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The Departments of Labor, Health and Human Services and the Treasury jointly released an additional interim final rule, outlining further requirements related to surprise billing.
Surprise medical bills occur when patients unexpectedly receive care from out-of-network health care providers. Patients often cannot determine the network status of their providers during treatment, or they may not be involved in the choice of provider at all.
The interim rule details the independent dispute resolution process for determining final payment beyond allowable patient cost sharing. The rule also requires certain providers and facilities to provide a good faith estimate of the charges to uninsured individuals so that they can anticipate their costs when seeking health care.
Download the bulletin for more details.