Supreme Court Denies Bid to Review Key Surprise Billing Dispute

Jan. 12, 2026, 2:48 PM UTC

The US Supreme Court rejected a case seeking to force health insurers to pay arbitration awards that medical providers win in disputes over surprise medical bills, ending a long-running fight for a pair of air ambulance companies.

The US Court of Appeals for the Fifth Circuit sided with Health Care Service Corp. in June, concluding that the No Surprises Act does not grant air ambulance companies Guardian Flight LLC and Med-Trans Corp. the right to sue over unpaid awards. The Fifth Circuit dismissed the air ambulances’ case simultaneously with another air ambulance lawsuit alleging insurers intentionally misrepresent a key payment ...

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