DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-93,899

ARIZONA DIGESTIVE CENTER
BILLING GROUP
INCLUDING ON-SITE LEASED WORKERS FROM
CREATIVE BUSINESS RESOURCES, INC.
SCOTTSDALE, ARIZONA

Certification Regarding Eligibility
To Apply for Worker Adjustment Assistance

In accordance with Section 223 of the Trade Act of 1974, as
amended ("Act"), 19 U.S.C. § 2273, the Department of Labor
herein presents the results of an investigation regarding
certification of eligibility to apply for worker adjustment
assistance.
The group eligibility requirements for workers of a firm
under Section 222(a) of the Act, 19 U.S.C. § 2272(a), are
satisfied if the following criteria are met:
(1) a significant number or proportion of the
workers in such workers' firm have become totally or
partially separated, or are threatened to become
totally or partially separated;
(2)(B)(i)(I) there has been a shift by the workers'
firm to a foreign country in the production of
articles or supply of services like or directly
competitive with those produced/supplied by the
workers' firm; OR
(II) there has been an acquisition from a
foreign country by the workers' firm of
articles/services that are like or directly
competitive with those produced/supplied by
the workers' firm; AND
(ii) the shift/acquisition must have contributed
importantly to the workers' separation or
threat of separation.

The investigation was initiated in response to a petition
filed on June 19, 2018 by three workers on behalf of workers of
Arizona Digestive Center, billing group, including on-site
leased workers from Creative Business Resources, Inc.,
Scottsdale Arizona. The worker group in question is engaged in
activities related to the supply of medical billing services.
Workers are considered separately identifiable by the services
supplied.
During the course of the investigation, information was
collected from the workers' firm and the petitioners.
Section 222(a)(1) has been met because a significant
number or proportion of the workers in such workers' firm have
become totally or partially separated, or are threatened to
become totally or partially separated.
Section 222(a)(2)(B) has been met because the workers'
firm has acquired from a foreign country services like or
directly competitive with services supplied by the workers which
contributed importantly to worker group separations at Arizona
Digestive Center.
Conclusion
After careful review of the facts obtained in the
investigation, I determine that workers of Arizona Digestive
Center, billing group, including on-site leased workers from
Creative Business Resources, Inc., Scottsdale Arizona, who are
engaged in activities related to the supply of medical billing
services meet the worker group certification criteria under
Section 222(a) of the Act, 19 U.S.C. § 2272(a). In accordance
with Section 223 of the Act, 19 U.S.C. § 2273, I make the
following certification:
"All workers of Arizona Digestive Center, Billing group,
including on-site leased workers from Creative Business
Resources, Inc., Scottsdale Arizona, who became totally or
partially separated from employment on or after June 18,
2017 through two years from the date of certification, and
all workers in the group threatened with total or partial
separation from employment on the date of certification
through two years from the date of certification, are
eligible to apply for adjustment assistance under Chapter 2
of Title II of the Trade Act of 1974, as amended."
Signed in Washington, D.C. this 13th day of August 2018.

/s/Jacquelyn R. Mendelsohn
______________________________
JACQUELYN R. MENDELSOHN
Certifying Officer, Office of
Trade Adjustment Assistance