In a landmark development, Blue Cross Blue Shield (BCBS) has reached a $2.8 billion settlement to resolve antitrust claims brought by health care providers, including chiropractors. The lawsuit accused BCBS of dividing the nation into exclusive regions and limiting competition, which resulted in lower reimbursements for providers.
Although BCBS denies any wrongdoing, the company agreed to the settlement to avoid lengthy litigation – and you can get a piece of the pie.
What Does This Mean for DCs?
If you treated at least one BCBS-insured patient between July 24, 2008, and Oct. 4, 2024, you are likely an eligible class member. This includes most chiropractors who have provided services to BCBS members during this period. To receive a payment, you must submit a valid claim before the deadline. Claims can be submitted online. July 29, 2025 is the deadline to submit your claim.
Understanding the Distribution
The $2.8 billion BCBS settlement sets aside $224 million for professional providers, including chiropractors. Payments are based on a points system:
Allowed Amounts
- Less than / equal to $250,000 = 1 pt
- More than $250,000, but less than or equal to $500,000 = 2 pts
- More than $500,000, but less than or equal to $750,000 = 3 pts
- More than $750,000, but less than or equal to $1 million = 4 pts
- More than $1 million = 5 pts
This means a provider who received $1 is awarded the same point as one who collected $250,000 – a major advantage for smaller practices. Additionally, hospitals and ambulatory surgery centers have a separate pool of funds, so their claims won’t reduce what chiropractors receive.
Each provider’s final payout is adjusted by a regional harm coefficient, ensuring fair distribution. If you’ve seen at least one BCBS patient since 2008, you are likely eligible, so don’t miss out!
Next Steps
- Review the Settlement Details: Visit the official settlement website at www.bcbsprovidersettlement.com to understand the specifics of the settlement, determine your eligibility, and learn about the claims process.
- Submit Your Claim: If you are eligible and wish to participate, submit your claim by the July 29, 2025 deadline. Detailed instructions and claim forms are available on the settlement website.
For questions about the settlement, contact the Blue Cross Blue Shield Provider Settlement Notice Administrator: (888) 452-3095; Administrator@BCBSProviderSettlement.com.
