pennsylvania-insurance-department

New federal law will help protect Pa. residents against surprise medical bills, Wolf admin says

BY: - January 13, 2022

The newly enacted federal law took effect on Jan. 1. It prevents patients from receiving surprise medical bills by “requiring that emergency services are billed as in-network, without needing prior approval” and by banning specific “out-of-network charges and balance billing without advance notice,” according to the department

Pa. Insurance Dept. hits UPMC with $250K penalty for Affordable Care Act violations

BY: - January 11, 2022

The UPMC review, one of five insurance company reviews conducted by PID, and which covered the time period between Jan. 1, 2015, to March 31, 2016, found that, among other violations, the company denied claims that should have been paid, miscalculated maximum out-of-pocket costs, and issued “unclear communications.”