Surprise bill definition

Surprise bill means a bill for health care services, other than emergency services,

Surprise bill means a bill resulting from an occurrence in which charges arise from a covered person receiving healthcare services from an out- of-network provider at an in-network facility.

Surprise bill means a bill for health care services, other than

Examples of Surprise bill in a sentence

• Surprise bill" means a bill resulting from an occurrence in which charges arise from a covered person receiving healthcare services from an out- of-network provider at an in-network facility.

• Once selected, the QEP will provide assistance for technical and programmatic project needs, including technical aspects of contractor selection.

• Surprise bill" does not include a bill for health care services received by an insured when an in-network health care provider was available to render such services and the insured knowingly elected to obtain such services from another health care provider who was out-of-network.

• The Surprise bill section in the booklet explains your protections from a surprise bill.

• Non-egophoric/disjunct marking is reserved for all other combinations of subject person and the declarative/interrogative sentence types.

More Definitions of Surprise bill

Surprise bill means a bill for health care services, including laboratory services and tests, received by an insured for services rendered by an out‑of‑network health care provider at an in‑network facility, during a service or procedure performed by an in‑network provider or during a service or procedure previously approved or authorized by the insurer and the insured did not knowingly elect to obtain services from an out‑of‑network provider. It also includes emergency services rendered at an out‑of‑network health care provider. ‘Surprise bill’ does not include a bill for health care services received by an insured when an in‑network health care provider is available to render such services and the insured knowingly elects to obtain services from an out‑of‑network health care provider.

Surprise bill means a bill for health care services, including, but not limited to, emergency services, received by an enrollee for covered services rendered by an out-of-network provider, when such services were rendered by that out-of-network provider at a network provider, during a service or procedure performed by a network provider or during a service or procedure previously approved or authorized by the carrier and the enrollee did not knowingly elect to obtain such services from that out-of-network provider. “Surprise bill” does not include a bill for health care services received by an enrollee when a network provider was available to render the services and the enrollee knowingly elected to obtain the services from another provider who was an out-of- network provider.

Surprise bill does not include a bill for health care services received by an enrollee when a network provider was available to render the services and the enrollee knowingly elected to obtain the services from another provider who was an out‐of‐network provider. Telehealth. Telehealth has the same meaning as provided under Maine law.

Surprise bill means a bill resulting from an occurrence in which charges arise from

Surprise bill means a bill for healthcare services, other than

Surprise bill means a bill to a patient after medical services, not including

Surprise bill means (a) with respect to an emergency air medical transport, either (i) a balance bill received by a consumer or (ii) a provider’s bill received by a consumer for air medical transport that was denied by the consumer’s health insurance; or (b) with respect to a non- emergency air medical transport, either a balance bill or a provider’s bill received by a consumer after a pre-authorization for the air medical transport has been obtained.