Advanced Vascular Associates v. Horizon Blue Cross Blue Shield of New Jersey

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA ADVANCED VASCULAR ASSOCIATES, , Case No. 2:25-cv-05068-JDW v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, . MEMORANDUM Congress enacted the No Surprises Act, 42 U.S.C. § 300gg-111, to take patients out of billing disputes between insurers and out-of-network providers. The statute sets up a detailed process to resolve those disputes, which ends in a binding determination of what the insurer must pay. This case raises the question of what happens when an insurer doesn’t honor its statutory obligation. Although…