Clinics bill self-pay patients for undisclosed third-party lab services
Self-pay patients who settle their bill in full at urgent care clinics are later surprised by collection notices from outsourced labs that the clinic never disclosed. This violates the No Surprises Act's Good Faith Estimate requirements for uninsured patients but enforcement is difficult at the individual level. The gap between what patients pay at checkout and what labs charge independently creates a structural billing opacity problem in cash-pay healthcare.
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