Requires hospitals to use clear billing codes for off-campus services to protect patients from surprise bills.
This bill would require hospitals to use a specific identifier for billing services provided at off-campus outpatient departments. Health plans and insurers would only pay claims that include this identifier, and hospitals would face penalties for not using it. This aims to protect individuals from being held responsible for unclear bills.
Today, health plans can pay hospital claims for off-campus outpatient services without a specific identifier for that department, and hospitals can bill individuals without it. If this bill passes, health plans and insurers would be blocked from paying such claims unless they include a unique department identifier, and hospitals would be prohibited from submitting non-compliant claims or holding individuals responsible for them. Hospitals could face daily fines of up to $5,500 for violations.
HR 8684 · 119th Congress · May 7, 2026 · AI Summary by gemini-2.5-flash · 8/10
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