Horizon’s Ingenix Settlement Approved, Class Members Obtain No Monetary Relief

Horizon Blue Cross Blue Shield of New Jersey has agreed to amend its out-of-network payment procedures by discontinuing use of an allegedly faulty charging database and providing more transparency for the basis of its payment decisions to its subscribers and health care providers in a settlement approved by a federal judge in New Jersey (McDonough v. Horizon Healthcare Servs., Inc., 2014 BL 190996, D.N.J., 2:09-cv-00571-SRC-CLW, unpublished 7/9/14).

The settlement, which provides no monetary damages to the class members, was approved in an unpublished decision by Judge Stanley R. Chesler on July 9 and settles claims that Horizon violated ...