Appeal a Balance Bill in Georgia
Georgia patients are protected from surprise out-of-network bills by both the federal No Surprises Act (effective Jan 1, 2022) and Georgia's Surprise Billing Consumer Protection Act (O.C.G.A. chapter 33-20E).
If you received a surprise out-of-network bill - emergency care, air ambulance, or ancillary care at an in-network facility - the No Surprises Act limits your cost-sharing to in-network amounts and routes any payment dispute between insurer and provider through Independent Dispute Resolution. The provider may not balance-bill you.
Georgia's surprise-billing law adds state-level protections for non-emergency situations not covered by the NSA. O.C.G.A. section 33-20E-3 establishes patient protections against surprise bills from out-of-network providers at in-network facilities.
If you received a balance bill that should be NSA- or Georgia-protected, file an appeal demanding the bill be corrected, file a complaint with OCI, and (for federal NSA disputes) report to the federal Help Desk at 1-800-985-3059.
Statutes and resources cited
- No Surprises Act, 42 U.S.C. section 300gg-111 et seq.
- O.C.G.A. chapter 33-20E (Surprise Billing Consumer Protection Act)
- Georgia OCI Consumer Services: 1-800-656-2298
- Federal NSA Help Desk: 1-800-985-3059
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