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Final Rules and FAQs Issued for Federal IDR Process
AssuredPartners
[Guidance Overview] Oct. 12, 2022 "Plan sponsors with fully insured benefits can rest easy because insurance carriers will likely handle the details behind the [No Surprises Act (NSA)] and any provider payment disputes. However, if you are a plan sponsor of self-funded benefits, then you should reach out to your third-party-administrator to ensure that there is a process in place to handle any facility or provider payment disputes within the NSA framework. Plan documents and SPDs will need to be updated as well." |
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