Mr. Katz has recovered millions of dollars for his health care clients on a variety of issues including disputes over UCR determinations, prompt pay and third-party billing company negligence. Many of these individual recoveries are in the tens of thousands of dollars range – a significant influx of cash to small medical practices.
Some of the larger, more recent, or unique recoveries are noted below:
$39 million class action settlement. Sutter v. Horizon Blue Cross Blue Shield Physician Class Action settlement. Under the settlement agreement, Horizon BCBSNJ has committed to implement significant business practice improvements related to physicians to increase transparency in payment of claims, reduce administrative overhead, and improve interactions between the health plan and physicians. These improvements will help enhance the efficiency and quality of the health care delivery system in New Jersey. Click here for article. 
return to top
$375,000- Prompt pay and UCR settlement with major commercial health insurers of unpaid and underpaid emergency services claims submitted by non-participating neurosurgical practice and spinal surgical practice.
return to top
$325,000- UCR settlement with major commercial health insurer of unpaid emergency services claims submitted by non-participating neurosurgical practice
return to top
$318,243- Prompt pay and UCR settlement with major commercial health insurers of unpaid and underpaid claims submitted by non-participating neurosurgical practice.
return to top
$317,000- Prompt pay and UCR settlement with major commercial health insurer of unpaid and underpaid claims submitted by non-participating neurosurgical practice.
return to top
$300,000- Confidential settlement on behalf of network dermatologist against major commercial carrier of unpaid and pended claims.
return to top
$275,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating neurosurgical practice.
return to top
$235,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating neurosurgical practice.
return to top
$220,000- Settlement of breach of contract and fraud action brought by a pediatric practice against a third-party billing company for failing to undertake appropriate follow-up with insurance companies on unpaid and improperly paid claims.
return to top
$200,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating neurosurgical practice.
return to top
$190,400- Settlement with Employee Welfare Fund of unpaid claims submitted by a neurosurgical practice.
return to top
$180,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating spinal surgical practice.
return to top
$175,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating spinal surgical practice.
return to top
$125,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating orthopedic surgical practice.
return to top
$115,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating orthopedic surgical practice.
return to top
$60,000- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating neurosurgical practice.
return to top
$48,750- UCR settlement with major commercial health insurer of underpaid claims submitted by non-participating neurosurgical practice.
return to top
$20,000- Settlement of breach of contract claims against major class action claims recovery service company for failing to assist medical practice in gathering and submitting documentation and proof of claim form to settlement administrator in order to maximize recovery from physician/managed care class action settlement.
return to top
Results may vary depending on your particular facts and legal circumstances. Because every case is different, the descriptions of awards and cases previously handled are not meant to be a guarantee of success.
