Highmark Health Sues HaloMD Over Alleged Deceptive Practices in No Surprises Act Arbitrations

Highmark Health has filed a lawsuit against the medical billing firm HaloMD, alleging that the company utilized deceptive tactics and misleading data to secure favorable outcomes in federal arbitration proceedings. This legal action marks the fourth instance of an insurance provider challenging HaloMD’s practices under the No Surprises Act, a federal law designed to resolve payment disputes between insurers and out-of-network providers. The lawsuit specifically seeks to overturn previous arbitration decisions that favored HaloMD, claiming the firm manipulated the dispute resolution process.

The complaint centers on allegations that HaloMD employed a “sham letter” and provided inaccurate data to influence independent dispute resolution entities. Highmark Health contends that these actions compromised the integrity of the arbitration process, which is intended to determine fair reimbursement rates for medical services. By challenging these specific arbitration wins, the insurer aims to invalidate the resulting payment mandates. This litigation follows a pattern of similar complaints from other major health insurers, who have also raised concerns regarding the methods HaloMD uses to navigate the No Surprises Act’s regulatory framework.

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Date: June 3, 2026

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GOAI