Open for claimsHealthcare / medical records feesCiox Maryland medical records settlement: organization claims due December 4
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Law firms can claim for eligible unreimbursed fees they paid Ciox on behalf of clients for Maryland medical records. Certain copying services and insurers can claim for unreimbursed “No Records Found” fees. The administrator’s current form accepts organization claims online or by first-class mail postmarked by December 4, 2026.
The $4.5 million proposed settlement provides an initial allocation of $45.76 per approved invoice. The final amount may increase or decrease. Individuals who paid Ciox directly or reimbursed a lawyer have a separate notice and filing period. December 4 is the organization deadline.
Key facts
- Current deadline
- December 4, 2026 for law firms and qualifying copying services and insurers
- Covered fee period
- October 1, 2016 through July 11, 2025
- Settlement fund
- $4.5 million common fund
- Payment
- Initially $45.76 per approved invoice, subject to adjustment and court approval
- Individual claims
- Separate Phase II notice and deadline, within 60 days after final approval
- Court case
- Ayers, et al. v. CIOX Health, LLC, No. 8:24-cv-2208-ABA, U.S. District Court for the District of Maryland
Official settlement administrator: Strategic Claims Services
Evidence for key facts
These excerpts record what official sources said when checked. Open a fact to see its source and supporting passage. Follow the source for the latest information.
Claim statusChecked
This Common Fund will be used to make payments to all Settlement Class Members who file valid Claims.
Official settlement homepageOfficial public page — settlement overview
Claim statusChecked
You must be associated with the Law Firm, insurer, or copying service to whom a Class Notice was addressed, and the Law Firm, insurer, or copying service must be listed as a potential Class Member on the Ayers, et al. v. CIOX Health, LLC Class Member List.
Official Phase I claim form and instructionsOfficial public page — organization eligibility instructions
Who qualifiesChecked
All Individuals and Law Firms (which shall include solo practitioners) who, between October 1, 2016 and July 11, 2025, sought copies of Medical Records from a Maryland health care provider, or had their Medical Records requested by some other person pursuant to their authorization and were charged and paid (but, with respect to the Law Firms, not otherwise reimbursed): (1) a fee of any type by CIOX, after it was determined that no such Medical Records existed (the “No Records Found” or “NRF” Fee); or (2) fees for requests where Medical Records were retrieved, copied and produced but the amounts charged and collected were greater than the per- page rates or aggregate caps permitted by Health-Gen § 4-304(c)(3) (i) and (iii)(2), as adjusted annually in accordance with the Consumer Price Index; or (3) one or more of the following fees: Retrieval Fee, Sales Tax, Electronic Delivery Fee, Certification Fee.
Signed preliminary approval order, docket 73PDF page 2 — certified class §3, eligible fees
Who qualifiesChecked
Excluded from the Settlement Class are those individuals who now are or ever have been CIOX executives and the spouses, parents, siblings and children of all such individuals. 4. The Settlement Class also excludes all employees, officers and directors of CIOX and all employees of the Court.
Signed preliminary approval order, docket 73PDF page 2 — §§3–4 exclusions
Who qualifiesChecked
For purposes of this Settlement, the use of the term Law Firm shall also include any copying service or insurance company that made a request for Medical Records for an Individual pursuant to an authorization in connection with a copying or insurance -related matter, respectively, to the extent that such copying service or insurance company was charged an NRF Fee.
Court-authorized long-form noticePDF page 6 — eligible insurers and copying services
Payment and benefitsChecked
Based upon the estimated number of persons who fit the Class definition, and the expected claims rate, it is anticipated that each Approved Claimant will receive a payment of approximately $45.76 (a “Settlement Payment”). Ultimately, the amount paid will depend upon the number of valid claims submitted by Approved Claimants.
Court-authorized long-form noticePDF page 7 — §9 estimated amount
Payment and benefitsChecked
Thus, the Parties agree that under Scenario 1, the final Settlement Payment shall ultimately be $45.76 per claim or less; and under Scenario 2, the final Settlement Payment per claim shall ultimately be $45.76 PLUS any additional amounts calculated under Paragraph 27(f)(ii)(C).
Filed settlement agreementPDF page 19 — §27(f) payment calculation
Proof requirementsChecked
In addition, for each transaction for which a Settlement Class Member is seeking a Settlement Payment: (i) Individuals shall affirm that they paid (or reimbursed another Person for) the Eligible Fee(s); and (ii) Law Firms shall affirm that they paid the Eligible Fee(s) to CIOX during the Class Period but the fee was not otherwise reimbursed.
Filed settlement agreementPDF page 16 — §27(c) required affirmations
Proof requirementsChecked
If the copying service does not provide the requested documentation with fifteen (15) days of the request, the Settlement Administrator shall disallow the claim(s).
Filed settlement agreementPDF page 18 — §27(e)(ii) backup documentation
Proof requirementsChecked
Please enter your Class Member Verification Code and PIN to continue
Official Phase I claim form and instructionsOfficial public page — verification code and PIN
Claim deadlineChecked
MAIL the completed Claim Form by First-Class U.S. Mail, postage prepaid, postmarked no later than December 4, 2026 , to: Ayers, et al. v. CIOX Health, LLC Class Action Settlement c/o Strategic Claims Services P.O. Box 230 600 N Jackson St, Suite 205 Media, PA 19063
Official Phase I claim form and instructionsOfficial public page — Phase I first-class mailing instructions
Claim deadlineChecked
If you do not complete and electronically submit or mail the Claim Form by December 4, 2026, you cannot receive any payment from the Settlement.
