Northstar Regional P.S.C. v. InSync Healthcare Solutions LLC

CourtDistrict Court, M.D. Florida
DecidedJune 18, 2025
Docket8:23-cv-02636
StatusUnknown

This text of Northstar Regional P.S.C. v. InSync Healthcare Solutions LLC (Northstar Regional P.S.C. v. InSync Healthcare Solutions LLC) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Northstar Regional P.S.C. v. InSync Healthcare Solutions LLC, (M.D. Fla. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

NORTHSTAR REGIONAL P.S.C.,

Plaintiff,

v. Case No. 8:23-cv-02636-KKM-NHA

INSYNC HEALTHCARE SOLUTIONS, LLC, et al.,

Defendants. ___________________________________ ORDER Defendants InSync Health Solutions, Qualifacts Systems, LLC, and QF Holdings, Inc., move to dismiss NorthStar Regional’s second amended complaint for the failure to state claims. MTD I (Doc. 60); MTD II (Doc. 61). For the reasons below, I deny the motions. I. BACKGROUND Plaintiff NorthStar “is a behavioral health organization [in Minnesota] dedicated to helping people with mental health and substance use disorders.” Second Am. Compl. (Doc. 53) ¶ 10. To bill claims, the Minnesota Department of Human Services (DHS) “requires providers to electronically submit bills with custom

taxonomy codes and, for certain treatments, to electronically submit information through” the Drug and Alcohol Abuse Normative Evaluation System (DAANES).

Id. ¶ 12. NorthStar uses a combined system named Procentive to store its electronic

medical records (EMR) and practice management records (PM) and for its billing services. Id. ¶ 13. In September 2021, Jonathan Holt, NorthStar’s Marketing Director, began discussions with Bradford Flake, Defendant InSync’s Business

Development Representative, about converting NorthStar’s system from Procentive to InSync’s system. Id. ¶ 14. Over the course of subsequent discussions and

presentations, InSync employees represented to NorthStar that their system would meet NorthStar’s stated needs and allow for a more efficient billing process, among

other things. Id. ¶¶ 14–24. From these interactions, NorthStar understood that InSync’s system allowed NorthStar “to seamlessly electronically submit claims and required supporting information to the State of Minnesota.” Id. ¶ 18. Indeed,

InSync’s representatives informed NorthStar “that [their system] was suitable for [NorthStar], and medical professionals in Minnesota like [NorthStar], including

having already created forms that complied with Minnesota’s requirements for electronically submitted claims, which includes the use of custom taxonomy codes,

and existing [Application Programming Interfaces] that allowed the System to directly communicate with and integrate into DHS’s billing system and DAANES,

which is required to electronically submit claims to DHS.” Id. ¶ 22. Based on these representations, NorthStar contracted with InSync. Id. ¶ 26;

see Term Sheet (Doc. 53-1). The parties’ agreement was subject to NorthStar’s acceptance of InSync’s terms and conditions. Second Am. Compl. ¶ 28; see Terms and Conditions (Doc. 53-2).1 Under the Terms and Conditions, InSync warranted

“that in the event of an error or omission caused directly by [InSync], [InSync] will use reasonable efforts to attempt to timely correct the error or omission.” Second

Am. Compl. ¶ 31; Terms and Conditions § 14.2. In December 2021, InSync was acquired by, or merged with, QF Holdings.

See Second Am. Compl. ¶ 9. QF Holdings then merged certain parts of InSync with Qualifacts. Id. As a result, during communications in December 2021 about the implementation of InSync’s system, InSync’s employees “began to identify

1 NorthStar attaches to its second amended complaint a copy available online of the Terms and Conditions but does not agree that this specific version of the Terms and Conditions governs. Second Am. Compl. ¶ 29 n.1. themselves as being associated with” Defendant Qualifacts and new representatives

of Qualifacts became involved. Id. ¶ 33. Over the course of the next months, NorthStar learned that the system would

not function as promised. Id. ¶¶ 34–37. The system was “unusable for electronically billing the services [NorthStar] provides in the Minnesota market” and InSync and

Qualifacts could not remedy the issue. Id. ¶ 36. In a December 9, 2022 meeting, Qualifacts “admitted in front of multiple witnesses from both [NorthStar] and [Qualifacts] that the [system] could not be made ready to Go Live for [NorthStar]

or electronically submit bills with [NorthStar’s] custom taxonomy codes.” Id. ¶ 37. As a result, in January 2023, NorthStar provided Qualifacts with a notice of

multiple breaches of the contract. Id. ¶ 38; see (Doc. 53-4) at 2–3. Because Qualifacts did not cure the noticed breaches within thirty days, NorthStar terminated the

contract in April 2023. Second Am. Compl. ¶ 40. NorthStar initiated this action, and the defendants moved to dismiss the initial complaint. (Doc. 22). After an order granted in part and denied in part the

defendants’ motion, Order on MTD (Doc. 42), NorthStar twice amended its complaint, (Docs. 45, 53). In the second amended complaint, NorthStar brings a

breach of contract claim against InSync and Qualifacts, a fraud in the inducement claim against all defendants, a breach of contract claim in the alternative against QF

Holdings,2 a negligent misrepresentation claim in the alternative against all defendants, and an unjust enrichment claim in the alternative against InSync and

Qualifacts. Second Am. Compl. ¶¶ 42–78. The defendants now move to dismiss NorthStar’s second amended complaint. See MTD I; MTD II. II. LEGAL STANDARD

Federal Rule of Civil Procedure 8(a)(2) requires “a short and plain statement of the claim showing that the pleader is entitled to relief.” This pleading standard

“does not require ‘detailed factual allegations,’ but it demands more than an unadorned, the-defendant-unlawfully-harmed-me accusation.” Ashcroft v. Iqbal, 556

U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007)). “A pleading that offers ‘labels and conclusions’ or ‘a formulaic recitation of the

elements of a cause of action will not do.’ ” Iqbal, 556 U.S. at 678. (quoting Twombly, 550 U.S. at 555). “Nor does a complaint suffice if it tenders ‘naked assertion[s]’

2 The second amended complaint is unclear as to whether this claim is against QF Holdings alone (as the parenthetical in the complaint suggests) or against InSync too. See Second Am. Compl. ¶ 57 (“Plaintiff’s Count III is presented in the alternative against Defendant InSync and Defendant Holdings in the event if Defendant Holdings is determined to be a successor in interest to Defendant InSync either together with or instead of Defendant LLC.”); id. ¶ 60 (“Defendant InSync and Defendant Holdings breached multiple terms and conditions of the Contract, including express warranties of the Contract.”). NorthStar’s response to the defendants’ motion indicates that the claim is against only QF Holdings. See Resp. to MTD II (Doc. 65) at 4.

devoid of ‘further factual enhancement.’” Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 557). “To survive a motion to dismiss” for failure to state a claim, a plaintiff must

plead sufficient facts to state a claim that is “plausible on its face.” Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 570). A claim is plausible on its face when a

“plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 678. When considering the motion, the complaint’s factual allegations are accepted “as true” and

construed “in the light most favorable to the plaintiff.” Pielage v. McConnell, 516 F.3d 1282, 1284 (11th Cir. 2008). Consideration is limited “to the well-pleaded

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