Difi.az.govcontentform-soonbdrr-surprise-outForm SOONBDRR: Surprise Out-of-Network Billing Dispute ... 2025

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This is called balance billing. This amount is likely more than in-network costs for the same service and might not count toward your plans deductible or annual out-of-pocket limit.
Even though the consumer did not have a choice in who their anesthesiologist was, that provider sends a bill to the consumer after the surgery. This is a surprise bill. doctor who reads the results is not in their health insurer network. That doctor then bills the consumer for their services creating a surprise bill.
Surprise billing is an unexpected balance bill. This can happen when you cannot control who is involved in your care like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
A balance bill is issued when a provider charges a patient with the amount the insurance company doesnt pay. For example, the dermatologist charges the insurance company $300. The insurance company agreed to pay $150. If the doctor then charges the patient the remaining $150, the patient will receive a balance bill.
ARIZONA Surprise Medical Bills If you receive a balance bill for health care services under a policy plan year that began prior to January 1, 2022, you may be eligible for the Arizona Surprise Out Of Network Billing Dispute Resolution Program.
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A consumer goes to an in-network lab or imaging center for tests and the doctor who reads the results is not in their health insurers network. That doctor then bills the consumer for their services creating a surprise bill.