Health care providers secure dismissal of RICO claims asserted by commercial health insurance company invoking No Surprises Act

Client(s) Health care provider

Jones Day represented several health care providers and other entities in their defense against claims asserted by Anthem Blue Cross Life and Health Insurance Company that the defendants caused the submission of claims to the No Surprises Act's Independent Dispute Resolution process that were ineligible, and that those claims created liability under the federal civil RICO statute and other theories. The case is one of several related cases brought in federal courts around the country. Jones Day filed a motion to dismiss on behalf of its clients asserting numerous threshold flaws with the complaint, including that it ran afoul of the No Surprises Act’s judicial review bar. As the first federal court to address the motions to dismiss in these cases, the court granted the defendants’ motions to dismiss, and dismissed the case with prejudice and without leave to amend. The defendant has filed an appeal, which is currently pending.

Anthem Blue Cross Life and Health Insurance Company v. HaloMD LLC, No. 8:25-cv-01467 (C.D. Cal.)