Blue Cross Blue Shield of Texas v. HaloMD LLC

Docket No.
5:25-cv-00132
District Court
Texas Eastern

Goal

  • Award damages
  • Block defendant action
  • Vacate arbitration awards

Issues

Why this Matters:

A private insurer alleges that providers and their third-party biller are abusing the No Surprises Act arbitration process to receive higher out-of-network payments in violation of the federal Racketeer Influenced and Corrupt Organizations Act. 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.

News And Analysis (1)

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Related Litigation

Current Status

Briefing is ongoing

Important Date

Hearing on Motion to Dismiss

Legal Issues

Racketeer Influenced and Corrupt Organizations (“RICO”) Act, Fraud, Fraudulent Inducement, Negligent Misrepresentation

Topic(s)

Arbitration Awards/Conduct

Date Filed
August 28, 2025
Case Type
Civil
Court Type
District Court
Court
Texas Eastern
Court Division
Texarkana
Judge
Schroeder III, Robert W. Appointed By: Barack Obama
Plaintiff(s)
Blue Cross Blue Shield of Texas
Lead Counsel For Plaintiff(s)
Patton, Tidwell & Culbertson
Defendant(s)
HaloMD LLC; Alla LaRoque; Scott LaRoque
Lead Counsel for Defendant(s)
Norton Rose Fulbright