Definition
A federal law effective January 2022 that protects patients from surprise medical bills for emergency services and certain non-emergency services at in-network facilities. It requires insurers to cover out-of-network emergency care at in-network rates and provides a dispute resolution process for billing disagreements.
Related Terms
- CPT Code
Current Procedural Terminology code — a standardized 5-digit numeric code used t...
- ICD-10 Code
International Classification of Diseases, 10th Revision — a standardized code sy...
- Allowed Amount
The maximum amount your insurance plan will pay for a covered service, based on ...
- Balance Billing
When an out-of-network provider bills you for the difference between their bille...
- Chargemaster
A hospital's comprehensive list of prices for every item and service, from aspir...
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