X

Out-Of-Network-Billing

The out-of-network billing and payment law (AB 72), that took effect July 1, 2017, changes the billing practices of non-participating physicians providing non-emergent care at in-network facilities including hospitals, ambulatory surgery centers and laboratories. The law was designed to reduce unexpected medical bills when patients go to an in-network facility but receive care from an out-of-network doctor. 

The California Medical Association (CMA) is aware of the potential adverse impacts of the new law on our physician members and have dedicated significant resources to achieve the best possible outcomes for physicians considering the new billing restrictions. Below are resources CMA has developed to help physicians navigate this new system.

Billing Assistance

Having difficulty getting paid? Our reimbursement experts are here to help! Contact the Center for Economic Services today at (888) 401-5911.

Share Your Story!

  • If your practice has experienced a change in payor behavior regarding contract negotiations, claims payment, network adequacy conerns, or other challenges, CMA wants to hear from you.

  • *
  • *
  • *
  • *
  • *

Not a CMA member?

Join 43,000 physicians making a direct impact on health care legislation.