United Health Alliance, LLC v. United Medical, LLC

CourtCourt of Chancery of Delaware
DecidedNovember 20, 2014
DocketCA 7710-VCP
StatusPublished

This text of United Health Alliance, LLC v. United Medical, LLC (United Health Alliance, LLC v. United Medical, LLC) is published on Counsel Stack Legal Research, covering Court of Chancery of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United Health Alliance, LLC v. United Medical, LLC, (Del. Ct. App. 2014).

Opinion

IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE

UNITED HEALTH ALLIANCE, LLC, ) a Delaware limited liability company, ) ) Plaintiff/ ) C.A. No. 7710-VCP Counterclaim Defendant, ) ) v. ) ) UNITED MEDICAL, LLC, ) a Delaware limited liability company, ) ) Defendant/ ) Counterclaim Plaintiff. )

MEMORANDUM OPINION

Submitted: August 13, 2014 Decided: November 20, 2014

Jeffrey M. Weiner, Esq., LAW OFFICES OF JEFFREY M. WEINER, Wilmington, Delaware; James S. Green, Sr., Esq., SEITZ, VAN OGTROP & GREEN, P.A., Wilmington, Delaware; Attorneys for Plaintiff/Counterclaim Defendant United Health Alliance, LLC.

Adam L. Balick, Esq., Melony R. Anderson, Esq., BALICK & BALICK, LLC, Wilmington, Delaware; Attorneys for Defendant/Counterclaim Plaintiff United Medical, LLC.

PARSONS, Vice Chancellor. This is primarily a breach of contract action seeking damages and injunctive relief

for loss of access to medical billing and records management software. The plaintiff who

filed the initial complaint claims to have entered into a contract with the defendant. The

complaint was amended later to add two more plaintiffs who allegedly are third-party

beneficiaries of that contract. The defendant has moved to dismiss the latter two

plaintiffs for failure to state a claim upon which relief can be granted. Those plaintiffs

allege, in the alternative, legal theories of quasi-contract, unjust enrichment, and third-

party beneficiary status.

For the reasons that follow, I conclude that it is reasonably conceivable that the

two additional plaintiffs could prove facts at trial that would entitle them to recover on a

third-party beneficiary theory. The plaintiffs’ claims based on theories of quasi-contract

and unjust enrichment, however, fail to meet the pleading requirements to survive a Rule

12(b)(6) motion. Therefore, I grant in part and deny in part the defendant’s motion to

dismiss.

I. BACKGROUND1

A. The Parties

Plaintiff United Health Alliance, LLC (―UHA‖) is a Delaware limited liability

company that provides administrative, management, and billing support for the medical

1 Unless otherwise noted, the facts recited herein are drawn from the well-pled allegations of the Verified Amended Complaint (the ―Complaint‖) and are presumed true for purposes of Defendant’s motion to dismiss.

1 services rendered by its affiliates, Christiana Medical Group, P.A. (―CMG‖), Bayhealth

Hospitalists, LLC (―BHH,‖ and, together with CMG, the ―Affiliates‖), and St. Francis

Hospitalists, LLC. UHA, CMG, and BHH comprise the ―Plaintiffs‖ in this case.

Defendant, United Medical, LLC (―UM‖), is a Delaware limited liability company

and an authorized distributor of PowerWorks Practice Management (―PowerWorks‖), a

software application for the healthcare services industry. UM distributes PowerWorks

pursuant to an agreement with Cerner Healthcare Solutions, Inc. (―Cerner‖).

B. Facts

Plaintiffs aver that prior to January 2011, when UM began providing access to

PowerWorks, UHA was party to a Software License, Hardware Purchase, Services and

Support Agreement with Cerner, through which it had access to Cerner’s PowerWorks

software. UHA entered into the agreement with Cerner on or about January 27, 2009,

and the agreement had a term of five years. Beginning in January 2011, UHA began

accessing PowerWorks from UM, in its role as an authorized Cerner distributor, rather

than from Cerner directly. At or around that time, UHA and Cerner formally terminated

the contract between them. UM allegedly assumed its responsibility for UHA pursuant to

an agreement between UM and Cerner. Specifically, UM and Cerner had entered into an

Amended and Restated Cerner System Schedule No. 1 on February 4, 2011, which was

effective retroactively as of December 31, 2010. After signing the agreement with

Cerner, UM, not Cerner, provided PowerWorks to UHA.

