What Is Balance Billing?

Balance billing occurs when a provider bills you for the difference between their full charge and the allowed amount covered by your insurance. This often happens when you unknowingly receive care from an out-of-network provider.

How It Happens

Even if you go to an in-network hospital, a specific provider there (like an anesthesiologist or radiologist) might be out-of-network, leading to a surprise "balance bill" that you are responsible for.

How Mira Mace Can Help

Federal and state laws like the No Surprises Act offer protection against many types of balance bills. Your advocate is an expert at identifying illegal or unfair balance billing. We will review your bills, dispute improper charges, and file an appeal on your behalf to protect you from these surprise costs.