Bipartisan legislation passed in 2020 to shield consumers from unexpected medical bills, the No Surprises Act, included provisions meant to force health insurers to clean up their provider directories. But those directories are still highly inconsistent, new research suggests.
Researchers at the University of Colorado School of Medicine used artificial intelligence to analyze health plan provider directories for over 40% of U.S. physicians, and found inconsistencies for 81% of doctors across five major insurers, the study published in JAMA said.
Most of the inconsistencies were among addresses among physicians listed as practicing in multiple locations, according to Health Care Dive. That’s in line with prior research suggesting many address errors stem from group practices reporting all doctors at all practice locations to insurers, regardless of which location the physician actually practices. Read more.
