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House s Lame Duck No Surprises Act Is Overflowing With Really Awful Surprises

“‘Surprise medical bill’ is a term commonly used to describe charges arising when an insured individual inadvertently receives care from an out-of-network provider. “This situation could arise in an emergency when the patient has no ability to select the emergency room, treating physicians, or ambulance providers. “Surprise medical bills might also arise when a patient receives planned care from an in-network provider (often, a hospital or ambulatory care facility), but other treating providers brought in to participate in the patient’s care are not in the same network.” To allegedly address this, “(The bill) contains Independent Dispute Resolution (IDR): “‘An independent dispute resolution process, or IDR…solves the problem of surprise medical bills related to out-of-network care without disrupting the broader market, and without having to involve patients at all.

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