UM and UHA never signed a written contract for this service. UM provided its

standard service agreement to UHA, which UHA revised and returned to UM. Though

2 the parties attempted to resolve their differences, their negotiation was unsuccessful. No

written agreement was ever finalized and executed. During these negotiations, UHA paid

UM for access to PowerWorks, and UM continued to provide software and support

services. Plaintiffs allege that, despite the disagreement as to certain terms, there was an

unwritten contract between UHA and UM, based on the continued payments by UHA and

the provision of service by UM. The Affiliates are alleged to have been third-party

beneficiaries of that contract.

On or before May 1, 2012, Defendant UM prepared and sent an invoice to UHA

for the entire month of May 2012. UHA paid by check indicating clearly thereon that the

payment was for the entire month of May; UM deposited UHA’s check on May 7, 2012.

UM, therefore, accepted payment for the entire month of May.

Although the parties disagree regarding the cause, on May 7, 2012, UM blocked

UHA’s access to PowerWorks. UM restored UHA’s access to that software from around

6:00 p.m. on May 14 until June 1, 2012. Thereafter, UHA demanded eight more days of

access, which it alleges were necessary to close out the electronic billing and payment

information from before June 1, 2012. UM never restored this access. UHA also

demanded the return, in an electronic format, of ―its confidential information provided for

storage and processing of data for billing‖2 that had been maintained by the PowerWorks

system.

2 Compl. ¶ 15.

3 Plaintiffs contend UM’s actions breached its agreement with UHA. As a result of

this breach, Plaintiffs allege that they have been precluded from seeking payment ―from

insurers and/or their insureds/patients.‖3 According to UHA and its Affiliates, they have

been unable, due to UM’s breach, to bill their insureds and certain patients and have

incurred: (1) financial damages of $286,395; and (2) expenses of $48,601 as of

November 2013. The Complaint further alleges that ―Plaintiff UHA has no adequate

remedy at law or otherwise for the harm done,‖ and that ―Plaintiff UHA will suffer

irreparable harm, damage and injury,‖ unless UM is enjoined.4 The Affiliates claim that

they were third-party beneficiaries to the contract between UHA and UM. In addition, all

Plaintiffs have asserted a quasi-contract claim and an unjust enrichment claim against

UM for the above actions, as alternate theories of relief.

In their prayer for relief as to the claims subject to UM’s motion to dismiss,

Plaintiffs seek: (1) a temporary restraining order (―TRO‖) against UM preventing it from

destroying or interfering with Plaintiffs’ confidential information in electronic format; (2)

a TRO and preliminary injunction requiring UM to surrender to UHA all confidential

information which UHA provided to UM in connection with patient billing and other

management services performed by UHA; (3) eventually, a permanent injunction to the

same effect; (4) a monetary award equal to the loss of collections from payors as a result

of the breach; and (5) their fees and expenses.

3 Id. ¶ 16. 4 Id. ¶¶ 22-23.

4 C. Procedural History

On July 20, 2012, UHA filed its initial complaint with this Court. On November

30, 2013, CMG and BHH moved to intervene; this Court granted that motion on

December 2, 2013.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Insituform of North America, Inc. v. Chandler
534 A.2d 257 (Court of Chancery of Delaware, 1987)
Cantor Fitzgerald, L.P. v. Cantor
724 A.2d 571 (Court of Chancery of Delaware, 1998)
NAMA Holdings, LLC v. Related World Market Center, LLC
922 A.2d 417 (Court of Chancery of Delaware, 2007)
Dorsey v. State Ex Rel. Mulrine
301 A.2d 516 (Supreme Court of Delaware, 1972)
Crescent/Mach I Partners, L.P. v. Turner
846 A.2d 963 (Court of Chancery of Delaware, 2000)
Nemec v. Shrader
991 A.2d 1120 (Supreme Court of Delaware, 2010)
Gantler v. Stephens
965 A.2d 695 (Supreme Court of Delaware, 2009)
Jackson National Life Insurance v. Kennedy
741 A.2d 377 (Court of Chancery of Delaware, 1999)
City of Providence v. First Citizens Bancshares, Inc.
99 A.3d 229 (Court of Chancery of Delaware, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
United Health Alliance, LLC v. United Medical, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-health-alliance-llc-v-united-medical-llc-delch-2014.