Official Phase I claim form and instructionsOfficial public page — Phase I electronic and mail deadline
Claim deadlineChecked
Any Individual Settlement Class Member seeking a payment from the Common Fund shall submit a claim form, either in paper form (which may be submitted either by mail or via facsimile transmission) or through the Settlement Website within sixty (60) days after Final Approval (the “Claims Period”).
Filed settlement agreementPDF page 16 — §27(b) individual deadline
Claim statusChecked
Law Firms on the Class Member List may submit Claims Forms beginning as soon as the Phase 1 Date of Notice. All other Individuals on the Class Member List may submit Claim Forms beginning as soon as the Phase 2 Date of Notice.
Filed settlement agreementPDF page 17 — §27(d) phased claim opening
Claim deadlineChecked
For Law Firms, eligible copying services, and eligible insurers, the deadline for filing a Claim is December 4, 2026. For individuals, the deadline for filing a Claim is no later than May 22, 2027 or 60 days after the date of the Final Approval.
Court-authorized long-form noticePDF page 8 — §11 distinct claim deadlines
Payment and benefitsChecked
If the Court approves the Settlement, and there is no appeal, the Settlement Administrator will send payments to Settlement Class Members who have filed valid and completed claims on a date that is the later of forty-five (45) days after: (1) the Effective Date; or (2) the Claims Deadline.
Court-authorized long-form noticePDF page 8 — §12 payment timing
Who qualifies
- The court’s class covers individuals and law firms, including solo practitioners, who requested records from a Maryland healthcare provider or authorized someone else to request their records. An eligible Ciox fee must have been charged and paid between October 1, 2016 and July 11, 2025. The location of the healthcare provider matters.
- Law firms must have paid the fee on behalf of an individual and remained unreimbursed. Eligible charges include any fee charged after Ciox determined no records existed; fees for records produced above the annually adjusted per-page rates or aggregate caps in Maryland Health-General § 4-304(c)(3)(i) and (iii)(2); and retrieval fees, sales tax, electronic delivery fees or certification fees.
- The settlement includes certain copying services and insurers in the law-firm category only when they requested records with the individual’s authorization for a copying or insurance matter and paid an unreimbursed No Records Found fee. An attorney need not have been involved in that request.
- The current online form requires the filer to be associated with a listed organization that received notice. An individual can qualify if they directly paid an eligible fee or reimbursed someone who paid it on their behalf. Individual claims begin with the separate Phase II notice.
- The court excludes current and former Ciox executives and their spouses, parents, siblings and children, Ciox employees, officers and directors, and court employees. People who properly exclude themselves from the settlement do not receive a payment.
How organizations can file a Ciox Maryland claim
- 1
Check the notice and each invoice
Find your organization’s verification code and PIN for the online form. Match each eligible fee to its medical-records request. Several qualifying fees on a single invoice count as one claim. Contact Strategic Claims Services at 866-274-4004 if you are unsure whether your organization is on the class list.
- 2
Confirm who paid
Provide the required name, mailing address, email and phone number. Identify eligible transactions and affirm that your organization paid the fee and did not receive reimbursement. A law firm may provide contact information for clients who reimbursed it so those clients can receive notice. The public form describes this step as encouraged.
- 3
Submit by December 4, 2026
File online through the official organization claim form, or send the completed form by prepaid first-class U.S. mail postmarked by December 4 to Ayers, et al. v. CIOX Health, LLC Class Action Settlement, c/o Strategic Claims Services, P.O. Box 230, 600 N Jackson St, Suite 205, Media, PA 19063. The administrator can mail you a paper form. Keep your confirmation or mailing record.
- 4
Respond to verification requests
The administrator reviews claims for eligibility, completeness and duplicate invoices. A copying service must provide requested supporting documentation within 15 days or its affected claims will be disallowed. If an individual and a law firm claim the same transaction, the agreement presumes the individual paid unless the law firm establishes otherwise.
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Frequently asked questions
How much might an approved claim receive?
The initial allocation is $45.76 per approved invoice. The administrator reduces payments proportionately if available funds are insufficient. If funds remain, part can go toward administration costs under the agreement and the remaining amount can increase payments. Attorneys’ fees and expenses require court approval. No fixed amount is guaranteed.
Can my organization claim multiple invoices?
Yes. It may claim separately for eligible unreimbursed fees on distinct medical-records requests, with at most one approved claim for each invoice. It may not claim a fee a client reimbursed.
When can individuals file?
Individuals have their own Phase II notice and may file starting on that notice date. During their phase, individuals may file through the official website, by paper mail or by fax. For each invoice they claim, they must affirm they paid the eligible fee or reimbursed someone who paid it on their behalf. The signed agreement sets their deadline within 60 days after final approval. The long-form notice lists May 22, 2027 or 60 days after final approval, and the fairness hearing is currently scheduled for March 23, 2027. The court has not yet established an actual final approval date. Contact the administrator about the individual form and current timing. The December 4, 2026 deadline and current online form apply to organizations.
When will payments be sent?
The settlement must receive final court approval and become effective. The notice describes payments after the later of the effective date and the claims deadline, with a 45-day payment period. Appeals may delay payment.
What rights are affected?
Class members who remain in the settlement release covered medical-records fee claims against Ciox and the healthcare providers it represented, even if they do not file for payment. Review the long-form notice and agreement for the full release and separate deadlines.
Sources and official records
Consult these records for the official terms and current updates. ClaimBee's summary helps explain the settlement; the administrator and court documents determine the claim requirements and benefits.
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