A patient arrives for a scheduled procedure at a hospital they deliberately chose because it's in network. The surgeon is in network. The facility is in network. Later, the anesthesia claim is processed as out of network,
A patient arrives for a scheduled procedure at a hospital they deliberately chose because it's in network. The surgeon is in network. The facility is in network. Later, the anesthesia claim is processed as out of network,
Out-of-network billing isn't just a patient complaint problem anymore. In a major national study published in JAMA Internal Medicine, the share of emergency department visits with at least one out-of-network bill rose from 32.3% in 2010 to
A referral lands on your desk late in the day. The patient needs your specialty care, needs it soon, and their plan shows out-of-network. Clinical leadership wants the case accepted. Finance wants to know whether the work