Blue Cross Blue Shield of Texas v. Zotec Partners, LLC

Docket No.
5:25-cv-00186
District Court
Texas Eastern

Goal

  • Award damages
  • Award restitution
  • Block defendant action
  • Declaration that defendant action is unlawful

Issues

Why This Matters:

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:

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)

9 Major Filings

Related Litigation

Current Status

Briefing is ongoing

Important Date

Scheduling Conference

Legal Issues

Fraud, Fraudulent Inducement, Negligent Misrepresentation

Topic(s)

Arbitration Awards/Conduct

Date Filed
December 18, 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, LLP
Defendant(s)
Zotec Partners, LLC
Lead Counsel for Defendant(s)
Polsinelli PC
Amicus Briefs for Defendant(s)

Emergency Department Practice Management Association