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Surprise-Billing Law Loophole: When 'Out of Network' Doesn't Quite Mean Out of Network
Kaiser Health News 
Feb. 28, 2023 "What's the difference between a hospital that's 'in network' and one that's a 'participating provider'? In this case, by contracting with Regence as an out-of-network but also participating provider, Swedish straddled the line between being in and out of network ... Setting the terms with an insurer for providing its members emergency or other care appears to allow hospitals to sidestep new surprise-billing laws[.]" |
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