Ask Lisa: Deadline nears for Blue Cross Blue Shield Antitrust Settlement filings.

On April 29th I shared information regarding the Blue Cross Blue Shield Antitrust Settlement.  (See Link below.)

As the filing deadline of July 29, 2025 approaches we wanted to send a reminder and also some key information you need to know.

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It takes less than 5 minutes to sign up – each provider can sign up individually (it is much easier than signing up as a clinic).

This settlement includes a $224 million allocation for medical professionals nationwide  including DCs). This is 8% of the total $2.6 billion settlement, the rest is for hospitals and large groups.

Here’s what chiropractors need to know:

Key Details:

Eligibility: If you billed any BCBS plan (includes Wellmark) between July 2008 and October 2024

Filing Deadline: July 29, 2025
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How Payments Are Calculated: Payouts are based on your total “Allowed Amounts” (reimbursed, not billed) using a point system:

≤$250K = 1 point
$250K-$500K = 2 points
$500K-$750K = 3 points
$750K-$1M = 4 points
$1M = 5+ points

Important Legal Consideration: Filing a claim waives your right to future legal action against BCBS (including Wellmark) for any reason related to this antitrust matter.

Considerations: 
If you had higher BCBS billing over 15 years:  May equal a potentially meaningful payout that may be considered when determining participation.

When determining participation or opting out, each provider must evaluate their personal situation regarding billing history and comfort level with the legal release requirements.

Thanks!

Lisa Barnett

Link to previous article [LINK]

 

 

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