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McCracken v. Verisma Systems, Inc.

Citations: 131 F. Supp. 3d 38; 2015 U.S. Dist. LEXIS 123775; 2015 WL 5510367Docket: No. 6:14-cv-06248(MAT)

Court: District Court, W.D. New York; September 16, 2015; Federal District Court

Narrative Opinion Summary

This case involves a lawsuit filed by a group of plaintiffs against Verisma Systems, Inc., and several healthcare institutions, alleging excessive charges for medical record copies in violation of New York Public Health Law § 18(2)(e) and New York General Business Law § 349(a). Initially, the court dismissed the complaint due to lack of standing, as the law firm, not the plaintiffs, directly incurred the charges. However, the plaintiffs amended their complaint to include retainer agreements and HIPAA authorizations, demonstrating their obligation to reimburse their law firm, thereby remedying the jurisdictional defect. The court denied Verisma's motion to dismiss, affirming that the plaintiffs had adequately pled standing and claims under both PHL § 18 and GBL § 349. It rejected Verisma's interpretation of the statutes, emphasizing that charges must reflect actual costs incurred. Allegations of misleading conduct and unjust enrichment were deemed sufficient to survive dismissal. The voluntary payment doctrine was found inapplicable at this stage, as the alleged non-disclosure of costs precluded its application. The court allowed the case to proceed, addressing the substantive legal issues and factual claims raised by the plaintiffs.

Legal Issues Addressed

Compliance with New York Public Health Law § 18

Application: Plaintiffs are considered 'qualified persons' under PHL § 18, entitling them to statutory protections, despite Verisma's contention regarding powers of attorney.

Reasoning: The statute was amended in 1992 to include attorneys representing subjects or their estates as 'qualified persons.'

Consumer-Oriented Conduct under New York General Business Law § 349

Application: The Plaintiffs sufficiently demonstrated consumer-oriented deceptive acts by alleging that Verisma's charges exceeded actual costs, misleading consumers.

Reasoning: Plaintiffs have sufficiently claimed misleading conduct under GBL § 349 due to Verisma's failure to disclose its lower photocopying costs.

Reasonable Charges under Public Health Law § 18(2)(e)

Application: The Court clarified that healthcare providers may only charge up to the actual copying costs incurred, capped at $0.75 per page, rejecting Verisma's interpretation that allowed for profit beyond actual costs.

Reasoning: The Court rejects this interpretation of PHL § 18(2)(e) as a misreading of the statute.

Standing and Subject Matter Jurisdiction

Application: The Plaintiffs successfully established standing by including retainer agreements and HIPAA authorizations that demonstrated their obligation to reimburse their law firm for medical record expenses, addressing previous jurisdictional defects.

Reasoning: The Court denied the motions to dismiss by Verisma and the Healthcare Defendants, affirming that the Plaintiffs now have standing due to the reimbursement agreements.

Unjust Enrichment Claims

Application: The Court upheld the Plaintiffs' unjust enrichment claims, noting that a formal contract had not been established merely through invoice payment, allowing for quasi-contractual recovery.

Reasoning: The court finds that Verisma has not demonstrated the existence of a formal contract merely through invoice payment.

Voluntary Payment Doctrine

Application: The Court found it premature to apply the voluntary payment doctrine at the motion to dismiss stage, given allegations of non-disclosure of costs by Verisma.

Reasoning: The voluntary payment doctrine does not bar claims under New York's General Business Law (GBL) § 349(a) when there are allegations of undisclosed costs.