If services are either out-of-network “inadvertently” or are “emergent,” the provider is barred from billing the patient in excess of their deductible, copayment or coinsurance obligation. (Photo: Bigstock)
On June 1, Assembly Bill 2039 became law, ushering in bold patient protections and blockbuster realignment of claims-handling processes. Effective Aug. 30, extinction of “surprise” out-of-network claims is its goal. Patient protections now secured, the true “surprise” awaits providers and carriers scrambling to meet disclosure requirements and the uncertain fiscal impact upon plans who must comply.
A new claims order
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