Blue Cross Blue Shield Provider Settlement

The Blue Cross Blue Shield Provider Antitrust Litigation represents the largest healthcare antitrust settlement in U.S. history, resolving claims that Blue Cross Blue Shield insurance entities restricted competition through market allocation and pricing practices. The resulting settlement covers millions of healthcare providers nationwide and required both a comprehensive notice program and robust claims administration infrastructure.

Direct and Indirect Notice Program

The complexity of the settlement required BrownGreer to reach a highly fragmented medical provider class, clearly communicate rights and deadlines, and support the intake and processing of a large volume of claims data.

Appointed as Settlement Notice Administrator in 2024, BrownGreer designed and executed a multi-channel notice strategy that combined direct outreach with digital and traditional media to ensure broad awareness across the medical provider community. The program directed Class Members to a centralized online platform where they could access information, submit claims, and monitor their participation.

Through a combination of email and postcard notice, 89.8 percent of the 3.3 million identifiable Class Members were reached, including 95 percent of the 1.3 million Class Members with known email addresses.

An indirect notice program further amplified reach through behavioral and geo-targeted online advertising, social media, professional associations, and earned media.

BrownGreer additionally communicated with nearly 100,000 Class Members who had started claims and not finished them to ensure that they were aware of the impending deadline to file.

AI-Assisted Claims Validation

In our role as claims processor, BrownGreer enabled secure online claim submission, organizing and structuring large volumes of provider claim data, and supporting ongoing communications related to claim status and required documentation.

The platform facilitated consistent handling of both facility and professional claims, reflecting the different reimbursement structures within the healthcare system.

As part of the ongoing claims monitoring process, which at one point involved receiving as many as 19,000 claims daily, BrownGreer identified and took measures to stem suspicious activity. Since first observing the potentially illegitimate claims, BrownGreer employed enhanced security measures on the settlement website and throughout the claim filing process to ensure that only legitimate Settlement Class Members’ claims were recognized.

This included deploying industry-leading Artificial Intelligence tools to provide initial flags on possibly fraudulent claims, with specially trained claims reviewers following up to verify legitimacy.

During the claims submission period, BrownGreer worked to counter the illegitimate activity through optimizing the process to encourage valid claims.

Claims Administration

Following final approval of the Settlement in 2025, BrownGreer was appointed as Claims Administrator. BrownGreer is responsible for:

• Issuing deficiency notices.
• Working with claimants to correct submissions.
• Issuing payments to eligible claimants.

As part of its duties, BrownGreer regularly reports to the Settlement Administrator, the Court, and the Parties.