Florida · Radiology
Dispute a radiology at an in-network facility surprise bill in Florida
Radiology services at an in-network facility are NSA-protected from balance billing. In Florida, additional state-level protections apply.
What the law says
Florida Statutes § 627.64194, enacted by HB 221, prohibits balance billing of patients for emergency services and for non-emergency services provided by non-participating providers at in-network facilities. The patient's responsibility is limited to the in-network cost-sharing amount. This protection applies in addition to the federal No Surprises Act (42 U.S.C. § 300gg-111 et seq.).
- Fla. Stat. § 627.64194 (HB 221)
- 42 U.S.C. § 300gg-111 et seq. (No Surprises Act)
Your options
- Dispute the bill in writing before paying anything. The provider must respond and cannot send the bill to collections during the dispute.
- Notify your health insurer that an apparent NSA-protected service has been balance-billed. Ask them to adjudicate at the in-network cost-sharing amount.
- File a complaint with the federal No Surprises Help Desk at CMS if either party refuses to comply.
- If unresolved, you can invoke the patient-provider Independent Dispute Resolution (IDR) process for an external decision.
Other bill types in Florida
- Emergency room services
- Anesthesiology at an in-network facility
- Lab or pathology at an in-network facility
- Hospitalist services at an in-network facility
Radiology bills in other states
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