Mental health services are up to six times more likely than general medical services to be delivered by an out-of-network provider, in part because many psychiatrists do not accept commercial ...

In addition, if consumers are referred to out-of-network providers but don't sign a written consent form saying they understand the services will be out of network and may result in higher out-of ...

Out-of-network providers who furnish services at in-network facilities, as well as in-network facilities that allow out-of-network providers to furnish services at their facilities, should be ...

In August of 2024, a trial court in California dismissed a price-fixing claim in Verity Health System of California, Inc. v.

Patients are no longer required to pay for out-of-network care given without their consent when they receive treatment at hospitals covered by their health insurance since a federal law took ...

Out-of-network providers who fail to obtain the patient’s written consent are prohibited from charging the patient any more than the in-network cost-sharing for the services.

With the implementation of the No Surprises Act (NSA), out of network providers are no longer allowed to send out-of-network bills to patients in emergency situations like the example above.

A recent federal court ruling in Texas highlights a growing trend of private insurers scrutinizing "out-of-network" providers that waive patients' cost-sharing amounts.

After a patient has been seen by the healthcare provider performing the procedure (in this instance, administering the anesthesia), a nurse may obtain the patient's signature on a consent form.

In 2018 New Jersey implemented a final-offer arbitration system to resolve payment disputes between insurers and out-of-network providers over surprise medical bills. Similar proposals are being ...

Colorado medical providers will need to get patients' prior consent before medical students can perform pelvic exams on them while they are unconscious for a procedure under a bill signed into law ...

This study of claims among adults covered by employer-sponsored plans revealed substantial variations in out-of-network cost-sharing payments. The growth of cost sharing for nonemergent ...