Surprise billing rule also strikes down insurer ED policies

July 2, 2021

Fierce Healthcare

“Emergency departments around the country often serve as the only safety net for a fragmented mental health infrastructure,” according to a statement led by the American College of Emergency Physicians (ACEP) and 32 other groups issued last month over the policy. “For those in crisis for whom the ED is a lifeline for care, an added threat of a retroactive denial of coverage under this policy can be devastating.”

UnitedHealthcare did not immediately return a request for comment on the provision in the interim final rule.

Anthem issued a similar policy in 2017 but was sued by the ACEP over it.

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