We provide the solutions providers need to navigate the No Surprises Act
Start getting your claims paid today!
We provide the solutions providers need to navigate the No Surprises Act
Start getting your claims paid today!
About the Federal - No Surprises Act
What is the No Surprises Act?
The No Surprises Act is a federal law designed to protect patients from unexpected and often high medical bills resulting from receiving care from out-of-network healthcare providers. The No Surprises Act became effective on January 1, 2022.
How does the No Surprises Act affect providers?
Key features of the No Surprises Act include:
- Protection from Surprise Bills: Under the No Surprises Act patients are shielded from unexpected medical bills when receiving emergency services, non-emergency care at in-network facilities, or services from out-of-network providers at in-network facilities. Patients are only responsible for paying the in-network cost-sharing amount.
- Arbitration for Billing Disputes: The No Surprises Act establishes an arbitration process for resolving billing disputes between insurers and out-of-network providers to determine fair payment amounts in specific situations.
- Transparency Requirements: The No Surprises Act requires healthcare providers to offer clear and understandable information about healthcare costs, estimated out-of-pocket expenses, and network participation to patients.
Our Services
We offer a contingency based service to arbitrate your claims for the best possible results.