The largest insurance provider in Idaho announced this week that it is seeking a state investigation into how a new hospital in Post Falls is billing its patients by using an arbitration process that it claims has inflated their medical costs.

Blue Cross of Idaho said it has engaged multiple times with officials at Post Falls ER & Hospital, located at 497 S. Beck Road, but that the company refuses to become part of the healthcare provider network.

Post Falls ER & Hospital, which opened in August 2024, is owned by Nutex Health, Inc., a for-profit provider based in Houston, Texas. It operates dozens of medical facilities in 13 states, according to its website.

The Blue Cross letters notes Nutex’s use of the No Surprise Act, a federal guideline that calls for an arbitration process to sett

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