Inspirations Nevada LLC v. Med Pro Billing, Inc.

CourtDistrict Court, S.D. Florida
DecidedMay 26, 2021
Docket0:20-cv-60268
StatusUnknown

This text of Inspirations Nevada LLC v. Med Pro Billing, Inc. (Inspirations Nevada LLC v. Med Pro Billing, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Inspirations Nevada LLC v. Med Pro Billing, Inc., (S.D. Fla. 2021).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA

CASE NO. 20-CV-60268-STRAUSS

INSPIRATIONS NEVADA LLC,

Plaintiff, v.

MED PRO BILLING, INC., et al.,

Defendants. ______________________________/

ORDER ON MOTIONS TO DISMISS

THIS MATTER came before the Court upon Keith Booher and Meredith Barry’s Motion to Dismiss Counts 6, 7, 10, and 11 of Plaintiff’s Second Amended Complaint (“First Motion”) [DE 153] and Defendants, Med Pro Billing, Inc. and Melissa Zachariasz’s Joint Motion to Dismiss Plaintiff’s Second Amended Complaint (“Second Motion”) [DE 154]. The Court has reviewed both motions, the responses and replies thereto [DE 156, 157, 159, 160], the Second Amended Complaint (“SAC”) [DE 148], and all other pertinent portions of the record. For the reasons discussed herein, the First Motion [DE 153] will be GRANTED1 and the Second Motion [DE 154] will be GRANTED IN PART and DENIED IN PART. BACKGROUND AND ALLEGATIONS2 On or about June 20, 2016, Inspirations-Paradise, LLC (“Paradise”) and Defendant Med Pro Billing, Inc. (“Med Pro”) entered into a contract entitled the Med Pro Billing Agreement

1 Although the Court finds that the standing and statute-of-limitations arguments raised in the First Motion fail (at least at this stage of the proceeding), the First Motion nevertheless demonstrates that Counts 6, 7, 10, and 11 of the SAC should be dismissed based on the independent tort doctrine.

2 The facts alleged in the SAC are taken as true and viewed in the light most favorable to Plaintiff as the non-moving party. (“Billing Agreement”) [DE 148-1]. SAC ¶ 43. Plaintiff, Inspirations Nevada LLC (“Plaintiff” or “Inspirations”) alleges that it is the successor-in-interest of Paradise.3 Id. ¶ 2. The individual Defendants, Melissa Zachariasz (“Zachariasz”), Meredith Barry (“Barry”), and Keith Booher (“Booher”) are/were officers of Med Pro. Id. ¶ 52.

Under the Billing Agreement, Med Pro was obligated to provide certain services including collection services (referred to in the SAC as the “Collection Obligation”) and financial reporting services (referred to in the SAC as the “Reporting Obligation”). Id. ¶¶ 43-45. However, Med Pro failed to fulfill these obligations. E.g., id. ¶¶ 46-47, 116. Consequently, Plaintiff has sued Med Pro for breach of the Billing Agreement (Count 1). In addition, Plaintiff has included counts in the SAC for fraud (Counts 2-13) and unjust enrichment (Counts 14-15).4 Counts 2 and 3 pertain to alleged fraudulent misrepresentations preceding the date of the Billing Agreement, whereas Counts 4-13 pertain to alleged fraudulent misrepresentations following the date of the Billing Agreement. As to Count 2 (against Med Pro) and Count 3 (against Zachariasz), Zachariasz represented that Med Pro would provide Inspirations

with “highly effective” services in “utilization review, billing, collections, verification of benefits, and contract negotiation.” Id. ¶¶ 34, 38-42.5 However, these representations were false, which Zachariasz knew, and were made to induce Paradise to enter into the Billing Agreement. Id. ¶¶ 35, 121-24, 130-33.

3 The factual allegations supporting Plaintiff’s successor-in-interest contention are discussed in Part I of the Analysis section below.

4 As discussed further in Part III of the Analysis section below, the unjust enrichment claims – which are against Med Pro and Zachariasz, respectively – are based upon payments to Med Pro under the Billing Agreement (i.e., the benefit allegedly conferred).

5 It is these services that Med Pro later contracted to provide under the Billing Agreement. See id. ¶ 43. With respect to Counts 4-11, the “Med Pro Team,” which consisted of Booher, Barry, and potentially other Med Pro employees, made certain representations to Paradise’s representatives during meetings, on December 15, 2016 and December 21, 2016, regarding Med Pro’s noncompliance with the Billing Agreement. See id. ¶¶ 48-49, 54-55, 67, 70-71. Specifically, the

Med Pro Team represented that it “would ensure in the future that Med Pro fulfilled the Collection Obligation and the Report Obligation.” Id. ¶¶ 55, 71. Though the SAC indicates that the same misrepresentations were made at both December 2016 meetings, Counts 4-7 address the December 15, 2016 misrepresentations (the four counts are separately asserted against the four Defendants), and Counts 8-11 address the December 21, 2016 misrepresentations (again, the four counts are separately asserted against the four Defendants). The SAC does not identify the speaker(s) of the misrepresentations. Instead, to address the propriety of suing the individual Defendants for these misrepresentations, Plaintiff alleges that Booher and Barry joined in, adopted, and affirmed the misrepresentations, that the misrepresentations were made at Zachariasz’s direction, that the “Med Pro Officers” (which includes Zachariasz, Booher, and Barry) were aware the Med Pro Team made

the misrepresentations, and that the Med Pro Officers or Zachariasz condoned, ratified, and consented to the misrepresentations. Id. ¶¶ 50-51, 56-63, 72-79. Counts 12 and 13 (against Med Pro and Zachariasz, respectively) address similar misrepresentations made on an additional occasion. Specifically, at a February 22, 2017 Skype meeting regarding Med Pro’s repeated noncompliance with the Billing Agreement, Zachariasz represented that “Med Pro would ensure in the future that Med Pro performed all obligations required by the Billing Agreement and that Paradise would be able to plan to gain collection of a material amount of outstanding receivables in less than two months.” Id. ¶¶ 84, 87. LEGAL STANDARD At the pleading stage, a complaint must contain “a short and plain statement of the claim showing the [plaintiff] is entitled to relief.” Fed. R. Civ. P. 8(a). Although Rule 8(a) does not require “detailed factual allegations,” it does require “more than labels and conclusions”; a

“formulaic recitation of the cause of action will not do.” Bell Atl. Corp v. Twombly, 550 U.S. 544, 555 (2007). When a fraud claim is alleged, the complaint “must satisfy the heightened pleading standards embodied in Federal Rule of Civil Procedure 9(b), which requires the plaintiff to ‘state with particularity the circumstances constituting fraud.’” Cisneros v. Petland, Inc., 972 F.3d 1204, 1216 (11th Cir. 2020) (citation omitted). To do so, the plaintiff must allege “(1) the precise statements, documents, or misrepresentations made; (2) the time, place, and person responsible for the statement; (3) the content and manner in which these statements misled the Plaintiff[ ]; and (4) what the defendants gained by the alleged fraud.” Id. (citation omitted). To survive a motion to dismiss, “factual allegations must be enough to raise a right to relief above the speculative level” and must be sufficient “to state a claim for relief that is plausible on

its face.” Twombly, 550 U.S. at 555, 570. “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). “The mere possibility the defendant acted unlawfully is insufficient to survive a motion to dismiss.” Sinaltrainal v. Coca-Cola Co., 578 F.3d 1252, 1261 (11th Cir. 2009) (citing Iqbal, 556 U.S. at 679)).

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