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The Departments of Labor, Health and Human Services, and the Treasury Department has released the final rule to implement the ban on surprise medical billing. The rule finalizes the two interim final rules that were released in July 2021 and September 2021, with certain changes related to the independent dispute resolution process that has been subject of ongoing litigation.
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 final rule is generally intended to make certain medical claims payment processes more transparent and clarify the process for providers and health insurers to resolve their disputes. Download the bulletin for more details.