Becker’s Payer Issues: Elevance Mental Health ‘Ghost Network’ Lawsuit to Move Forward, Judge Rules
April 2, 2026
In “Elevance Mental Health ‘Ghost Network’ Lawsuit to Move Forward, Judge Rules” (Becker’s Payer Issues, April 02, 2026), Becker’s Payer Issues discusses the class action lawsuit filed against Carelon Behavioral Health accused of misleading beneficiaries seeking mental health services by pushing ghost networks, or inaccurate provider directories. Three plaintiffs sued the company on behalf of more than 1 million Carelon patients through the Empire Plan in the New York State Health Insurance Program (NYSHIP).
In August 2025, Carelon filed a motion to dismiss all the claims. On March 31, 2026, the judge ruled that the case would move forward, although he dismissed the breach of contract claims. The claims of deceptive business practices, false advertising, fraud, and unjust enrichment remain in dispute.
The plaintiffs in this matter are represented by Pollock Cohen LLP partner Steve Cohen and co-counsel, Walden Macht Haran & Williams LLP partner Jake Gardener.
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Elevance Mental Health ‘Ghost Network’ Lawsuit to Move Forward, Judge Rules | Becker's Payer Issues
