David, J.
In medical malpractice cases governed by Indiana’s Medical Malpractice Act, a medical review panel renders an opinion on a case before the case proceeds to a trial court. The medical review panel chairman, among other things, sets a deadline for a plaintiff’s submission of evidence to the panel. If the plaintiff fails to adhere to the deadline, a defendant can file a motion with the appropriate trial court to dismiss the medical malpractice complaint pending before the panel. This motion initiates a preliminary-determination proceeding before the trial court—a proceeding unique to medical malpractice cases.
In this case, the defendants, a doctor and hospital, filed motions for a preliminary determination, requesting that the trial court dismiss the pending medical malpractice complaint due to the plaintiff’s dilatory conduct. The trial court issued an order, denying the request, and the defendants appealed. We hold that because the trial court’s order is not a final appealable judgment, there is no subject matter jurisdiction to hear the appeal.
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Final Appealable Judgment
A. Relevant Background on the MMA
Before turning to the dispositive issue in this case, a brief background of the relevant provisions of Indiana’s Medical Malpractice Act (MMA) is in order. Importantly, the parties do not dispute that the MMA applies here.
Before a party brings a medical malpractice action in an Indiana court, the MMA requires that the proposed complaint be presented to a medical review panel and that the panel render an opinion. [Footnote omitted.] Ind. Code § 34-18-8-4 (2008). The chairman of the medical review panel has various powers, such as establishing a reasonable schedule for the parties’ submission of evidence. Id. § 34-18-10-3(c). Furthermore, the MMA states that “[t]he evidence in written form to be considered by the medical review panel shall be promptly submitted by the respective parties.” Id. § 34-18-10-17(a).
When a plaintiff fails to adhere to the submission schedule, a defendant may seek re-course in a trial court while a complaint is pending before a medical review panel. In these in-stances, two additional provisions of the MMA become pertinent. See Galindo v. Christensen, 569 N.E.2d 702, 704–05 (Ind. Ct. App. 1991). First, a defendant may request the appropriate trial court to “preliminarily determine an . . . issue of law or fact.” I.C. § 34-18-11-1(a)(1). Second, a plaintiff “who fails to act as required by this chapter without good cause shown is subject to mandate or appropriate sanctions upon application to” the trial court. Id. § 34-18-10-14.
Thus, a defendant may file a motion with the trial court for a preliminary determination on the plaintiff’s failure to adhere to the submission schedule, and the defendant may request the sanction of dismissal. See Galindo, 569 N.E.2d at 705. The court may dismiss the complaint pending before the medical review panel if the plaintiff fails to show good cause for not adhering to the submission deadline. See Beemer v. Elskens, 677 N.E.2d 1117, 1119 (Ind. Ct. App. 1997), trans. denied.
B. Denial of Defendants’ Motions for Preliminary Determination
Moore argues that there is no subject matter jurisdiction to hear this appeal. Specifically, Moore contends that the portion of the trial court’s order denying the defendants’ request to dismiss the complaint is neither a final appealable judgment nor an appealable interlocutory order. Dr. Ramsey and the hospital, on the other hand, assert that the order is a final appealable judgment, giving an appellate court jurisdiction over the appeal. [Footnote omitted.] In addition, the parties present their respective arguments on the merits of the preliminary determination, namely, whether the trial court abused its discretion in refusing to dismiss Moore’s complaint.
“The authority of the Indiana Supreme Court and Court of Appeals to exercise appellate jurisdiction is generally limited to appeals from final judgments.” Allstate Ins. Co. v. Fields, 842 N.E.2d 804, 806 (Ind. 2006). Indiana Appellate Rule 2(H) defines final judgments and states in relevant part [Footnote omitted.]
H. Final Judgment. A judgment is a final judgment if:
(1) it disposes of all claims as to all parties; [or]
(2) the trial court in writing expressly determines under Trial Rule 54(B) or Trial Rule 56(C) that there is no just reason for delay and in writing expressly directs the entry of judgment (i) under Trial Rule 54(B) as to fewer than all the claims or parties, or (ii) under Trial Rule 56(C) as to fewer than all the issues, claims or parties[.]
