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Billing squeeze: Hospitals in middle as insurers and doctors battle over out-of-network charges
Modern Healthcare

When Dr. Kelly Kyanko was giving birth to her second son a couple of years ago, there were signs her baby was facing a higher risk of complications after delivery. A pediatrician was called in, and everything turned out fine for mother and newborn baby.But after she left the hospital, Kyanko faced a surprise $636 bill from the pediatrician that her insurer, UnitedHealthcare, did not cover. Before her delivery, she had checked to make sure the hospital and the OB-GYN were in her plan’s network. She had no way of knowing, however, that the consulting pediatrician was out-of-network.

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