Balance Billing Sparks Disputes Between Physicians/insurers

http://ift.tt/1O3MCCo

In/out of network issues for contracted docs that insured's didn't pick, like for emergency room/surgery.

This may be ok for insureds under 65 on HMO's--like the article says, hospitals and other providers have to fight over who's on the hook. Not so great for any on PPO's, and, for balance billing on Medicare for docs who don't accept "Medicare Assignment"--agents in the Medicare space have the specs on that one.
Content of insurance-forums.net

Comments