Blue Cross Blue Shield of Texas v. HaloMD, LLC
E.D. Tex. → 5th Cir. · Updated
Summary
BCBS of Texas alleged that IDR vendor HaloMD submitted ineligible claims to the federal IDR process and sought damages for the resulting awards. On May 22, 2026, the Eastern District of Texas granted HaloMD's motion to dismiss, finding the NSA bars review of IDR eligibility determinations and the claims were an impermissible collateral attack on the awards. BCBSTX appealed to the Fifth Circuit the same day.
Timeline of rulings
- 5th Cir.
Appellant's opening brief filed; appeal pending.
- E.D. Tex.
Motion to dismiss granted; NSA forecloses judicial review of IDR eligibility determinations outside vacatur, and the damages claims are an impermissible collateral attack on the IDR awards.
Read the ruling - E.D. Tex.
Notice of appeal to the Fifth Circuit filed.
Read the ruling
Why it matters
The decision extends the line of rulings that confine payer challenges to the FAA vacatur route. The Fifth Circuit appeal may produce the first appellate ruling on payer fraud suits against IDR vendors in that circuit.
Related insights
Sources
General information only, not legal advice. Verdict Consulting Group is not a law firm.