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The Guardian - US
The Guardian - US
World
Jessica Glenza

Doctors and insurers clash over US law that protects against surprise billing

A hospital ward with staff members.
Ambulances and emergency room doctors are among the most likely to send surprise bills. Photograph: Jeff Moore/PA

A law passed by Congress to end one of the most hated practices in US medicine – surprise billing – has become a behind-the-scenes battleground between doctors and insurers.

The No Surprises Act was passed in 2020 in a rare bipartisan effort to end so-called surprise or balance billing – a practice where healthcare providers who do not have contracts with insurance companies charged patients directly for hundreds or thousands of dollars.

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