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A key subset of the No Surprises Act aims to protect patients against balance billing-when a healthcare provider sends a patient a “surprise” medical bill for the remaining cost of services after receiving reimbursement from the health plan. As of February, the Centers for Medicare & Medicaid Services is cracking down on balance billing and providers need to be prepared.
But without reliable provider data, it’s difficult to determine if providers are in-network or out-of-network with a plan, further complicating the billing and reimbursement process. Watch the latest installment of the Madaket Minute to learn more about balance billing.
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