3 ms·
If you are at an in network provider, the provider is required to accept the insurance negotiated rate and not pursue the patient. If your insurance denies the
by gnopgnip 6y ago
If you are at an in network provider, the provider is required to accept the insurance negotiated rate and not pursue the patient. If your insurance denies the bill, the provider can't pursue the patient.
In many states surprise billing and balance billing laws prevent out of network providers from billing you for the balance, in excess of what medicare or your insurance pays.
- tehwebguy 6y agoThose laws do not prevent it from happening, they just offer a small stick for anyone getting screwed to attempt to use in court. Meanwhile your insurance company can just wait for you to die while you try to hash it out. Plus, every calendar year that passes while you’re desperately trying to get them to cover services is another shot at them avoiding any responsibility for the next service you need.