CRAIG B. SHAFFER, Magistrate Judge.
Plaintiffs and Counterclaim Defendants Arapahoe Surgery Center, LLC ("Arapahoe"), Cherry Creek Surgery Center, LLC ("Cherry Creek"), Hampden Surgery Center, LLC ("Hampden"), Kissing Camels Surgery Center, LLC ("Kissing Camels"), SurgCenter of Bel Air, LLC ("Bel Air"), Westminster Surgery Center LLC ("Westminster"), and Surgical Center Development, Inc. d/b/a SurgCenter Development ("SurgCenter") (collectively, "Plaintiffs and Counterclaim Defendants") and Defendants and Counterclaim Plaintiffs Cigna Healthcare, Inc., Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Healthcare — Mid-Atlantic, Inc., and Cigna Healthcare of Colorado, Inc. (collectively, "Cigna") (individually, a "Party" and collectively, the "Parties") anticipate that certain of their confidential business records, as well as those of non-parties, may be produced in discovery in the above-captioned action (the "Action") and that such confidential records must be protected from further disclosure. Pursuant to Federal Rule of Civil Procedure 26(c), the Court finds good cause for entry of this Stipulated Protective Order ("Protective Order") to provide such protection according to the terms and conditions set forth below. To expedite the flow of discovery material and the litigation of this case, facilitate the prompt resolution of disputes over confidentiality, and adequately protect material entitled to be kept confidential, it is, by agreement of the Parties, STIPULATED and ORDERED that:
2. Upon full execution of an agreement in the form attached hereto as Exhibit B between the Parties to the above-captioned Action and the HCA Parties (as defined below), each Party to the above-captioned Action shall have the right to use in this Action all materials produced and associated with the HCA Action (as defined below), pursuant to the Protective Orders in the HCA Action, including documents and data produced by any party or non-party, answers to interrogatories, responses to requests for production, response to requests for admission, expert disclosures, and deposition testimony. The "HCA Action" shall refer to Kissing Camels Surgery Center, LLC et al v. HCA, Inc., et al., 12-cv-3012 (D. Colo.) The "HCA Parties" shall refer to those entities that are or have been parties or participated in discovery in the HCA Action, including HCA Inc., HCA-HealthONE LLC, Rocky Mountain Hospital and Medical Service, Inc. d/b/a Anthem Blue Cross and Blue Shield of Colorado, Colorado Ambulatory Surgery Center Association, Audubon Ambulatory Surgical Center, LLC, Aetna, Inc., United Healthcare of Colorado, Inc., Centura Health Corporation, the Kaiser Foundation Health Plan of Colorado, Humana Health Plan, Inc., Pinnacle III, Arapahoe, Cherry Creek, Hampden, and Kissing Camels.
3. As used in this Protective Order, "document" and "electronically stored information" are defined as provided in Federal Rule of Civil Procedure 34(a)(1)(A).
4. As used in this Protective Order, "Confidential Information" is information that the designating party or non-party believes in good faith is not in the public domain and which constitutes, contains or reflects confidential business, research, development, commercial, financial or personal information, such as confidential patient information.
5. As used in this Protective Order, "Highly Confidential Information" is information that the designating party or non-party believes in good faith is Confidential Information that, if disclosed, might give an unfair competitive or business advantage to another person or entity, or create a substantial risk of injury to the designating party or non-party, such as trade secret or other sensitive proprietary information.
6. Any document that contains confidential, proprietary, or personal financial or health information may be designated as Confidential or Highly Confidential Information by stamping the term "CONFIDENTIAL" or "HIGHLY CONFIDENTIAL," respectively, clearly and conspicuously on the face of each document containing such information or in the metadata of the document if produced in native format. For a multi-page document, each page containing Confidential or Highly Confidential Information shall be stamped separately.
7. All documents and materials produced in the Action shall be used solely for the purposes of preparing for and conducting pre-trial, trial, and post-trial proceedings in this Action, and not for any other purpose, and such documents shall not be disclosed to any person or entity except as provided in this Protective Order.
8. Documents containing Confidential Information shall not be disclosed without the consent of the producing Party or further Order of the Court, except that such information may be disclosed to:
9. Except as noted in Paragraph 10, documents containing Highly
Confidential Information shall be subject to the same restrictions as Confidential Information, except that Highly Confidential Information may be disclosed
10. To the extent that documents containing Highly Confidential Information reflect the following categories of information, such information may be disclosed to in-house counsel of the receiving Party in addition to those persons identified in subparagraphs 2-6 of paragraph 8 of this Protective Order:
10.1 Internal proprietary policies and procedures with respect to the Parties' operations, including without limitation accounting procedures, financial procedures, general operations, employment policies, standard operating procedures, patient care, and billing practices.
