Settled SimonMed

State of Arizona v. SimonMed Imaging MSO, LLC — upfront-billing settlement

Arizona Attorney General · Filed Jan 20, 2026

The Arizona Attorney General settled an investigation into SimonMed's upfront-billing and delayed-refund practices.

What was alleged

The Attorney General’s office alleged that SimonMed charged patients upfront based on “good-faith estimates” but delayed refunding overpayments — in some cases for more than a year — and did not proactively offer a pay-after-adjudication (“tokenization”) option.

Outcome

Resolved by consent judgment (announced January 2026): $50,000 in civil penalties, $20,000 in restitution, and $20,000 in costs and fees. SimonMed must issue refunds within an average of 60 days after claim adjudication and actively offer the tokenization option. The consumer-restitution complaint deadline was set for April 30, 2026.



Allegations in a filed case are unproven unless and until resolved by settlement or judgment. This page describes public filings and outcomes; it is not legal advice.

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