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Provider groups urge feds to change dispute process, good faith estimates in surprise billing rule

December 7, 2021

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Provider groups are urging the Biden administration to walk back several provisions in a surprise billing rule, including requirements for providers to offer good-faith estimates to certain patients and what they deem a flawed process for determining out-of-network charges.

Providers and payers submitted comments on the interim final rule released back in October. The rule is the second regulation intended to implement the No Surprises Act passed by Congress late last year that bans balance billing.

But comments in the rule underscore major problems providers have with how the Biden administration chose to solve disputes on out-of-network charges, with some groups already taking the administration to court over the process.

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