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The HIPAA Journal is the leading provider of HIPAA training, news, regulatory updates, and independent compliance advice.

Business Associate Data Breach Affects 462,000 Blue Cross Blue Shield of Montana Members

Approximately 462,000 current and former customers of Blue Cross Blue Shield of Montana (BCBSMT) have been affected by a cyberattack on its New Jersey-based business associate, Conduent Business Services. Conduent Business Services provides BCBSMT with payment, document processing, and other back office services, which require access to BCBSMT members’ protected health information. On January 13, 2025, Conduent Business Services identified a security incident that caused operational disruption – terminology typically used to describe a ransomware attack.

Conduent Business Services was able to restore access to the affected systems and return to normal business operations within a few days. The investigation confirmed unauthorized access to its IT environment commencing on October 21, 2024, and lasting for almost three months. During that time, files were exfiltrated from its network. On April 9, 2025, Conduent Business Services disclosed the cyberattack in a filing with the U.S. Securities and Exchange Commission (SEC). At the time, it was unclear exactly how many individuals had been affected.

On October 8, 2025, Conduent Business Services notified the California Attorney General about the data breach, which reportedly affected approximately 4.3 million individuals. It is unclear how many of the company’s clients were affected by the breach, and if the breach affected any other HIPAA-covered entity clients. The breach is not currently listed on the HHS’ Office for Civil Rights website.

BCBSMT notified the Montana State Auditor’s Office about the data breach in early October, almost one year after the breach was first detected by its business associate. BCBSMT claims to have been notified that it was affected earlier this year and has been conducting its own investigation and reviewing the affected data. The review was not completed until September 23, 2025. The BCBSMT data breach is not listed on the OCR breach portal, although the breach portal has not been updated by OCR since September 24, 2025, due to the government shutdown. The Montana State News Bureau learned about the data breach after submitting a records request. The obtained documents indicate that up to 462,000 Montanans have been affected, and that the compromised information included names, birth dates, Social Security numbers, treatment and diagnosis codes, provider names, and claims amounts.

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The Montana Commissioner of Securities and Insurance has launched an investigation to determine if there has been a violation of state data breach notification laws, which require individuals to be notified about a data breach in a timely manner. Breached entities must also notify the Department of Justice about a data breach without unreasonable delay, but there is currently no listing on the DOJ consumer protection website about the data breach. The state auditor is seeking answers to questions about the data breach and has requested a copy of its privacy and security policies. Should BCBSMT be determined to have failed to comply with state laws, financial penalties may be imposed.

Author: Steve Alder is the editor-in-chief of The HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

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