Elevance Health lawsuit – tracking court filings and verdict

Elevance Health is seeking at least $160 million in damages from autism-therapy provider The Perfect Child to recover payments for allegedly inflated insurance claims 135. The insurer filed the lawsuit in New York state court on November 4, 2026, alleging the provider used more than 100 shell companies to bypass in-network rate agreements 15. Elevance claims the provider billed $800 million at out-of-network rates between 2021 and March 2026, charging up to $1,700 per hour for services contracted at approximately $400 per hour 5.

A separate federal class-action lawsuit filed November 5, 2026, in the U.S. District Court for the Eastern District of New York alleges the provider engaged in predatory balance billing and deceptive practices 2. One family cited a $364,000 bill for a single child's care, while other families reported bills reaching $1.48 million 2.

A defendant’s answer or motion to dismiss entered in New York state court would respond to the $160 million claim. A trial date set by the court or a case resolution via settlement or summary judgment would conclude the litigation. The public disclosure of a final judgment or settlement amount would establish the total financial recovery.

An official statement from the FBI or the U.S. Department of Justice would clarify the status of the investigation into the provider's billing practices 710. Findings released by the U.S. House Committee on Education and the Workforce would detail the results of the congressional inquiry into the company's insurance claims 2.