GA Bill Proposes Medical Billing Transparency
Georgia state lawmakers are considering legislation that supporters say aims to promote more transparency in medical billing for outpatient procedures at doctor's offices, medical clinics, and hospitals. The bill is in response to concerns that some consumers are being forced to pay some specialists extra because they are not in their insurance network.
Under the legislation, facilities would be required to provide in writing, at the patient's request, the estimated amount they will be charged for the procedure, as well as the name, address, and other contact information for members of the medical team so patients can determine ahead of time whether these specialists are part of their insurance network.
Among other things, the legislation would require that all bills from members of the medical team be sent to the patient within 90 days, give patients another 90 days to pay the costs, and provide for an arbitration process set up through the office of the insurance commissioner for any billing disputes.