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Federal rule

The No Surprises Act, in plain English

For many emergency visits and some planned care at an in-network facility, federal law limits surprise bills from out-of-network doctors who worked on that visit — anesthesiology, radiology, pathology, and some others. You generally should not get the full out-of-network balance for those situations.

It does not wipe out your deductible. It does not cover every clinic visit. It does not mean a bill is fake. Ground ambulance has different rules. Always read the notice that came with the bill.

If a line looks like surprise billing, that is a reason to ask in writing — not a verdict that you owe nothing. We flag possible surprise-billing risk. We do not decide the statute for your visit.

Independent dispute information for patients is on cms.gov/medical-bill-rights.

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Is This Bill is not a law firm, medical provider, or billing advocate. This is educational software. It can misread documents. You are responsible for what you send and what you pay.

No Surprises Act in plain English | Is This Bill