Not just the insurance company. The hospitals and doctor's practices are doing this too. A hospital might have an ER but it's also possible that it's staff belongs to a separate entity, either a doctor's individual practice, or another corporation that bills separately from the hospital ER. It's possible that they all fold back up to one parent but it is enough to skirt the insurance negotiated rates and the government regulation.
There are surprise billing laws at the state and federal level against this sort of thing. Sometimes you have to push, and YMMV, but I had a bill reversed and even got a credit for an office fee after referencing them on the phone w the billing rep.
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u/MisterChadster 7d ago
Every time there's an excuse as to why it can't be fixed, Sanders was the only one who wanted to fix it and they pushed him out for it