Taking Surprise Medical Bills to Court

Some legal experts say contract law could provide consumers another avenue to challenge unexpected hospital bills.

By Julie Appleby, Kaiser Health News

Dec. 18, 2018

Joaquin Lopez had emergency gallbladder surgery after rushing to an emergency room last year. He has been haggling with Baptist Memorial Hospital in Memphis over what he owes ever since.

The 37-year-old college professor was hit with a nearly $8,000 bill from the out-of-network hospital — that was after the $11,000 he and his insurer had already paid.

Consumers are increasingly vulnerable to such so-called balance bills, which represent the difference between what insurers pay and hospitals’ list prices. List prices can be several times higher than what the hospitals accept from Medicare or in-network insurers.

Congress is considering bipartisan legislation to limit balance billing. But some legal scholars say that patients should already be protected against some of the highest surprise charges under longstanding conventions of contract law.

Popular Specialties

CONTACT INFO

  • Head Office Location
    10 Dorrance St
    Suite 700 PMB 1056
    Providence, RI 02903

  • California Location
    4193 Flat Rock Rd #200
    Riverside, CA 92505

  • New Jersey Location
    331 Newman Springs Rd
    Red Bank, NJ 07701

  • Head Office 1.732.347.7002
  • Sales Team 1.973.937.7679
  • Pt. Services 1.732.203.5136
  • Office Fax 1.401.889.4848
  • Mon-Fri 8am-8pm EST

Ready to Sign Up? Great!

Download the Agreement or check out our Plans & Pricing

Recent News

Join Over 350 Clients Enjoying PreMD’s Exceptional End-End Billing Services Now

We have partnered with a variety of healthcare organizations to extend our reach to 40+ states.