For Hospital CFOs & Revenue Cycle Leaders

Recover The Out-Of-Network Revenue Insurers Underpaid You

For years, out-of-network claims repriced through MultiPlan’s algorithms — Data iSight and Viant — were allegedly paid far below fair value. A federal court has cleared the way for providers to pursue those underpayments directly. Our team helps you find out whether you’re affected and connects you with the legal team recovering it.

  • Direct-action plaintiff
  • DOJ-supported antitrust case
  • No class-action wait
  • Free eligibility review
RECOVERABLE UNDERPAYMENT PAID AFTER REPRICING $1 OF EVERY DOLLAR YOU BILLED

MultiPlan repricing paid roughly 60¢ on the dollar — the remaining ~40¢ is the revenue now in dispute.

How the underpayment happened

You billed fairly. An algorithm decided otherwise.

When you treated an out-of-network patient, your claim didn’t go straight to a fair-value review. Plaintiffs in the consolidated litigation allege it was routed through MultiPlan’s repricing tools, which set a below-market rate that the insurer then paid.

01

You billed your charges

Out-of-network care was delivered and billed at your standard charges.

02

The insurer repriced it

The claim was routed to MultiPlan to be “repriced” rather than paid at fair value.

03

An algorithm set the rate

Tools like Data iSight and Viant allegedly produced a coordinated, below-market number.

04

You were underpaid

You collected a fraction of billed value — and wrote the rest off as a loss.

Plaintiffs allege this functioned as an industry-wide scheme to suppress out-of-network reimbursement — and the courts have allowed those claims to proceed.

Where the case stands

This isn’t a theory. It’s in active litigation.

Cases were consolidated into a single federal multidistrict litigation (MDL No. 3121, N.D. Illinois). The court has allowed the providers’ antitrust claims to move forward, and the case is now in active discovery.

~$19B
Alleged annual out-of-network underpayments industry-wide (2020)
~81%
Of U.S. out-of-network claims allegedly repriced through MultiPlan
DOJ
Antitrust Division filed a Statement of Interest supporting providers

Figures and characterizations reflect allegations in the consolidated litigation and public filings; they are not findings of liability, and outcomes are not guaranteed.

How it works

From underpaid to a filed claim — without the lift

Our team runs the front end: we help you determine whether you’re affected and quantify the exposure, then connect you to qualified counsel. You decide whether to proceed.

01

Review

Check whether your remittances reference MultiPlan, Data iSight, Viant, or MARS.

02

Quantify

Estimate your out-of-network underpayment across the claim period from your own revenue data.

03

Connect

We introduce you to qualified counsel for a free, no-obligation case evaluation.

04

Recover

If you qualify, pursue your own claim as a direct-action plaintiff.

Could this be you?

You may be eligible if…

A quick review tells you whether your claims fit the criteria. You won’t always know from an EOB alone — that’s exactly what the review is for.

You have out-of-network claims with major insurers (UnitedHealth, Aetna, Cigna, Elevance, BCBS…) Remittances reference MultiPlan, Data iSight, Viant, or MARS Out-of-network claims from 2017 to present You’re a hospital, health system, facility, or large practice You carry meaningful out-of-network volume
Built to be straightforward

Low risk to look. Your decision to act.

The review is designed to give you a clear answer with no cost and no commitment — and to keep you in control of every step.

DOJ-supported

The Department of Justice Antitrust Division filed a Statement of Interest backing providers’ claims.

No class-action wait

Pursue your own claim now as a direct-action plaintiff; you don’t wait on class certification.

Informational, not legal advice

Our team is not a law firm. We connect you with qualified counsel; the legal relationship is with them.

You stay in control

A free review tells you if you’re affected. Whether to proceed is entirely your call.

Your own damages

A direct action lets you pursue recovery based on your organization’s specific harm.

Confidential

Your information is handled confidentially throughout the review.

What’s at stake for a system your size

How the exposure is estimated

The estimate works from numbers you already know — your gross patient service revenue — and applies the same model used to size a claim. Here’s a worked example for a mid-size system.

Illustrative estimate — how the range is derived

Health system, ~$104M gross patient service revenue

52%
commercial payor share
×
7%
out-of-network via MultiPlan
×
60%
est. underpaid amount
×
~10 yrs
claim period
=
~$22M
est. potential claim
What it means

After applying the settlement assumptions, that ~$22M potential claim models to roughly $5M–$8M in estimated net recovery for a system this size — with the exact figure driven by your real out-of-network volume.

Where the inputs come from

The percentages mirror the damages model used to size these claims. Your actual numbers replace every assumption during the review, so the estimate reflects your data — not an average.

Illustrative model, not a prediction or quote. Actual exposure depends on your out-of-network volume, payor mix, the claim period, and case-specific facts, and is confirmed against your own data. Recovery is never guaranteed.

Find out what you may be owed

Request a free eligibility review. There’s no obligation — just a clear answer on whether your out-of-network claims were caught up in this, and what it could be worth.

How May We Help You?

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