Managed Care of North America: 8,627,242 individuals, May 2023.

OCR classifies the incident as a hacking or IT incident, with the breached information held in a network server. Hacking/IT Incident is the type recorded on 143 of the 226 Georgia filings (63%) and on 82% of all filings submitted in 2023. Network Server appears on 46% of Georgia filings.

A business associate is recorded as present on the filing, as it is on 34% of Georgia filings. At 8,627,242 individuals the breach is 1,649 times the Georgia median filing of 5,232 and 2,157 times the national median of 4,000 across all 7,884 filings. It is one of 149 filings on the register of one million or more individuals.

As of 28 August 2026 the case is listed in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.

Georgia's breach notification statute (Ga. Code 10-1-912) requires notice to affected residents in the most expedient time possible and without unreasonable delay. Its attorney general threshold: no general AG requirement (reporting agencies at 10,000+ residents). The HIPAA Breach Notification Rule ran alongside it: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery, which is the clock that put this filing on the portal.

Multiplying 8,627,242 individuals by IBM's $160 customer-PII cost per record (Cost of a Data Breach 2025, the figure the site's calculator uses) gives a modelled $1.38B; the 2026 edition's $192 gives $1.66B. Both are modelled estimates with the method shown, not costs disclosed by Managed Care of North America. Because the filing is above the roughly 100,000-record range in which the per-record figure is reliable, the result is an upper bound, not an estimate: fixed costs are spread across far more records at this scale.