About: Balance billing

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Balance billing, sometimes called surprise billing, is a medical bill from a healthcare provider billing a patient for the difference between the total cost of services being charged and the amount the insurance pays. It is an especially common problem in the United States with providers who are out of network, and therefore not subject to the rates or terms of providers who are in-network. Balance billing has a variable prevalence by market and specialty.

Attributes	Values
rdf:type	company
rdfs:label	Balance billing (en)
rdfs:comment	Balance billing, sometimes called surprise billing, is a medical bill from a healthcare provider billing a patient for the difference between the total cost of services being charged and the amount the insurance pays. It is an especially common problem in the United States with providers who are out of network, and therefore not subject to the rates or terms of providers who are in-network. Balance billing has a variable prevalence by market and specialty. (en)
dcterms:subject	Health insurance
Wikipage page ID	34143449 (xsd:integer)
Wikipage revision ID	1118293024 (xsd:integer)
Link from a Wikipage to another Wikipage	Cambie Surgeries Corporation v. British Columbia Canada Ambulatory surgery center American College of Emergency Physicians Prince Edward Island Quebec Commonwealth Fund Emergency medicine Germany Transfer payments Emergency Medical Treatment and Active Labor Act Emergency department Employee benefits Preferred provider organization Stent British Columbia Health Affairs Health insurance in the United States Health maintenance organization Alberta France Japan Anesthesiologist Health insurance Kaiser Family Foundation Taiwan Air ambulance New Brunswick Newfoundland and Labrador Ontario Canada Health Act Managed care Supreme Court of British Columbia Implant (medicine) Self-employment BC Court of Appeal Radiologist Prosthetics dbr:Sickness_fund dbr:Two-tiered_Canadian_healthcare_system
Link from a Wikipage to an external page	http://content.healthaffairs.org/cgi/pmidlookup%3Fview=long&pmid=2651265 http://jhppl.dukejournals.org/cgi/pmidlookup%3Fview=long&pmid=7738321 http://www.bateswhite.com/insight-49.html https://imedclaims.com/understanding-the-no-surprise-act/ https://www.commonwealthfund.org/publications/maps-and-interactives/2021/feb/state-balance-billing-protections https://www.hcinnovationgroup.com/finance-revenue-cycle/article/21080693/medical-billing-errors-are-alarmingly-commonand-patients-are-paying-the-price https://www.healthcare.gov/ http://content.healthaffairs.org/cgi/pmidlookup%3Fview=long&pmid=15160800 http://content.healthaffairs.org/cgi/pmidlookup%3Fview=long&pmid=2707723 https://www.brookings.edu/blog/usc-brookings-schaeffer-on-health-policy/2021/02/04/understanding-the-no-surprises-act/
sameAs	Balance billing Balance billing Balance billing
dbp:wikiPageUsesTemplate	dbt:Blockquote dbt:Cite_journal dbt:Cite_web dbt:Reflist dbt:Short_description dbt:Update
has abstract	Balance billing, sometimes called surprise billing, is a medical bill from a healthcare provider billing a patient for the difference between the total cost of services being charged and the amount the insurance pays. It is an especially common problem in the United States with providers who are out of network, and therefore not subject to the rates or terms of providers who are in-network. Balance billing has a variable prevalence by market and specialty. Advocates of balance billing argue that it increases the incomes of high-quality healthcare providers, and serves as a measure of their dissatisfaction with insurance company fees. Critics say that balance billing lets providers raise charges through stealth rather than transparent pricing, creates unnecessary administrative costs and patient confusion, and allows providers to simply pass along costs to patients, rather than helping them to secure good value. It is thought to erode political consensus in favor of a one-tier system of healthcare, and to inhibit some people from getting the care they need, by making that care more expensive. (en)
gold:hypernym	Practice
prov:wasDerivedFrom	wikipedia-en:Balance_billing?oldid=1118293024&ns=0
page length (characters) of wiki page	25187 (xsd:nonNegativeInteger)
foaf:isPrimaryTopicOf	wikipedia-en:Balance_billing
is Link from a Wikipage to another Wikipage of	Prime Healthcare Services San Francisco General Hospital Debbie Lesko Consolidated Appropriations Act, 2021 TeamHealth Surprise medical billing Managed care Political positions of Joe Biden
is Wikipage redirect of	Surprise medical billing
is foaf:primaryTopic of	wikipedia-en:Balance_billing

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