Physicians who filed claims under the Wellpoint/Anthem settlement will soon begin receiving their checks. The pro rata share of the settlement is $174 for active physicians and $284 for retired physicians. Physicians will be paid based on the total three-year volume of Wellpoint/Anthem claims they submitted, as they indicated on the claim form they filed last fall. Physicians with less than $5,000 in Wellpoint/Anthem claims receive one share; those with $5,000 to $49,999 receive five shares; and those with $50,000 or greater receive ten shares.

Of even greater significance is the settlement’s prospective relief, which is valued at more than $250 million. Wellpoint/Anthem has made a binding commitment to change the way it does business with physicians and to put a stop to the underhanded business practices that were used to deny or delay payment to physicians for legitimate claims. These changes are expected to result in increased predictability and speed of claims payment, creating significant value for physicians by reducing time-consuming and costly administrative burdens.

This settlement is the direct result of CMA advocacy and demonstrates the tremendous strength of CMA and its membership.

For more information on CMA's RICO lawsuit, settlement agreements, and compliance dispute resolution, see the RICO Resource Center.

Contact: CMA’s legal information line, 415/882-5144 or legalinfo@cmanet.org.