10.2 Documents and reports reflecting Patient financial information relating to claims submitted by or to any of the receiving Parties, including without limitation billing data, insurer reimbursement received, calculation of insurer reimbursement, calculation of charges, and/or patient payments for various procedures.
11. The determination of whether Highly Confidential Information falls under subparagraphs 1 and 2 of Paragraph 10 shall be made by the receiving Party's counsel. To the extent that the receiving Party's counsel cannot in good faith determine whether Highly Confidential Information falls under these subparagraphs, the Parties shall meet and confer regarding the treatment of such information. If the Parties cannot come to an agreement within five (5) business days after the time the notice is received, the Parties shall notify the Court of their dispute. The disputed information shall not be disclosed to in-house counsel until the Court rules on the motion
12. Should a Party believe that effective prosecution of the claims or defenses requires disclosing to in-house counsel categories of Highly Confidential Information outside of the subparagraphs 1 and 2 of Paragraph 10, the receiving Party shall provide written notice to the designating Party and the Parties shall meet and confer within five (5) days to determine whether such category of information can be disclosed to in-house counsel. If the Parties cannot come to an agreement within five (5) business days after the time the notice is received, the Parties shall notify the Court of their dispute. The disputed information shall not be disclosed to in-house counsel until the Court rules on the motion.
13. Prior to disclosing any Confidential or Highly Confidential Information to any person listed above (other than counsel of record and their employees, court personnel, and stenographic reporters), counsel shall provide such person with a copy of this Protective Order and obtain from such person an executed copy of the Acknowledgement of Stipulated Protective Order attached hereto as Exhibit A, which states that he/she has read this Protective Order and agrees to be bound by its provisions. All such acknowledgments shall be retained by counsel and shall be subject to in camera review by the Court if good cause for review is demonstrated by opposing counsel.
14. Documents and other information produced by non-parties shall be treated as Highly Confidential Information for fourteen (14) days after such documents and information are produced, during which time any Party may designate any document or information as Confidential or Highly Confidential Information by letter to all other Parties in the Action.
15. Deposition transcripts in this Action shall be treated as Highly Confidential Information until thirty (30) days after receipt of a final copy of the transcript, during which time any Party (or non-party deponent) may designate any portion or all of any transcript as Confidential or Highly Confidential Information by letter to all other Parties in the Action. Additionally, any Party or non-party participating in a deposition may designate any portions of the transcript of the deposition as Confidential or, Highly Confidential Information during the recording of such deposition. No person shall be present during portions of the depositions designated as "CONFIDENTIAL" or "HIGHLY CONFIDENTIAL" unless such person is an authorized recipient of Confidential or Highly Confidential Information pursuant to paragraphs 8 and 9, respectively, of this Protective Order.
16. Any request to restrict access must comply with the requirements of D.C.COLO.LCivR 7.2.
17. A Party may object to the designation of particular Confidential or Highly Confidential Information by giving written notice to the Party designating the disputed information. The written notice shall identify the information to which the objection is made. If the Parties cannot resolve the objection within ten (10) business days after the time the notice is received, it shall be the obligation of the Party designating the information as Confidential or Highly Confidential Information to file an appropriate motion requesting that the Court determine whether the disputed information should be subject to the terms of this Protective Order. Such motion shall be filed within twenty (20) business days after the time the notice is received. If such a motion is timely filed, the disputed information shall be treated as Confidential or Highly Confidential Information under the terms of this Protective Order until the Court rules on the motion. If the designating Party fails to file such a motion within the prescribed time, the disputed information shall lose its designation as Confidential or Highly Confidential Information and shall not thereafter be treated as Confidential or Highly Confidential Information in accordance with this Protective Order. In connection with a motion filed under this provision, the Party designating the information as Confidential or Highly Confidential Information shall bear the burden of establishing that good cause exists for the disputed information to be treated as Confidential or Highly Confidential Information.
18. Upon termination or resolution of this Action, the Parties shall within sixty (60) days return to the producing Party all materials marked "CONFIDENTIAL" or "HIGHLY CONFIDENTIAL" (and any copies thereof) or destroy them. Counsel for each Party shall furnish a certificate of compliance that all Confidential and Highly Confidential Information produced to the Party, as well as all summaries, excerpts, or copies of such materials, have been returned or destroyed.
19. The termination of proceedings in this Action shall not relieve the Parties from the obligation of maintaining the confidentiality of all Confidential or Highly Confidential Information that is received or disclosed pursuant to this Protective Order.
