The Blue Cross Blue Shield (BCBS) Providers Settlement is a $2.8 billion class action recovery opportunity for providers in the US who currently provide (or provided) healthcare services, equipment or supplies to any patient insured by a Settling Individual Blue plan from July 24, 2008 to October 4, 2024.

Here are the case details.

Plaintiffs allege Settling Blue Cross Blue Shield Defendants – who include the Blue Cross Blue Shield Association (BCBSA) and Settling Individual Blue Plans – violated antitrust laws by illegally dividing the country into geographic service areas and agreeing not to compete in those areas. They also claim the Settling Defendants fixed prices for provided services.

Who’s eligible for the BCBS Providers Class Action Settlement?

If you or your business provided healthcare services, equipment, or supplies to Blue Plan Patients anytime from July 24, 2008 – October 4, 2024, you may be eligible.

Additionally, the settlement class is further divided into two groups:

1) Healthcare facilities: 92% of the net settlement fund will be allocated as a “hospital/facility net settlement fund”. This portion of the fund will be distributed to healthcare systems who submit claims on behalf of healthcare facilities and individual healthcare facilities who are authorized claimants.

2) Healthcare professionals: 8% of the net settlement fund will be allocated as a “professionals net settlement fund”. This will be distributed to medical groups and organizations who submit claims on behalf of their medical professionals, as well as individual medical professionals who are authorized claimants.

What is the total fund? 

$2,800,000,000

When is the claim filing deadline?

July 29, 2025

What do you need to get started with your claim?

People who wish to file a claim must have either their National Provider Identifier (NPI) or Taxpayer Identification Number (TIN) for any business that worked with BCBS. It’s also recommended to know the timeframe for each NPI/TIN submitting a claim.

What are the different methods to file a claim?

Since the claims administrator and the Settling BCBS Defendants will likely be missing or have incomplete data, you can file a claim in one of two ways:

1. Default method*: This means you use the data from the administrator to calculate your claim value
2. Alternative method: This means you submit documentation to provide the value of your claim

* Due to lack of necessary data, the default method is not available for healthcare facilities that opened on or after January 1, 2015, and/or are in:

• Arizona
• Iowa
• Louisiana
• Maryland
• New Jersey
• South Dakota
• CareFirst's service area in Virginia
• Washington DC
• Puerto Rico

Is anyone excluded from filing a claim? If so, who?

The following parties are “excluded providers”:

i) Providers owned or employed by any of the Settling Defendants

ii) Providers owned or employed exclusively by Government Entities or Providers that exclusively provided services, equipment or supplies to members of or participants in Medicare, Medicaid or the Federal Employee Health Benefits Programs

iii)Providers that have otherwise fully released their Released Claims against the Releases prior to the Execution Date, including but not limited to Providers that were members of any of the settlement classes in Love v. Blue Cross and Blue Shield Ass’n, No. 1:03-cv-21296-FAM (S.D. Fla.); or

iv) Providers that exclusively provide or provided (a) prescription drugs; (b) durable medical equipment; (c) medical devices; (d) supplies or services provided in an independent clinical laboratory; or (e) services, equipment or supplies covered by standalone dental or vision insurance. 

Now here’s how we can help.

Certificate Clearing Corporation (CCC), a member of the Chicago Clearing Corporation family, is your go-to third party class action claim filer. This $2.8 billion BCBS providers litigation is reported as the largest antitrust settlement in the history of US healthcare. CCC can break it down for you by:

1) Determining what type of claim you may be eligible for. We’ll work with you to figure out what type of claim to file.

2) Discovering what data you need to perfect your claim. We’ll help you determine which data will be most helpful when filing your claim.

3) Finding out what the division recovery might be. We’ll calculate division recovery – figuring out the allocation to multiple claimants that may be eligible for payment from the same underlying claim.

Want to learn more? Give us a call at (312) 204-6969 or email us. 

About Certificate Clearing Corporation

Founded in 1993, CCC is the leader in the class action settlement recovery industry. We have helped millions of claimants recover funds in thousands of class actions. Our expert staff can help you understand the history of this litigation, its complexities, and your options for accelerated recovery options. We know there is no one-size-fits-all solution, and our team is ready to customize a recovery that best suits your business.