BC Advantage - 2021 Issue 11

Sending "Surprise" Medical Bills to Patients? Think Again

Government Announces the No Surprises Act to Protect Patients"Requirements Related to Surprise Billing; Part I" is an interim final rule related to Title I (the No Surprises Act) targeting healthcare providers with the purpose of restricting excessive out of pocket costs to consumers from surprise billing and balance billing. Balance billing, when a provider charges a patient the remainder of what their insurance does not pay, is currently prohibited in both Medicare and Medicaid. This rule will extend similar protections to Americans insured through employer-sponsored and commercial health plans. Most of us love surprises, but not when it...

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