Excerpt: The trend toward refusing to pay medical providers for services where the insurer deems the invoice unjustified may not be as helpful to consumers as has been claimed.... First, it isn't always a simple matter to separate legitimate treatment that would have been required in any event from disputed charges. Second, medical providers will not simply agree with the insurer in all cases for a number of reasons, some related to a bona fide disagreement and others related to the legal implications of admitting error.

MORE >>