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The Legal Book

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Horizon Agrees to Settle Class Action by Shorted Out-of-Network Providers

Horizon Blue Cross Blue Shield, New Jersey’s largest health insurer, has agreed to settle a federal class action by ambulatory surgical centers who claim they were shortchanged on reimbursements for out-of-network care. The deal requires cash payments totaling $22 million, but class counsel Bruce Nagel says it is worth more than $200 million due to other provisions, the value of which remains to be quantified. Nagel and co-counsel Neil Prupis are to receive at least $7.3 million, one-third of the $22 million.

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