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Balance Billing Blog Posts

What providers need to know before balance billing out-of-network

Harold Gibson

Balance Billing Defined

When there is a balance still owed on a medical bill after insurance as well as a co-payment or deductible has been paid per contractual obligations, the result is a balance bill. With patients expected to assume a larger share of the healthcare coverage burdens as well as being limited to what insurance networks are willing to cover, many patients are crying foul over what they see as abuses due to the prevalence of in-network facilities bringing in non-network personnel who then charge patients accordingly – often to the tune of thousands of dollars more than they would have expected.

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Topics: Balance Billing

How Balance Billing Legislation Affects Providers

Harold Gibson

As we all know most patients now in have higher out-of-pocket costs and most are now enrolled in some type of health network that penalizes them for out-of-network care. This one-two combination of higher deductibles and cost sharing combined with balance billing for out-of-network care has caused an outcry in state capitols all across the country. 

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Topics: Balance Billing

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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