010). Class representatives and their
attorneys must be able and willing to prosecute the action competently and vigorously, and each
representative’s interests must be sufficiently similar to those of the class that it is unlikely that
their goals and viewpoints will diverge. Cromeans v. Morgan Keegan & Co., Inc., 303 F.R.D.
543, 553 (W.D. Mo. 2014). “The experience and capability of the representative’s counsel bears
upon the adequacy of the representative.” Rattray, 614 F.3d at 836.
Plaintiffs have submitted sworn declarations reflecting their willingness and ability to
represent the interests of the class as a whole, to collaborate with counsel, and to testify at trial,
all without any personal interests inconsistent with those of the class. (Doc. 101, Ex. 5-6).
Plaintiffs’ counsel have submitted declarations demonstrating that they possess exceptional
credentials and have successfully litigated numerous class actions, including TCPA cases. (Doc.
101, Ex. 7-9). Medicredit doesn’t challenge the motion on this criterion, and the Court finds it
satisfied.
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Predominance
“Predominance gauges the relationship between common and individual questions in a
case.” Custom Hair Designs by Sandy v. Cent. Payment Co., LLC, 984 F.3d 595, 601 (8th Cir.
2020). “The predominance inquiry tests whether proposed classes are sufficiently cohesive to
warrant adjudication by representation.” Stuart, 910 F.3d at 374-75. “Certification is appropriate
if the common, aggregation-enabling issues in the case are more prevalent or important than the
non-common, aggregation-defeating, individual issues. Id. at 375. A class may be certified based
on common issues even when some matters will have to be tried separately, such as damages or
affirmative defenses peculiar to individual class members. Id.
As with ascertainability and commonality, Medicredit argues that individual inquiry will
be necessary to “scrutinize” each class member’s claim. Again, the Eighth Circuit squarely
rejected this same reasoning by the district court in Sandusky, instead finding that the fax-
recipient class, ascertained by the defendant’s fax logs, met the predominance requirement.
Sandusky, 821 F.3d 998. Medicredit fails to address this on-point binding authority.4
Rather, Medicredit cites an out-of-circuit case for the proposition that an overbroad class
containing uninjured persons should not be certified. Kohen v. Pac. Inv. Mgmt. Co. LLC, 571
F.3d 672, 677 (7th Cir. 2009). That case involved alleged violations of the Commodity Exchange
Act and is inapposite on the facts. Moreover, it doesn’t support Medicredit’s position even
generally, as the Seventh Circuit affirmed certification despite the defendant’s argument that the
class might include members who suffered no damage. To the extent Kohen is instructive at all,
4 Medicredit also cites without elaboration McKeage v. TMBC, LLC, 847 F.3d 992, 999 (8th Cir.
2017). There, the Eighth Circuit affirmed certification even where identification of class members
required an intensive file-by-file review of customer contracts. This case does not support Medicredit’s
position.
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it confirms that the inclusion of uninjured class members doesn’t preclude certification so long as
the class definition isn’t overbroad. Id. at 677-78. “[A]t the outset of the case many of the
members of the class may be unknown, or if they are known still the facts bearing on their claims
may be unknown. Such a possibility or indeed inevitability does not preclude class
certification…” Id. at 677. Here, the class is limited to individuals who received a Medicredit
robocall to their cellphones when the number was not assigned to a person with medical debt.
The class definition itself is not overbroad. The fact that expert Peak’s notice plan may initially
reach some non-members is not fatal to certification.
In addition, Medicredit cites St. Louis Heart Center, discussed above, where the court
decertified a class of fax recipients because there were no call logs to identify them. 2017 WL
2861878, at *5. That is not the case here, and more recent, published decisions in this state reject
Medicredit’s position on this criterion. In Hand, the defendant theorized that a recipient’s
companion could have paid the bill that created the business relationship, but the court refused to
allow “such speculation to dictate the outcome of a class certification decision…” Hand, 456 F.
Supp. 3d at 1150-51. Likewise in Brust, the court found predominance despite the defendant’s
argument that uncertainty over actual receipt would require individual inquiry. 343 F.R.D. at
593. Bound by Sandusky and consistent with these published district court rulings, the Court
finds that the predominance criterion is satisfied.
Superiority
The second inquiry under Rule 23(b)(3) requires courts to determine whether a class
action is “superior to other available methods for fairly and efficiently adjudicating the
controversy,” considering: “(A) the class members’ interests in individually controlling the
prosecution or defense of separate actions; (B) the extent and nature of any litigation concerning
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the controversy already begun by or against class members; (C) the desirability or undesirability
of concentrating the litigation of the claims in the particular forum; and (D) the likely difficulties
in managing a class action.” Fed. R. Civ. P. 23(b)(3)(A)-(D).
Considering these factors, the Court readily finds that a class action is a superior method
of resolving the claims of potentially hundreds of thousands of plaintiffs. (A) Given the nature of
TCPA cases, individual class members have virtually no incentive or ability to maintain separate
actions. (B) The class definition is intended to exclude any call recipients whose claims were
released in the Miles case. For additional clarity, the Court will amend the class period to avoid
any overlap with the Miles class. (C) This district is the proper forum as the place where
Medicredit resides. (D) And, despite Medicredit’s insistence that individual issues would render
class litigation unmanageable, the Court is convinced that (1) Peak’s notice plan will provide
adequate notice to potential class members; (2) proper plaintiffs can be identified using and
cross-referencing Medicredit’s records; (3) the case can be presented to the jury with common
evidence; and (5) damages can be ascertained from Medicredit’s call logs.
CONCLUSION
The Court finds that questions of law and fact common to the proposed class predominate
over any individual matters, that Plaintiffs’ claims are typical such that they can adequately
represent the class, and that a class action is the superior method to resolve their common claims.
This matter is therefore appropriate for class adjudication, and Plaintiffs’ motion to certify the
class will be granted, with an amendment of the class period to avoid any overlap with the Miles
class. Pursuant to Rule 23(g), the Court will appoint Plaintiff’s counsel as counsel for the class.
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Accordingly,
IT IS HEREBY ORDERED that Plaintiff’s motion for class certification is
GRANTED. (Doc. 101). The class shall consist of:
All persons and entities throughout the United States (1) to whom Defendant placed
a call in connection with a past-due medical debt, (2) directed to a number assigned
to a cellular telephone service, but not assigned to a person with a past-due medical
debt or their authorized representative, (3) with an artificial or prerecorded voice,
(4) from July 8, 2022, through the date of class certification.
IT IS FURTHER ORDERED that Plaintiff’s counsel is appointed counsel for the class.
Dated this 23rd day of January 2026.
JOHN A. ROSS
UNITED STATES DISTRICT JUDGE
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