PHI Health LLC v. Health Care Services Corporation

Docket No.
26-2736
Appellate Court
Seventh Circuit

Goal

  • Award damages
  • Compel defendant action
  • Declaration that defendant action is unlawful

Litigation Content

Why This Matters:

Why This Matters 

The plaintiff, an air ambulance provider, alleges that the defendant, a health insurer, is withholding or delaying payment following resolution of the No Surprises Act’s arbitration process—a process used to resolve payment disputes for surprise out-of-network bills between payers and out-of-network health care providers. The plaintiff argues that this delay in payment violates the No Surprises Act, the Federal Arbitration Act, the Employee Retirement Income Security Act, and Illinois state law prohibiting unfair and deceptive trade practices. On appeal, the plaintiff argues that the district court erred in dismissing the case.

Potential Impact:

Potential Impact:

Actions that flout the intent of the No Surprises Act arbitration process through delayed or withheld payments could lead to higher costs and lower-quality care for patients.

1 Major Filings

Litigation Information

Current Status

Briefing is ongoing