Moore argues that the trial court’s order does not fall within the confines of Appellate Rule 2(H). Specifically, Moore contends that the order “clearly allows [her] case to continue” and thus Appellate Rule 2(H)(1) is inapplicable. She further argues that the order lacks the requisite language to fall under Appellate Rule 2(H)(2).
We address each argument in turn and begin our analysis with the relevant portion of the trial court’s order, which states as follows:
The court, being duly advised, now finds as follows: The pending Chapter 11 complaints and motions by Ramsey and Methodist Hospitals should be denied in part and granted in part. The request by Ramsey and Methodist Hospitals to dismiss Moore’s proposed complaint in the underlying medical malpractice action based on her failure to tender a panel submission in a timely manner—prior to the expiration of the chairman’s deadline for Moore’s submission and the 180-day statutory deadline for the medical review panel’s opinion—should be, and hereby is, ordered denied.
However, with respect to the specific claim for fetal loss of chance of survival that is articulated in Moore’s panel submission, the court finds that the pending Chapter 11 complaints and motions are meritorious, that there is no genuine issue of material fact, and that Ramsey and Methodist Hospitals are entitled to judgment thereon because no such claim is recognized by Indiana law. The court further finds that there is no just reason for delay and enters summary judgment for Ramsey and Methodist Hospitals, and against Moore, upon that specific claim for relief.
1. Appellate Rule 2(H)(1)
To fall under Appellate Rule 2(H)(1), an order must dispose of all issues as to all parties, ending the particular case and leaving nothing for future determination. Georgos v. Jackson, 790 N.E.2d 448, 451 (Ind. 2003). A majority of the Court of Appeals determined that the order here “ultimately disposed of the issue as to whether Moore could proceed to the medical review pan-el” and thus “is a final judgment that is appealable of right.” Ramsey, 946 N.E.2d at 588, 589. Judge Riley concurred in result, disagreeing with the majority on whether the order was a final appealable judgment. Id. at 592 (Riley, J., concurring in result). Judge Riley explained, “[a]lthough the limited preliminary determination action in the trial court was concluded by the trial court’s order, the medical malpractice action itself continues” and thus the order “cannot be considered a final judgment.” Id.
Ultimately, we are confronted with differing views on the preliminary-determination proceeding’s role in a medical malpractice action. Essentially, a majority of the Court of Appeals treated the preliminary-determination proceeding as distinct from the medical malpractice action, finding that “the trial court’s order adjudicated claims of right separate from—and collateral to—the rights that the medical review panel will determine.” Id. at 589 (majority opinion). Judge Riley, on the other hand, viewed the preliminary-determination proceeding more narrowly, believing it is a piece of the larger medical malpractice action.
Dr. Ramsey and the hospital urge us to adopt the logic of the majority of the Court of Appeals, arguing that “the order by the trial court effectively put an end to the issue of Moore’s noncompliance with the submission requirements under the Medical Malpractice Act.” Moore counters that case law supports the view that this type of preliminary-determination order—one that denies, rather than grants, a request to dismiss a medical malpractice complaint—is interlocutory in nature. Moore specifically cites Schriber v. Anonymous, 848 N.E.2d 1061 (Ind. 2006), and Bueter v. Brinkman, 776 N.E.2d 910 (Ind. Ct. App. 2002), for support.
In Schriber, the plaintiff, operating on the assumption that the MMA did not apply to her case, filed a medical malpractice complaint directly in the trial court instead of first obtaining an opinion from a medical review panel. 848 N.E.2d at 1062. The defendant, a health-care provider, filed a motion to dismiss, arguing that the MMA did apply and thus the trial court lacked subject matter jurisdiction. Id. Ultimately, the trial court agreed the MMA applied and concluded that it had no subject matter jurisdiction to hear the case until a medical review panel rendered an opinion. Id. at 1063. The plaintiff initiated an appeal. Id. This Court dismissed the appeal, finding that the trial court’s ruling did not constitute a final judgment under Appellate Rule 2(H). [Footnote omitted.] Id. at 1064–65. This Court noted that the trial court “decline[d] to take any further action until completion of further administrative proceedings pursuant to the Act” and that the “case was to remain pending until completion of proceedings before the Department of Insurance.” Id. at 1064. Accordingly, we determined that “the trial court’s ruling clearly did not dispose of all claims as to all parties” because the case would continue to the medical review panel. Id. at 1064–65.
