“Education should be targeted at providers and health plans to assist in compliance efforts,” Spector wrote. “As the industry seeks to identify and implement solutions to meet the requirements of the No Surprises Act, we urge the federal government to partner with WEDI to con...
The No Surprises Act mandates that providers give uninsured, self-pay, and commercially insured patients a cost estimation for their medical service. When a service requires multiple providers, a “convening provider” is responsible for contacting all other potential providers that...
“No one should ever be threatened with financial ruin simply for seeking needed medical care,” said U.S. Secretary of Labor Marty Walsh. “Today’s Interim Final Rule is a major step in implementing the bipartisan No Surprises Act that will protect Americans from exorbitant health costs ...
Additionally, AHIP argued that basing the IDR process on qualifying payment amounts was necessary for health plans to comply with the January 1, 2022 effective date of the No Surprises Act. “Requiring the IDR process to begin with the QPA, rather than an open-ended ...