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Monday, March 2, 2015

The Truth About Balance Billing


A pair of newly developed TMA resources examine how insurance plans’ network designs and payment decisions are leaving many Texans with “surprise bills” for health care services. Inadequate and limited physician networks that insurers sell today are leaving patients with unpaid bills and making the news. A new TMA white paper, “Network Inadequacy and Unfair Discrimination in Insurance,” explains how insurers limit their losses at the expense of the consumer. TMA staff also have prepared a detailed spreadsheet of network information gathered from Blue Cross and Blue Shield of Texas (BCBSTX), Humana, and United Healthcare health plans as of December 2014. To use the spreadsheet, click on the tab for the insurer at the bottom of the spreadsheet for the information for that carrier. You may sort by hospital/facility, city, county, or provider(s) in anesthesiology, pathology, radiology, and/or emergency medicine.

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