New Jersey Physician Class Action Settlement Against Horizon Blue Cross Blue Shield Approved

by Eric 12. July 2010 18:58

A class action settlement, valued as much as $50 million, between New Jersey physicians and Horizon Blue Cross Blue Shield of New Jersey was approved by the Superior Court of New Jersey on June 16th.  The settlement removes the "black box" in which Horizon has been processing claims submitted by physicians.  Under the settlement terms, among several other benefits, Horizon must dislcose to physicians all fee schedule information and provide an interactive web tool that allows physicians to input procedure codes before services are rendered in order to learn how Horizon will process and pay those codes.  In addition, a dedicated liaision was established to assist capitated physicians to enable them to be paid properly and quickly for the services they render.  Our law firm represented the Class in this action.  The Court's complete opinion is attached to this post.

Sutter Opinion.doc (77.50 kb)

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About Eric Katz

Eric Katz is a New Jersey based trial attorney, class action and health care lawyer. He is a prominent advocate for New Jersey physicians, dentists and other health care providers, and is a senior partner at Mazie Slater Katz & Freeman, LLC, a leading New Jersey class action and trial law firm. Mr. Katz represents health care providers and their patients in all types of managed care disputes.  Mr. Katz also represents victims who have been serious injured as a result of a defective product, motor vehicle accident or other accident. 

Mr. Katz is a certified civil trial attorney, a distinction held by less than 2% of New Jersey attorneys and is often interviewed by the media as a champion of the rights of health care providers and their patients.  He has recovered many millions of dollars for his clients in just the last few years alone