Doctors, Patients Plagued by Incorrect Details in Directories

More than 80% of physicians have inconsistent or inaccurate entries in health insurance provider directories, making it harder for patients to know whether they are in their network and eligible for lower cost-sharing, according to a study released Tuesday.

Directory errors can prove costly, not only for patients but for providers, health insurers, and health plans. Under the No Surprises Act, enacted as part of the Consolidated Appropriations Act, 2021 (H.R. 133), health-care providers and facilities must refund to patients payments that exceed in-network cost-sharing amounts if they receive out-of-network care due to inaccurate provider directory ...