Comprehensive OBGYN, PA v. Horizon Blue Cross Blue Shield of New Jersey

District Court, D. New Jersey

Comprehensive OBGYN, PA v. Horizon Blue Cross Blue Shield of New Jersey

Trial Court Opinion

NOT FOR PUBLICATION

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY

COMPREHENSIVE OBGYN, PA, Civil Action No. 25-12682 (SDW) (CF)

Plaintiff,

WHEREAS OPINION & ORDER v.

HORIZON BLUE CROSS BLUE December 18, 2025 SHIELD OF NEW JERSEY,

Defendant.

WIGENTON, District Judge. THIS MATTER having come before this Court upon Defendant Horizon Blue Cross Blue Shield of New Jersey’s (“Defendant”) Motion to Dismiss (D.E. 7 (“MTD”)) Plaintiff Comprehensive OBGYN, PA’s (“Plaintiff”) Complaint (D.E. 1 (“Compl.”)), and Plaintiff’s Cross- Motion to Confirm an Arbitration Award (D.E. 12); and WHEREAS Plaintiff initiated the instant lawsuit on July 2, 2025, asserting claims pursuant to and for violation of the No Surprises Act, 42 U.S.C. § 300gg-111 et seq. (Compl. at 6–8.) Plaintiff seeks to recover $17,127.88 in Independent Dispute Resolution (“IDR”) awards issued following IDR proceedings on October 7 and 24, 2024. (Id. ¶¶ 49, 53); and WHEREAS for the reasons so cogently expressed in Modern Orthopaedics of New Jersey v. Premera Blue Cross, No. 25-1087,

2025 WL 3063648

(D.N.J. Nov. 3, 2025), this Court concludes it lacks jurisdiction over the instant matter; therefore Defendant’s MTD and Plaintiff’s Cross-Motion are DENIED and Plaintiff’s Complaint is DISMISSED WITH PREJUDICE. SO ORDERED.

___/s/ Susan D. Wigenton_____ SUSAN D. WIGENTON, U.S.D.J.

Orig: Clerk cc: Parties Cari Fais, U.S.M.J.

Reference

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