Hello, I just got a bill for 5,000$. The procedure it took place at was in network. In fact, I worked at the same place and I should have had full coverage of the bill. I do not see any charges going to my insurance. I read a little bit of the No Suprise Act and was wondering if this can help me. I am going to call the company that billed me but do I need to call anyone else like my insurance? Any advice helps!
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Start by calling the provider to ask why they didn’t submit it to insurance (or, if they did, wait for the EOB from your insurer).
The No Surprises Act applies only if the anesthesiologist was out of network but provided services at an in-network facility.
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Okay I will reach out to them. I remember calling before my procedure and was told I had full coverage. If by off chance this does not get fixed what would I need to do next? I saw other post about going to the department of insurance.
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It depends a bit on the situation. If the provider didn’t bill your insurance, they need to bill your insurance. If they did, and insurance isn’t picking up the bill, we need to figure out why (an obvious example would be that you haven’t hit your deductible, or the amount you need to pay before insurance kicks in). Once you have the EOB from your insurer things become a lot clearer in terms of next steps. You can typically do a free consult with a local patient advocate (just search patient advocate for your area in google) who can also help you work through some of these things.
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Thanks for the help! I Appreciate 
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I had the same problem two years ago after surgery. The anesthesiologist didn’t know I had prior authorization for the surgery, so they billed it incorrectly. I called my insurance company, and after a few days, my bill went from over $2,000 to $200! It could be something as simple as that.
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Thats good to hear.Thank you
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You should start by calling the provider and asking why the anesthesia bill is so high, especially since the procedure was done at an in-network facility. It’s possible the anesthesiologist was out of network even though the facility was in-network. You can also contact your insurance company to confirm if this bill should be covered and if it qualifies for protection under the No Surprises Act. Sometimes errors in billing can lead to these unexpected charges.
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If the anesthesiologist was out of network, you could ask for an in-network rate or try to negotiate a reduced payment directly with the provider. You should also file an appeal with your insurance company, explaining that the procedure itself was at an in-network facility. Another option is to request an itemized bill to check for any errors or unnecessary charges. If all else fails, reach out to a patient advocate or consider setting up a payment plan to make it more manageable.