20. The inadvertent production of any document protected from discovery by the attorney-client privilege, the work-product doctrine, or other applicable privilege or immunity shall not constitute a waiver of the privilege or protection, either as to the produced document or any other documents, or otherwise affect the right to withhold such document(s) from production as privileged or otherwise protected from discovery. In the event that any privileged or protected document(s) is produced during discovery in this Action, the Party or non-party claiming the privilege or protection may notify all Parties in writing of the inadvertent disclosure and request the destruction of such document(s). If a request is made in good faith to return any such inadvertently produced document(s), the Party(ies) or non-party(ies) that received the document(s) shall within five (5) business days of receipt of such request, confirm in writing that it has destroyed all copies thereof and deleted any copy of the documents, or any portion thereof, from any word processing or data base tape or disk it maintains, and that it has destroyed any work product that incorporates such document or information. The status of the document(s) as privileged or otherwise protected from discovery shall be deemed to be restored upon the making of such a request. If, however, the Party claiming privilege either (i) expresses the intent to use such document (or information contained therein) at a hearing, deposition, or trial, or (ii) uses such document (or information contained therein) at a hearing, deposition, or trial, that Party's right to assert the privilege or protection and to request destruction of the document(s) shall be foreclosed. Compliance with this paragraph shall not be deemed to prejudice the rights of any other Party to seek an order from the Court directing production of the information or document on the ground that the claimed privilege, protection, or immunity is invalid; provided, however, that mere inadvertent production of the information or document in the course of this Action shall not be a ground for asserting waiver of the privilege, protection, or immunity. In the event that a Party intends to challenge the claim of privilege, protection, or immunity, the Party may retain a copy of the inadvertently produced document(s) for such purposes.
21. This Protective Order may be modified by the Court at any time for good cause shown following notice to the Parties and an opportunity for them to be heard.
SO ORDERED.
Plaintiffs and Counterclaim Defendants Arapahoe Surgery Center, LLC ("Arapahoe"), Cherry Creek Surgery Center, LLC ("Cherry Creek"), Hampden Surgery Center, LLC ("Hampden"), Kissing Camels Surgery Center, LLC ("Kissing Camels"), SurgCenter of Bel Air, LLC ("Bel Air"), Westminster Surgery Center LLC ("Westminster"), and Surgical Center Development, Inc. d/b/a SurgCenter Development ("SurgCenter") (collectively, "Plaintiffs and Counterclaim Defendants"), Defendants and Counterclaim Plaintiffs Cigna Healthcare, Inc., Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Healthcare — Mid-Atlantic, Inc., and Cigna Healthcare of Colorado, Inc. (collectively, "Cigna" or "Defendants and Counterclaim Plaintiffs") (individually, a "Party" and collectively, the "Parties"), and those entities that are or have been parties or participated in discovery in Kissing Camels Surgery Center, LLC et al v. HCA, Inc., et al., 12-cv-3012 (D. Colo.) ("The HCA Action") HCA Inc., HCA-HealthONE LLC, Rocky Mountain Hospital and Medical Service, Inc. d/b/a Anthem Blue Cross and Blue Shield of Colorado, Colorado Ambulatory Surgery Center Association, Audubon Ambulatory Surgical Center, LLC, Aetna, Inc., Centura Health Corporation, United Healthcare of Colorado, Inc., the Kaiser Foundation Health Plan of Colorado, Humana Health Plan, Inc., and Pinnacle III (together with Arapahoe, Cherry Creek, Hampden, and Kissing Camels, the "HCA Parties") agree as follows regarding the production of materials in the HCA Action to the Parties in the above-captioned Action:
2. The Parties to the above-captioned Action agree to be bound by and comply with the terms of the protective orders in the HCA Action dated April 8, 2013 (D.E. 79) and October 10, 2013 (D.E. 141) (the "HCA Protective Orders") with respect to HCA Action Materials, and agree that the HCA Action Materials shall be afforded any additional protections contained in any protective order entered into in the above-captioned Action. The Parties to the above-captioned Action also agree to provide to the remaining non-dismissed Defendants in the HCA Action any documents produced by Cigna and/or the Colorado-based entities in the above-captioned Action within the scope of any of the discovery requests served by any of the parties in the HCA Action, at the time such documents are produced, and pursuant to and subject to the compliance of the party receiving such production with the HCA Protective Orders, unless and until the Parties to the HCA Action notify the Parties to the above-captioned Action that such production is no longer necessary. Any disputes regarding compliance with the HCA Protective Orders shall be raised with the Court overseeing the HCA Action.
