If your Texas medical practice has been underpaid for out-of-network services, you may be entitled to significant compensation. MultiPlan, Inc., recently rebranded as Claritev, is at the center of a major federal antitrust lawsuit alleging a coordinated price-fixing scheme that suppressed reimbursements to healthcare providers nationwide. The case, In Re: MultiPlan Healthcare Insurance Provider Litigation, MDL No. 3121, is pending in federal court in Illinois and involves major insurers, including UnitedHealth, Cigna, Aetna, Anthem, and Blue Cross Blue Shield entities. At Ghuneim Law Firm, we represent Texas healthcare providers pursuing MultiPlan litigation claims at no cost unless we win.
Why Choose Ghuneim Law Firm for MultiPlan Litigation?
Providers choose our firm because we offer:
- Contingency fee representation, meaning you pay nothing unless we recover money for you
- Case review to determine whether your practice may qualify for a MultiPlan claim
- Support in gathering and reviewing claims data
- Experience with complex litigation involving large defendants
- Clear communication about your options, timeline, and next steps
You do not need to compile every affected claim on your own before contacting us. We can help determine whether your practice has been exposed to MultiPlan pricing and what records may be needed.
What Is MultiPlan Accused of Doing?
MultiPlan operated as a third-party pricing intermediary for major health insurers. Instead of independently setting reimbursement rates for out-of-network claims, the lawsuits allege that insurers outsourced that function to MultiPlan.
MultiPlan allegedly used proprietary tools, including Data iSight, Viant, MARS, and ProPricer, to recommend how much insurers should pay providers for out-of-network services. The lawsuits claim this was not a neutral pricing process. Plaintiffs allege that MultiPlan and participating insurers used shared pricing data and common methodologies to suppress reimbursement rates across the market.
The result, according to the complaints, was an artificial reduction in out-of-network payments to physicians, hospitals, and healthcare facilities.
The litigation is continuing to advance in federal court. In June 2025, the court denied the defendants’ motion to dismiss, allowing the providers’ antitrust claims to move into discovery. The defendants have denied wrongdoing, and the providers’ claims must still be proven in court.
Which Healthcare Providers May Have Claims?
Many types of healthcare providers may have been affected by MultiPlan pricing practices. Claims may involve practices and facilities that provided out-of-network services to patients covered by major insurers.
Specialties and facilities that may be impacted include:
- Ambulatory and outpatient surgery
- Addiction treatment
- Behavioral health
- Emergency medicine
- Hospital medicine
- Radiology
- Anesthesia
- Chiropractic care
- Orthopedics
A practice does not need to know the full extent of its MultiPlan exposure before requesting a review. If your practice received reduced out-of-network payments from major insurers, your reimbursement history may warrant further evaluation.
What Compensation Are Out-of-Network Providers Seeking?
Providers in the MultiPlan litigation are seeking damages based on the difference between what they were paid and what they allege should have been paid at fair market rates for out-of-network services.
Federal antitrust law may allow successful plaintiffs to recover treble damages. This means proven damages can potentially be tripled. Plaintiffs are also asking the court to stop the alleged anticompetitive practices.
How Do I Know If MultiPlan Priced My Claims?
Many providers do not know whether MultiPlan was involved in pricing their claims. A starting point is reviewing explanations of benefits, provider remittance advice, billing records, and payer communications for references to MultiPlan, Claritev, Data iSight, Viant, ProPricer, or MARS, all of which may appear in connection with out-of-network reimbursement pricing.
If you use a third-party billing company, it may also be able to help identify affected claims. Helpful records may include EOBs, remittance advice, billing reports, payer correspondence, and NPI information. Providers do not need to identify every affected claim before speaking with an attorney.
Claims involving MultiPlan’s out-of-network reimbursement practices may reach back as far as 10 years. Many healthcare practices that operated out-of-network with major insurers during that period may have viable claims for alleged underpayments.
Will Filing a Lawsuit Affect My Ability to Collect Payment?
Filing a lawsuit does not change your legal right to seek payment for services already provided, nor does it automatically alter existing agreements governing out-of-network claims. The litigation seeks compensation for alleged past underpayments and is not intended to interfere with current billing operations.
Contact Ghuneim Law Firm to Evaluate Your MultiPlan Claim
If your Texas healthcare practice provided out-of-network services to patients covered by major insurers, you may have a claim in the MultiPlan litigation. The alleged underpayments may have affected years of reimbursements, and you should not have to determine the value of your claim alone.
Ghuneim Law Firm is accepting MultiPlan cases on a contingency fee basis. Contact us today to start your free case evaluation.
Frequently Asked Questions About MultiPlan Litigation
Is there a deadline to file a MultiPlan claim?
The MDL is actively moving forward, and providers may be able to file as individual Direct Action Plaintiffs now. Because timing may depend on claim history, applicable limitations periods, and litigation deadlines, providers should speak with an attorney promptly.
Can providers sue MultiPlan and the insurers?
Providers may have options, including pursuing claims against MultiPlan, participating insurers, or both. The right approach depends on the provider’s claims history and legal strategy.
Does my specialty affect whether I may qualify?
It can. Some specialties may have more frequent out-of-network claims or clearer exposure to MultiPlan pricing tools, but many different provider types may qualify for review.