$2.8 billion BCBS settlement –
a win for providers and healthcare facilities
· Who is impacted: Any billing provider who treated a BCBS patient
· Timeframe: July 24, 2008 – October 4, 2024
· Deadline to claim: July 29, 2025
What happened?
BCBS illegally established service areas across the US with fixed prices for services. This prevented competition with other member companies thus violating antitrust laws.
Find out more: In re: Blue Cross Blue Shield Antitrust Litigation
Additional key points:
Settlement Fund Allocation: The settlement will establish a fund, with 92% allocated to Healthcare Facilities and Health Systems and 8% allocated to Health Care Professionals.
Non-Monetary Reforms: The settlement also includes operational improvements such as a cloud-based architecture, new prior authorization guidelines, an internal messaging system, and a uniform appeals form.
Next Steps:
Check Eligibility: Verify if your billing providers meet the criteria to participate in the settlement.
Submit a Claim: If eligible, complete the Professional Claim Form by the July 29, 2025, deadline.
Need additional assistance?
Contact your legal representatives