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Administration Issues Third Rule to Implement No Surprises Act, Protect Americans from Surprise Medical Bills
Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL] Link to more items from this source
[Guidance Overview]
Sept. 30, 2021

"Today's rule ... details how the total payment to an out-of-network provider or facility will be determined. In some cases -- based on the law -- state law or application of a state All-Payer Model Agreement will determine this amount. Where neither applies, the rule sets forth the federal process that will apply for determining the amount."

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