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AdaptHealth Corp., a major U.S. provider of home healthcare equipment, has tentatively settled a class action lawsuit alleging that patients were overcharged for returned or fully paid medical supplies, according to a recent North Carolina court order. The settlement follows months of mediation between the company and the lead plaintiff, Jerry Ray.

U.S. District Judge Thomas D. Schroeder approved a pause on case management deadlines, allowing the parties three weeks to file either a status report or a notice of a finalized written settlement agreement. The temporary hold is intended to give AdaptHealth and Ray time to finalize the settlement terms, which are still under active negotiation.

The lawsuit, originally filed in October 2022, claimed that Pennsylvania-based AdaptHealth and its subsidiaries violated state and federal debt collection laws by billing patients for equipment that had already been returned or fully paid for. AdaptHealth has largely denied the allegations but engaged in mediation sessions in November 2025 and January 2026 that led to the tentative resolution.

According to the joint motion filed by the parties, the settlement would fund an amount to resolve the claims brought by the putative class, contingent on the court’s approval. The plaintiffs’ counsel emphasized that the mediation process proved successful in bringing both sides closer to an agreement without further litigation.

The proposed class is represented by Richard J. Keshian and Chad D. Hansen of Kilpatrick Townsend & Stockton LLP, while AdaptHealth is represented by Christopher J. Blake of Cranfill Sumner LLP and D. Martin Warf of Nelson Mullins Riley & Scarborough LLP.

If approved, the settlement could bring relief to patients who allege they were wrongfully overbilled, while allowing AdaptHealth to avoid further protracted litigation and potential reputational harm. Analysts note that class action settlements like this can set precedents for how medical equipment providers handle billing disputes and regulatory compliance in the healthcare sector.

The case, Ray v. AdaptHealth Corp. et al., is filed under case number 1:22-cv-00898 in the U.S. District Court for the Middle District of North Carolina.