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Sha'Ron James

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Air ambulance working group discusses proposed legislation


Date: July 08, 2016
Source: Valley Morning Star
Author:  Associated Press


HELENA, Mont. (AP) — A working group trying to find a way to reconcile the difference between air ambulance bills and insurance reimbursement rates discussed proposed legislation that would require insurers and out-of-network providers to negotiate a payment.

The Legislature's Economic Affairs Interim Committee appointed the working group to try to develop a solution after residents complained about receiving bills for tens of thousands of dollars from out-of-network providers after their insurance company made its payment.

Under the plan discussed Friday, the insurer would be required to pay either the billed charges, an amount negotiated with the provider or take the case to a dispute resolution and pay the amount determined by the independent reviewer.

The bill proposes leaving the patient responsible only for the deductible and co-insurance costs required under their insurance policy.