In Bueter, the plaintiffs filed a medical malpractice complaint with the DOI. 776 N.E.2d at 912. The defendant doctors filed a motion for preliminary determination with the trial court, seeking dismissal of the complaint. Id. The doctors asserted that the applicable statute of limitations precluded the plaintiffs’ claims. Id. The trial court denied the motion. Id. On appeal, the Court of Appeals determined that the trial court’s order denying the motion was interlocutory in nature, and not final, because the medical malpractice action would continue. Id. at 913. The Court of Appeals explained that “[t]he trial court’s order on the doctors’ motion for preliminary determination does not conclusively establish that the [plaintiffs’] complaint was filed within the statute of limitations” and thus found that the doctors could raise the statute of limitations as an affirmative defense in the trial court after the panel proceedings were over. Id.
Thus, before the present case, both this Court and the Court of Appeals have treated denials of preliminary-determination motions to dismiss medical malpractice complaints as nonfinal. But Dr. Ramsey and the hospital argue that the case at hand is unique because it “does not leave unresolved an affirmative defense that can be raised again later when the trial court has full jurisdiction over the merits of Moore’s underlying medical malpractice claim.” We agree that this case does present a novel set of facts: neither Schriber nor Bueter squarely dealt with a preliminary determination denying a motion to dismiss a medical malpractice complaint for a plaintiff’s dilatory conduct. But the language of Appellate Rule 2(H)(1) dictates the proper result: this order is not a final appealable judgment because it did not dispose of all claims as to all parties.
Dr. Ramsey and the hospital are correct in noting that the preliminary-determination proceeding disposed of the issue of whether the case would proceed to the panel. But the issue the trial court decided is just that—an issue. Although a preliminary-determination proceeding is unique in nature, it is still inextricably linked to the larger medical malpractice case as a mechanism to decide threshold issues. See generally Boggs v. Tri-State Radiology, Inc., 730 N.E.2d 692, 694 (Ind. 2000) (noting the “unique” nature of a preliminary-determination proceeding and its role in deciding “threshold issues”). Here, the larger medical malpractice case—conceivably comprising many more underlying issues—will continue. Accordingly, the trial court’s order does not fall under Appellate Rule 2(H)(1).
2. Appellate Rule 2(H)(2)
Under Appellate Rule 2(H)(2), an order is a final appealable judgment if “the trial court in writing expressly determines under Trial Rule 54(B) . . . there is no just reason for delay and in writing expressly directs the entry of judgment (i) under Trial Rule 54(B) as to fewer than all the claims or parties.” This Court has stated that a “Trial Rule 54(B) certification of an order that disposes of less than the entire case must contain the magic language of the rule.” Georgos, 790 N.E.2d at 452.
Here the trial court’s order does contain this “magic language”; however, that language applies to only one portion of the order. Specifically, the trial court included 54(B) language on the portion of its order granting summary judgment for Dr. Ramsey and the hospital on “the specific claim for fetal loss of chance of survival.” But it is apparent from the structure and language of the order that the trial court intended the 54(B) language to apply solely to that claim. Furthermore, there is a clear absence of 54(B) language in the portion denying the motions for preliminary determination and to dismiss Moore’s complaint. Accordingly, the relevant part of the trial court’s order does not fall under Appellate Rule 2(H)(2).
Conclusion
Having previously granted transfer, we now dismiss this appeal for lack of subject matter jurisdiction.
Shepard, C.J., and Dickson, Sullivan, and Rucker, JJ., concur.