Ciox Health $4.5M Medical Records Fee Class Action Settlement

Danielle Toth

Editor

Published

November 4, 2026 1:00 PM

Updated

November 4, 2026

Who can file a claim?

The settlement class includes individuals and law firms (including solo practitioners), as well as certain copying services and insurers, who, between Oct. 1, 2016, and July 11, 2025:

Requested copies of medical records from a Maryland health care provider or whose records someone else with their authorization requested
Paid (and, for law firms, did not receive reimbursement for) one or more of the following eligible fees:

Any fee Ciox charged after it determined no medical records existed (the “no records found” or “NRF” fee)
Fees for requests where Ciox produced records but the amounts charged exceeded the per-page rates or aggregate caps set by Maryland law
One or more of the following fees: retrieval fee, sales tax, electronic delivery fee or certification fee

For law firms, copying services and insurers, claims are only eligible if the class member paid the fee on behalf of an individual and did not receive reimbursement. If a law firm paid multiple NRF fees for different clients and did not receive reimbursement, it can file a claim for each transaction.

Individuals can submit a claim for fees they paid directly or reimbursed to their lawyer. The settlement considers each invoice with an eligible fee a separate claim.

How much can class members get?

The settlement allocates $45.76 per eligible transaction. The settlement administrator may adjust the final amount depending on the total number of valid claims submitted.

How to claim a settlement payment

To receive compensation, class members must submit a claim form for each eligible invoice. They can submit the online claim form or request a paper claim form from the settlement administrator by calling 866-274-4004. Class members should mail completed paper forms to the settlement administrator.

Settlement administrator's mailing address: Ayers, et al. v. Ciox Health LLC, c/o Strategic Claims Services, P.O. Box 230, 600 N. Jackson St., Suite 205 Media, PA 19063

Law firms, eligible copying services and eligible insurers must file claims by Dec. 4, 2026.
Individuals must file claims by May 22, 2027, or 60 days after the final approval date, whichever is later.

The settlement encourages (but does not require) law firms to provide last-known contact information for clients who reimbursed them for eligible fees.

Is proof or documentation required to submit a claim?

Claimants must affirm that they paid or reimbursed the eligible fee for each transaction but do not need to provide supporting documentation unless the settlement administrator requests it in case of inconsistencies or for copying services.

Individuals: Affirm payment or reimbursement of eligible fee
Law firms: Affirm payment of eligible fees not reimbursed
Copying services: May be asked for backup documentation

Payout options

The settlement administrator will mail payments to the address provided on the claim form. Class members must cash their checks within 180 days of issuance

$4.5 million settlement fund

The $4.5 million settlement fund will cover payments to class members, attorneys’ fees and costs, incentive awards for class representatives and administrative costs. The fund is non-reversionary, meaning the settlement administrator will distribute any remaining funds after payments to cy pres recipients.

Attorneys' fees: Up to $1,500,000
Attorneys' costs: To be determined
Service awards to class representatives: $7,500 each for seven representatives ($52,500 total)
Payments to eligible class members: Remainder of the fund

Ciox Health will pay settlement administration costs separately .

The settlement administrator will donate any unclaimed funds after 180 days to Public Justice Inc., Health Care for the Homeless and Economic Action Maryland.

Important dates

Deadline to file a claim (law firms, copying services and insurers): Dec. 4, 2026
Fairness hearing: March 23, 2027
Deadline to file a claim (individuals): May 22, 2027

When is the Ciox Health LLC settlement payout date?

The settlement administrator will send payments to approved claimants after the court resolves any appeals and grants final approval to the settlement..