‘Not so optimistic:’ Surprise billing arbitrations cause frustration

August 30, 2022


The surprise billing arbitration process has gotten off to a rocky start.

Insurers are accusing providers of submitting every possible claim, even when they know some cases are not eligible for mediation. Providers allege insurers are holding up the federal dispute process by delaying submissions of clear and complete information. The recently published final rule on the process from the Health and Human Services, Labor and Treasury departments likely will not resolve all these problems.

“I’m a generally optimistic person. But I’m not so optimistic,” said Dr. Lisa Maurer, a physician at Emergency Medicine Specialists in Milwaukee and chief medical officer for medical management services organization ConsensioHealth.