Why Surprise Medical Bills Happen?

Surprise medical bills are becoming increasingly common in the United States. These bills occur when a patient receives unexpected charges from healthcare providers, often for services that they believed were covered by their insurance.

According to KFF, unexpected medical bills are the top of the list of household worries. 35% of households expressing that they are "Very Worried" about receiving unexpected medical bills.

There are several reasons why surprise medical bills happen:

Out-of-network providers: Patients may receive care from providers who are not in their insurance network, resulting in higher out-of-pocket costs.

Emergency care: Patients who receive emergency care may not have a choice in which providers they see, which can result in surprise billing.

Ancillary services: Patients may receive ancillary services, such as laboratory tests or imaging services, from providers who are not in their insurance network, resulting in higher out-of-pocket costs.

Complex billing systems: The healthcare billing system is often complex and difficult to understand, which can make it difficult for patients to know what they are being charged for.

Lack of transparency: Healthcare providers may not be transparent about their pricing, making it difficult for patients to make informed decisions about their care.

State laws: State laws may not protect patients from surprise billing, leaving them vulnerable to unexpected charges.

The Rekencile App is sought to help you be aware of these issues and take proactive steps to manage your unexpected medical bills. Rekencile will help you reduce your chances of being surprised by unexpected medical charges.