AHIP: Some Fees Absurd

Some doctors charge sky-high fees when they treat out-of-network patients.

America’s Health Insurance Plans, Washington, discusses that problem in a response to criticism of health insurer use of pricing databases to determine reasonable rates for out-of-network-care.

AHIP hired outside researchers to gather examples of what it believes to be outrageous claims submitted by out-of-network doctors.

In one state, for example, “a physician billed a patient $6,791 for ‘cataract surgery with insertion of artificial lens,’” AHIP says.