The "they" is the provider who is 1) the physician who honored the insurance payment and 2) the physician as the representative for the surgery center who did not honor the insurance.
There has to be some level of consumer protection here, doesn't there?
The patient is at a severe information disadvantage. Are you implying that the patient has to go back and forth with the provider and his insurance company over every line item billing code that may or may not be billed in advance of a surgery? Where do you even get this info from and who is going to give you the time to go over all of the potential billing details. When you schedule a dr. appointment, do you also have to schedule an appoint with the billing administrator or a conference call with your insurance company. This doesn't seem right. How does the patient even know the right questions to ask until after the fact.
Thank you all for your responses

