What is the MultiPlan / Claritev scheme?

Lawsuits allege MultiPlan (now Claritev) used a repricing algorithm, on behalf of insurers, to systematically cut out-of-network provider reimbursements below billed charges while the insurer kept the difference and never disclosed MultiPlan's involvement.

Who can pursue a claim?

California out-of-network healthcare providers — independent physicians (MD/DO), specialists, surgical centers and ASCs, labs and diagnostics, and group practices — whose reimbursements were reduced may be eligible. We review your situation at no cost.

How do I know if I was affected?

If you billed commercial insurance out-of-network and were paid significantly less than your billed rate without a clear, agreed basis, your claims may have been repriced. Your billing and remittance records help establish the claim.

What does it cost to talk to Keosian Law LLP?

Nothing. The consultation is free and confidential. No attorney fees or costs unless we recover for you.

Are you guaranteeing a recovery?

No. No outcome is guaranteed. Every claim depends on its facts, the records, and the applicable law. Our review is investigative.

Do I need to have appealed my underpaid claims first?

Not necessarily. Prior appeals and the responses you received can be useful evidence, but a review can begin with the remittance records you already have.

Is this only for large practices?

No. Solo practitioners and small groups with meaningful out-of-network billing may be affected. The review looks at your own payment history, regardless of practice size.

Will pursuing a claim affect my relationships with payers?

That is a fair concern and one we discuss during the confidential consultation. Every decision about whether and how to proceed is yours.

MultiPlan / Claritev Repricing

California healthcare providers whose out-of-network reimbursements were quietly slashed by MultiPlan (now Claritev) repricing may be owe...

California

Claims may be time-sensitive — deadlines may apply

If you were affected by the MultiPlan / Claritev Repricing, contact our legal team immediately to protect your rights.

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Case Overview

What Happened

The MultiPlan / Claritev Repricing case involves serious harm caused by negligence or corporate wrongdoing. Our legal team is investigating claims on behalf of affected individuals.

Who Is Affected

Individuals, families, and businesses who suffered damages may be eligible to pursue compensation through this coordinated legal action.

Why It Matters Legally

Holding responsible parties accountable requires aggressive legal representation. Our attorneys are building cases to secure maximum compensation for victims.

MultiPlan — now rebranded as Claritev — is a data analytics company hired by major commercial insurers to reprice out-of-network claims. Rather than determining fair market rates, lawsuits allege MultiPlan used a proprietary algorithm to systematically reduce provider reimbursements, often far below billed charges, while insurers kept the savings and never disclosed the third party's role. Federal lawsuits and active MDL proceedings allege this amounts to a coordinated scheme to underpay out-of-network providers. California physicians, specialists, surgical centers, labs, and group practices with significant out-of-network volume represent a large and eligible plaintiff pool. Keosian Law LLP is reviewing provider claims at no cost. No outcome is guaranteed and our review is investigative only.

How the Alleged Repricing Works

When a provider treats a patient whose plan has no contract with that provider, the insurer may send the claim to a third-party repricer instead of paying a negotiated or usual-and-customary rate. Lawsuits allege that MultiPlan's tools allowed competing insurers to rely on shared pricing data, producing reimbursement figures that tracked one another rather than the real market value of the care. Providers frequently received an explanation of benefits showing a large "allowed amount" reduction with little explanation, and appeals rarely changed the outcome.

Who Is Affected in California

The providers most often affected are those with significant out-of-network volume: independent physician practices, ambulatory surgery centers, anesthesia and emergency groups, behavioral health programs, laboratories, and imaging centers. Patients can also be affected when underpayment leads to balance bills or reduced access to out-of-network care.

Records That Help a Review

Remittance advice (EOBs/ERAs), billed-versus-paid reports, any repricing or "negotiation" letters, appeal correspondence, and payer contracts or the lack of them are the core documents. Our team reviews these records to identify patterns of reductions across payers and time periods. California statutes of limitation and contractual appeal deadlines may apply, so early review matters. Keosian Law LLP's review is investigative and does not guarantee any recovery.

Do You Qualify?

You may be eligible for the MultiPlan / Claritev Repricing litigation if you meet any of the following criteria:

You are or were an out-of-network provider billing commercial insurance in California. You received reimbursements reduced below your billed rate without a clear explanation. You were not told that MultiPlan or Claritev repriced your claims. Your practice has meaningful out-of-network volume over recent years (specialists, surgical centers, labs, group practices). Call (866) 222-2020

What You May Be Owed

Those affected by the MultiPlan / Claritev Repricing may be entitled to compensation for a range of losses, including:

The difference between billed charges and repriced reimbursements.

Systematic underpayment across multiple claims and multiple years.

Lost practice revenue tied to out-of-network repricing.

Building a Strong Claim

Steps to Take Right Now

1
Gather your billing records, remittance advices (EOBs), and reimbursement data.
2
Identify claims paid well below your billed rate without a clear basis.
3
Do not sign releases or accept settlements before a review.
4
Request a free, confidential provider claim review from Keosian Law LLP.

What Strengthens Your Claim

Photos and videos of the damage
Insurance policy and correspondence
Medical records and bills
Repair estimates and contractor invoices
Financial records showing losses
Government reports or investigation findings

Common Insurer Tactics

Delaying claims processing to pressure settlements
Undervaluing property damage assessments
Denying coverage based on policy technicalities
Requiring excessive or redundant documentation
Offering lowball settlements before full damages are assessed
Misrepresenting policy terms or coverage limits

Case Timeline

Case Filed Invalid Date Investigation Litigation Trial / Claims Resolved Case Filed CURRENT Invalid Date Investigation Litigation Trial / Claims Resolved

Why Keosian Law

We take on the cases others won't — and we prepare every one for trial.

Trial-Ready Preparation

Every case is prepared as if it will go to trial. Insurance companies know we mean business.

Selective Case Intake

We only take cases we believe in. When we take yours, we commit fully to winning.

No Fees or Costs Unless We Recover

No attorney fees or costs unless we recover for you.

Your Legal Team

Harout G. Keosian

Founding Partner

Melkon R. Melkonian

Managing Attorney and Partner

Zareh Jack Keosian

Partner

Meet Our Full Legal Team

Frequently Asked Questions

Still have questions?

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Related Cases & Resources

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No obligation. Completely confidential. Our attorneys will evaluate your case at no cost.

(866) 222-2020

See If You Qualify

Step 1 of 3

A few quick questions

Are you (or were you) an out-of-network provider billing commercial insurance in California?

Were your reimbursements reduced below billed charges without a clear explanation?

Were you never told that MultiPlan or Claritev repriced your claims?

Please answer 3 more questions to continue.

Free and confidential. Contacting Keosian Law LLP does not create an attorney-client relationship. No outcome is guaranteed.