Consumer Protections
Medical Billing Protections in Wisconsin
In addition to federal protections like the No Surprises Act, Wisconsin has its own consumer protection laws that may apply to your medical billing dispute. Here is an overview of the protections available to you.
Key Facts: Wisconsin Medical Billing Protections
Dispute Window
180 days from Explanation of Benefits (EOB)
Applicable Statute
Consumer Protections
Wisconsin has partial surprise billing protections; consumers can file complaints with OCI
Surprise Billing Protection
Yes — state-level surprise billing law
Balance Billing Restrictions
Federal protections only
Key Consumer Protections in Wisconsin
- Wisconsin has partial surprise billing protections for emergency services.
- The federal No Surprises Act provides additional comprehensive protections.
- Patients have the right to request an itemized bill from any healthcare provider.
- Wisconsin law requires insurers to process clean claims within 30 days.
- Consumers can file complaints with the Wisconsin Office of the Commissioner of Insurance.
Read the full statute: Wis. Stat. § 609.91
Disclaimer: This information is for general informational purposes only and does not constitute legal or professional advice. Laws and regulations may change. Consult a licensed attorney or certified medical billing advocate for advice specific to your situation.