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Surprise Billing Rule Prodded by Judge Who Rejected First Effort

A federal judge in Texas seemed sympathetic to the Texas Medical Association’s argument that the Biden administration’s rule protecting patients from surprise medical bills unfairly favors insurers.

Judge Jeremy Kernodle of the US District Court for the Eastern District of Texas Tuesday heard arguments in a case over the new process the administration describes for settling payment disputes between providers and insurers.

The dispute resolution process has important implications for how much insurers and providers will ultimately be paid. Disagreements about payment are common, since insurers have an incentive to minimize payments to providers, and providers have an incentive to …


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