- Docket No.
- 5:25-cv-00186
- District Court
- Texas Eastern
Goal
- Award damages
- Block defendant action
- Return of money
Issues
Litigation Content
Why this Matters:
A private insurer alleges that a medical billing company is abusing the No Surprises Act arbitration process to obtain higher out-of-network payments for health care providers. The higher than expected volume of arbitration cases (including the prevalence of ineligible cases) to date and high provider win rate could raise health costs and plan premiums.
Potential Impact:
Actions that flout the intent of the No Surprises Act arbitration process through the submission of ineligible disputes could lead to higher costs and lower-quality care for patients.