3. To the extent a party notices a deposition in the HCA Action, counsel for such party agrees to provide Cigna with sufficient advance notice of all depositions scheduled to take place in the HCA Action and to coordinate with Cigna regarding the scheduling of depositions in the HCA Action, so that Cigna may participate in such depositions. Counsel for the Parties to the above-captioned Action agree to provide the non-dismissed HCA Parties with advance notice of all depositions scheduled to take place in the above-captioned Action and to coordinate with the HCA Parties regarding the scheduling of depositions in the above-captioned Action, so that the HCA Parties may participate in such depositions, unless and until the Parties to the HCA Action notify the Parties to the above-captioned Action that such notice and coordination is no longer necessary.
4. Plaintiffs and Counterclaim Defendants agree to produce to Cigna all HCA Action materials in its possession as of the date of this Agreement within two weeks of the execution of this agreement by counsel for the Parties and counsel for the HCA Parties, and further to agree to produce to Cigna any additional HCA Action Materials produced thereafter at the time such materials are produced.
This Stipulation sets forth the general agreement between Plaintiffs and Counterclaim Defendants Arapahoe Surgery Center, LLC, Cherry Creek Surgery Center, LLC, Hampden Surgery Center, LLC, Kissing Camels Surgery Center, LLC, SurgCenter of Bel Air, LLC, Westminster Surgery Center LLC, and Surgical Center Development, Inc. d/b/a SurgCenter Development and Defendants and Counterclaim Plaintiffs Cigna Healthcare, Inc., Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Healthcare — Mid-Atlantic, Inc., and Cigna Healthcare of Colorado, Inc. (individually, a "Party" and collectively, the "Parties") regarding the production of paper documents ("Documents") and electronically stored information ("ESI") in the above-captioned case (the "Action").
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1. "Metadata" is defined as (i) information embedded in a Native File that is not ordinarily viewable or printable from the application that generated, edited, or modified such Native File; and/or (ii) information generated automatically by the operation of a computer or other information technology system when a Native File is created, modified, transmitted, deleted or otherwise manipulated by a user of such system.
2. "Native File(s)" means ESI in the electronic format of the application in which such ESI is normally created, viewed, and/or modified.
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The Parties will take reasonable steps to preserve, to the extent they have a value, all Metadata associated with ESI even if such Metadata is not specified above for production.
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E. Voice Mail. The Parties agree that voice mail need not be produced unless it is maintained and stored in a digital, searchable format and is under the control of the Parties. If the parties are aware of responsive voice mail which is under the control of the Parties which is not stored in a digital, searchable format the parties shall meet and confer with respect to its production.
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B. Consecutive Numbering. The Parties agree that a convention on Bates number ordering will help the Parties better organize production of Documents and ESI in this Action. Therefore, to the extent possible, Documents and ESI shall be Bates-numbered consecutively by custodian (source), maintaining all parent-child relationships. Document numbers for documents produced by the Parties shall identify the Party's name and shall be in the format "Party Name-00000001."
C. File Names. Image file names must be unique and must correspond with the Bates number imprinted on the image. For example, if the Bates number "B0000001" was imprinted, the image would bear the name "B0000001.tif."
D. Authenticity. No Party shall object that Documents or ESI produced pursuant to this Stipulation is not authentic based upon the file naming convention described in Section V(C), above. The Parties otherwise reserve all rights regarding their ability to object to the authenticity of Documents or ESI, including the inherent unreliability of metadata.
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Further, the Parties recognize that there may be a limited number of instances where there are categories or groups of Documents or ESI in which all items are privileged and that, because of the large number of individual items in such a category or group, it would be a great burden to separately identify on a privilege log each individual Document or item of ESI included in that group. The Parties agree that in such instances, in accordance with THE SEDONA PRINCIPLES: BEST PRACTICES RECOMMENDATIONS & PRINCIPLES FOR ADDRESSING ELECTRONIC DOCUMENT PRODUCTION, comment 3(c) (2007 ed.) and as appropriate, instead of separately identifying each Document or item of ESI on its privilege log, it may instead identify categories or groups of privileged Documents or privileged ESI. In so doing, the Party shall describe in its privilege log the category or group of privileged Documents or ESI (including, without limitation, the criteria and method of delimiting the category or group), the factual basis for a reasonable belief that all Documents or ESI in the category or group are privileged, and the legal basis for the assertion of a privilege as to all Documents or ESI in the category or group. Additionally, if a Party requests further information relating to a category or group identified on another Party's privilege log, such information shall be provided so that the requesting Party has sufficient information to determine whether or not to challenge the privilege claim. The ultimate adjudication of challenged privilege claims shall be made on the basis of a document-by-document review.
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