Highmark Health Sues HaloMD Over No Surprises Act Arbitration Awards
Highmark Health filed suit June 1 seeking to overturn more than $3.9 million in arbitration awards. The insurer alleges HaloMD and a neuromonitoring provider submitted ineligible claims under the No Surprises Act.
forbes.comHighmark Health filed a complaint June 1 in U.S. District Court in Western Pennsylvania against HaloMD and Bromedicon, a neuromonitoring provider. The suit seeks to vacate arbitration awards totaling more than $3.9 million that the defendants obtained through the No Surprises Act process.
Highmark, a Pennsylvania-based Blue Cross Blue Shield licensee with more than 7 million members, alleges the defendants submitted more than 450 ineligible disputes. The complaint states that HaloMD sent arbitrators a "sham letter" and misleading price data.
" Highmark joins three other Blue Cross plans that have filed similar suits against HaloMD. The company asks the court to overturn the arbitration awards and order the return of the disputed funds. Highmark is the fourth major insurer to challenge HaloMD's use of the No Surprises Act arbitration process.
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