$2.8B Blue Cross Blue Shield Provider Settlement

Credit: Wikimedia Commons | Published: March 3, 2025

Claim Form Deadline: July 29, 2025

Payout: $2.8B

Proof required: Yes

What's the Blue Cross Blue Shield Provider Settlement?

Blue Cross Blue Shield has settled a whopping $2.8 billion class action lawsuit. This settlement resolves claims that Blue Cross Blue Shield violated antitrust laws in their business practices with healthcare providers.

The BCBS class action lawsuit alleged that the Blue Cross Blue Shield Association and Settling Individual Blue Plans violated antitrust laws by dividing the U.S. into "Service Areas" and agreeing not to compete in those areas, as well as fixing prices for services.

BCBS denies all allegations of wrongdoing. The Settlement aims to avoid further litigation costs and risks. The Settlement does not mean that any law was broken or that BCBS did anything wrong. The Court has not decided who is right or wrong. Instead, the parties have agreed to settle. By agreeing to settle, the parties avoid the costs and uncertainty of a trial, and class action members can receive a settlement. There are two main types of claims that providers can submit:

• Facility Claims - These are claims submitted by healthcare facilities, such as hospitals, nursing homes, and clinics, for services provided to patients. These typically cover expenses related to inpatient and outpatient care, equipment use, and facility-based treatments.

• Professional Claims - These are claims submitted by individual healthcare professionals, such as doctors, nurses, and therapists, for services they personally provided to patients. These typically include fees for consultations, procedures, and treatments performed by the provider.

The main difference is that facility claims are tied to the institutional services provided by a healthcare entity, while professional claims are related to individual provider services rendered to patients.

Is the BCBS Settlement Only for Providers?

Yes, healthcare providers qualify for this settlement. That means:

• Hospitals, clinics, nursing homes, and other healthcare facilities (filing "Facility Claims").

• Doctors, nurses, therapists, and other individual medical professionals (filing "Professional Claims"). To qualify, you must have provided services to Blue Cross Blue Shield members between July 24, 2008, and October 4, 2024. If you meet those conditions, you may be able to submit a claim to get a share of the $2.8 billion settlement.

What is the Total Settlement Amount?

The total settlement amount is a record-setting $2.8 billion.

How Do I Qualify For a Payout?

You may qualify if you provided healthcare services to Blue Cross Blue Shield members between July 24 2008 and October 4 2024 and are not excluded from the settlement class.

How Do I Find Class Action Settlements?

Find all the latest class actions you can qualify for by getting notified of new lawsuits as soon as they are open to claims:

How Much Can I Get Paid?

Payment amounts vary based on provider type and allowed amounts. The amount you can get paid depends on the total Allowed Amounts for services provided during the Settlement Class Period. Payments will be distributed from the Net Settlement Fund as follows:

1. Monetary Settlement: This involves the distribution of a $2.8 billion Settlement Fund to eligible healthcare providers who submit valid claims. The fund is divided into two parts:

   • 92% allocated to Health Care Facilities.
   • 8% allocated to Medical Professionals.

2. Injunctive Relief: This part involves changes in the business practices of the Settling Defendants to increase competition and improve interactions with healthcare providers. These changes include:

   • Transformation of the BlueCard Program.
   • Implementation of prompt pay commitments and service level agreements.
   • Modifications to contract rules and improvements in technical capabilities and information sharing.
   • Expansion of opportunities for value-based contracts.

These two parts aim to provide both financial compensation and long-term improvements in the healthcare market.

How Do I File a Claim?

File a claim online at www.BCBSProviderSettlement.com or by mail by July 29, 2025. Choose between Default and Alternative Options for calculating your payment.

Do I Need Proof to File a Claim?

Yes, you need to provide documentation of the Allowed Amounts for services provided during the Settlement Class Period. If you choose the Alternative Method, you must submit your own data for 2008-2014 and/or 2015-2024. If you choose the Default Method, you must submit your own data for 2015-2024.

Claim Form Website: BCBSProviderSettlement.com

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Filing Class Action Settlement Claims

Please note that your claim form will be rejected if you submit a settlement claim for payout with any fraudulent information. By providing this information and your sworn statement of its veracity, you agree to do so under the penalty of perjury. You would also be harming others that actually qualify for the class action settlement. If you are not sure whether or not you qualify for this class action settlement, visit the class action administrator's website below. OpenClassActions.com is only providing information and is not a class action administrator or a law firm. OpenClassActions is a participant in the Amazon affiliate advertising program and this post may contain affiliate links, which means we may earn a commission or fees if you make a purchase via those links.

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