Another question I'm curious about, if you don't mind, is why there is no apparent urgency in fixing the painful billing experience for patients. (aka "why don't billing coordinators seem to coordinate with the patient front and center?") Seems like lots of people are fearful of medical billing, and not only because it's expensive.

I realize providers may be out of network, carriers take time to adjust claims, etc. Still, the staggered/surprise billing seems unique to medicine and a 2nd order effect might be people avoiding preventive care to their own detriment.

Say a patient goes to get some procedure done, the medical work is completed in one day. Shortly afterwards they receive bill A. OK, that's fine. But then X months later, they receive bill B with more charges from some provider that they may not even remember.

I thought avoiding that was supposed to be the job of a billing coordinator. Presumably coordinators are constrained by "things" -- what are the factors that make this experience so dreadful for patients and why are they not being changed?