John Doe and Jane Doe, et al. v. Partners Healthcare System, Inc., et al.

Case No. 1984CV01651-BLS1

The Suffolk Superior Court in the Commonwealth of Massachusetts

If you received a personalized notice in the mail or via email with a Notice ID and Confirmation Code, please enter the codes you were provided below.

Please remember to enter the full Notice ID exactly as it appears on your personalized Notice, (i.e. ABC12345678).

Deficiency Reasons

You failed to submit a response to the following statements:

Please answer the statements on the claim form below:

I. Claimant Information:

Please review the following information. If needed, you may update below.

* Required Fields

Please select one of the following payment options:

I am/was a Patient of the Defendants between May 23, 2016, and July 31, 2021.

I visited the Informational Websites between May 23, 2016, and July 31, 2021.

I was a resident of Massachusetts between May 23, 2016, and July 31, 2021.

I received medical care in Massachusetts from one or more of Defendants between May 23, 2016, and July 31, 2021.

The final amount per class member will depend on the total number of valid claim forms received, but will not exceed $100.
III. Certification:

I certify and affirm that the information I am providing is true and correct to the best of my knowledge and belief, I am over the age of 18 and I wish to claim my share of the Settlement Fund. (If you are under the age of 18, please see FAQ #11)

Your Deficiency Response has been submitted successfully.

HOWEVER, it appears one or more of the documents you uploaded were not successfully received. Please see below for which file(s) had errors and log back in to your existing Claim online to re-upload your document(s). Alternatively, you can send your documents with your Submitted Claim ID to the Settlement Administrator by email to:

Please print this page for your records.

If you provided an email address, you will receive an email confirmation with the information below.

Your Claim Details

Submitted Notice ID:
Confirmation Code:
You will need the above Submitted Notice ID and Confirmation Code if you would like to edit your Claim at a later time, so please print this page for your records.
First Name
Middle Initial
Last Name
Street Address
Zip Code
Email Address
Telephone Number

If you have any questions regarding your Claim, please provide the Submitted Notice ID listed above and email us at