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hello this is dr eric bricker thank you for watching a healthcare z and todays topic is the no surprises act explained now ive had several of you viewers ask me hey dr burger will you make a video on the no surprises act and thank you for bringing that to my attention i thought i had i have made over 300 healthcare finance videos and so i thought id actually done this already it turns out i had not so thank you for bringing that to my attention so the no surprises act took effect on january 1st of this year 2022 and it specifically relates to out of network providers out of network doctors out of network hospitals other out of network providers sometimes its like a surgical assistance that are physicians assistance etc now the reason that it is a quote-unquote surprise is that patients did not choose they did not have a choice in what doctor they saw lets say in the hospital and that doctor might have been out of network and so the patient then gets a surprise out of network bill