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Surprise! Tri-Agencies Meet Deadline with First Set of Surprise Billing Rules, with More to Come
Groom Law GroupLink to more items from this source
[Guidance Overview]
July 23, 2021

"The IFR is largely focused on how the surprise billing protections apply to group health plans and health insurance issuers, as well as how the Qualified Payment Amount (QPA) is calculated. There are some rules related to the initial payment for surprise billing claims from providers and notices of denial, as well as provider-focused rules. The IFR generally hews closely to the CAA's provisions and provides some clarity regarding the calculation of the QPA amount."

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