United States District Court For The District Of New Jersey
Case No: 08-6160 (KM)
If you were or are a licensed ambulatory surgical center located in New Jersey that provided out-of-network services to any Horizon Blue Cross Blue Shield of New Jersey (“Horizon”) member between October 1, 2004 and December 31, 2014, this pending Class Action may affect you
A settlement has been reached with Horizon Blue Cross Blue Shield of New Jersey (“Horizon”) in a class action lawsuit claiming that certain of Horizon’s reimbursements to out-of-network ambulatory surgical centers during the Class Period were insufficient. Horizon denies the claims in the lawsuit. The parties have agreed to settle the dispute to avoid the cost and risk of a trial.
The Class is comprised of any and all licensed ASCs located in New Jersey, individually and as assignees of Horizon members, that provided Out-of-Network Services to any Horizon member during the Class Period, and that are in the “SEHP Subclass” or the “Navigant Subclass” or both. The SEHP Subclass includes all Class Members that Horizon and Class Counsel have determined were under-reimbursed for SEHP Claims from October 2004 through June 2008. The Navigant Subclass includes all Class Members that the Class Representative contends, but Horizon disputes, could have been under-reimbursed for Navigant Claims from October 2004 through December 2014.