Billing and Collections
The model will bring together the explanation of benefits with the hospital bill for a single source of truth.
However, 15% of those say their claim was eventually paid by the insurer, according to eHealth.
The analysis also found that should this trend hold, more than 12 million surprise bills will be avoided in 2022.
Three medical associations say they will continue their efforts to block implementation.
The interpretation of affordability would take effect beginning January 1, 2023, in time for the next open enrollment period.
Direct contract physicians don't submit claims because the care is not based on fee-for-service.
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February 07, 2022
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As patients continue to struggle with medical debt, how can providers provide support along the patient journey for a better billing experience?
The protections ban surprise billing in private insurance for most emergency care and many instances of nonemergency care.
The damages follow last week’s verdict in which the jury ruled that UnitedHealth failed to adequately pay ER doctors.