Our commercials · OON / OOF · Spot F
Should I sign the notice and consent form?
The real answer
The notice-and-consent form is the one way an out-of-network clinician at an in-network facility can bill you more than your in-network share, and the rule itself says consent is optional. In an emergency, no one may even ask you to sign it.
Surprise billing: the law, state by state, and what you pay — on provern.org

One of the ads our agency made that we did not approve.
Advertised by a Third Party Advertiser. We are not affiliated. They advertise our prices. We contract the prices. The third party advertises and connects with you. We are not related.
The words on screen
- The ads our agency made that we did not approve. — Standard Healthcare
- Sign nothing.
- OON.
- ooh, aah, OON!
- CONSENT IS OPTIONAL. THE RULE SAYS SO.
The spot, :30
- Healthcare
- Just sign here, here and here, and we’ll take care of the rest!
- The patient
- What’s the rest?
- Healthcare
- The rest of the bill.
- The public
- ooh, aah, OON!
- The card
- OOF.
- Announcer
- The notice-and-consent form is the one way an out-of-network clinician at an in-network facility can bill you more than your in-network share. Consent is optional. In an emergency, no one may even ask. Sign nothing.
- Cut to
- A stock photo, confusion. The card: ooh, OON! Go to provern. provern.org
The fine print, in full
Standard Healthcare is a parody. No real company is depicted. The notice-and-consent form is the one way an out-of-network clinician at an in-network facility can bill you more than your in-network share, and the rule itself says consent is optional (45 CFR 149.420). In an emergency no one may ask you to sign it. Neither may anesthesiology, pathology, radiology, neonatology, assistant surgeons, hospitalists, intensivists or diagnostic services (45 CFR 149.420(b)). The No Surprises Act: in an emergency, at any ER, a hospital's or a freestanding one, in your network or not, your share is your in-network share, figured on the recognized amount, not on the doctor's bill (45 CFR 149.110). It counts toward your in-network deductible and out-of-pocket maximum. The doctor may not bill you the rest (45 CFR 149.410). After you are stabilized the protection runs through the visit until you sign a valid consent, and you don't have to.
SIGN NOTHING* *Consent is optional. In an emergency, no one may even ask.
How every spot ends
- The transition

Photo: Ernie Branson for the National Cancer Institute, public domain, via Wikimedia Commons · credits - The relief ooh, OON!
- The closer Go to provern