HHS has released a new rule regarding balance billing, aka the No Surprises Act.
This rule provides additional consumer protections, including:
- A process that takes consumers out of the middle of a payment dispute between providers and health plans;
- Requirements for health care cost estimates for uninsured (or self-pay, meaning you have coverage but choose not to have your care billed to your health plan) individuals;
- A payment dispute resolution process for uninsured (or self-pay) individuals; and
- Expanded rights to external review (what individuals with job-based or individual health plans can use to dispute when certain claims are denied payment, as described below).
More information can be found at the link below.