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DOL Fact Sheet: What You Need to Know About the Administration's Actions to Prevent Surprise Billing
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Guidance Overview]
Sept. 30, 2021

"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 ...

Along with the release of this second interim final rule, CMS launched new online information ... dedicated to the No Surprises Act, with general information about provisions to prevent surprise billing. Additional information will be posted on the website over the next several months to highlight different provisions as they become more relevant to stakeholders and interested consumers."

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